ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING NURSING RATIONALE EVALUATION

BASIS INTERVENTIONS
Subjective: Acute pain an unpleasant After 1 hour of Independent: After 1 hour of
masakit ang related to sensory and nursing Assess for referred pain, To help determine nursing
tiyan ko. Di ako increasing emotional interventions the as appropriate. possibility of intervention the
makagalaw.", as abdominal experience patient will report underlying condition patient will be
verbalized by pressure as a associated with that pain is relieved or organ dysfunction able to report pain
the patient result of actual or potential or controlled. requiring treatment. relief.
accumulated tissue damage, or
Objective: fluids in the described in terms To demonstrate
- pain scale of abdomen as of such damage. Perform pain assessment improvement in
9/10 manifested by The emotional each time pain occurs. status or to identify
- Px reported facial grimace distress of pain worsening of
sharp pain, and guarding can cause underlying condition
painful when behavior with a suffering, which is /developing
moving, radiates pain scale of the state of complications.
in the back and 9/10. distress associated
pain is present with loss. To provide comfort
all the time Suffering can measures.
- guarding result in a Position the client on his
behavior profound sense of desired position.
insecurity and To relax the muscle.
lack of control. Promote a
When suffering nonpharmacological pain
occurs, people can management such as use
experience of hot compress and
spiritual distress massage.
Provide for individualized
physical therapy or
exercise program that can
be continues by client
after discharge.
Encourage verbalization
of feeling about pain.
Promotes active,
rather than passive,
role and enhances
sense of control.
To evaluate coping
abilities and identify
areas of additional
concern.

Dependent:
Prescribe a pain
medication if needed.

Collaboration:
Collaborate with the
significant other to help
the patient move.