Alyssa Loise B.

Acosta San Rafael Ward

IV-Nur-1 RLE 1 Sir Singson

NCP for Acute Pain

Nursing
Assessment Nursing Scientific Objectives/Goa Interventions Rationale Evaluation
Diagnosis Rationale ls
Subjective: Acute Pain Acute pain is an Short Term: 1. Perform 1. Promote Short Term:
Patient related to Tissue unpleasant Within 3-4 hours action that relaxation After 3-4 hours
verbalized: Damage as sensory and of nursing promote and reduce of nursing
Parang evidence by emotional interventions, comfort muscle interventions,
tinutusok blood in the experience the patient will such as tension the patient was
yung tiyan urine arising from be able to: warm able to:
ko pointing actual tissue Feel and compress 2. Divert Felt and
at the left damage; sudden palpate 2. Encouraged attention palpate
suprapubic or slow onset of without to do deep and reduce without
area any intensity facial breathing anxiety facial
from mild to grimace exercises, grimace
Objective: severe Verbalize guided Verbalized
(+) Facial sensation of reduction of imagery and reduction of
Grimace pain. pain with a therapeutic pain with a
Presence of pain scale of activity pain scale of
3. Advised 3. To prevent
blood in the Source: 3-4/10 3-4/10
adequate fatigue
urine contemporary
Medical Surgical rest periods
Guarding Long Term:
4. To have a
4. Monitor vital
behavior in Nursing, Daniels Within 7-8 days Long Term:
signs baseline
the abdomen R., Nosele L., of nursing Within 6-7 days
and know
are while Nicoll., pp.992 interventions of nursing
the if there
palpating the patient will interventions
is a
Restlessness be able to: the patient was
progress or
Vital Signs: Relief of pain able to:
worsening
- BP = with a pain Relieved
5. Take an the
120/80 scale of 0- pain with a
accurate I & condition
- PR = 103
 bpm 2/10 O pain scale of
- RR =20 5. To monitor 0-2/10
bpm the fluid
- C = 37.8 and
electrolyte
imbalance