CUES

Date Identified: July 19, 2016

Subjective Cues:
Gasakit pa ang akon buli.
as verbalized by the client
Objective Cues:
Pain scale of 7/10 noted
Anxiety noted
Vital signs are as follows:
Temperature: 36.8C
Pulse Rate: 65 bpm
Respiratory rate: 18 cpm
Blood Pressure: 140/100
Others
Laboratory Results
WBC
12.1 (5.00-10.00 x 10^ 9/L)
Monocytes
7 (2.00-6%)

PROBLEM

Pain at operative site

PHYSIOLOGIC

BEHAVIORAL

Actual
Alteration in comfort: Pain related to
post operation wound secondary to
External Hemorrhoids

Actual
Fear related to perceived pain during
elimination secondary to External
Hemorrhoids

Potential
Risk for constipation related to
reluctance to defecate secondary to
External Hemorrhoids

Potential
Risk for self-care deficit: toileting r/t
pain during elimination secondary to
External Hemorrhoids

Eosinophils
15 (1.00-4%)

Lack of information about disease

condition

Actual
Knowledge Deficit related to
unfamiliarity of disease condition

Actual
Moderate anxiety related to inadequate
knowledge on disease condition

Potential
Potential
Risk for ineffective health maintenance Risk for decisional conflict related to
related to lack of knowledge regarding lack of relevant information
basic health practices