Assessment

Nursing Diagnosis

Scientific Explanation

Planning

Interventions

Rationale

Evaluation

S> Medyo sumasakit ang tahi ko kapag gumagalaw as verbalized by the client.

Alteration in comfort pain related to tissue trauma secondary to removal of entire uterus, pain scale: the ovaries, 5 fallopian tubes and the cervix. P: pain rises upon moving. Q: stabbing pain R: pain radiates in the incision site in the abdomen S: mild (pain scale: 5) T: whenever she moves the pain lasted in 1-2 mins.

Due to surgical After 3 hours of INDEPENDENT: procedure done nursing Assessed level of pain that needs a intervention the of the patient. surgical incision pain scale of 5 will there will be decrease to pain presence of scale of 3 and she Monitored vital signs trauma in the areawill move and recorded. that signals an comfortably. actual tissue Provided rest and damage and comfort measures. inflammation, this damage will cause Diversion of activities an inflammation such as story telling. of the nerves when the nerves Reduced stressful are affected, there stimulants such as will be the noise. presence of pain. DEPENDENT: Administered pain relief measures such as Mefinamic acid (Ponstan SF) and Morphine Sulfate as ordered by the physician.

The patients pain scale of 5 decreased to pain scale To determine what of 3 and the client felt relief measures is more comfortable as appropriate to evidenced by performed administer. activities like going to CR alone and standing Provide baseline data. without assistance. To satisfy the confinement of patient To alter the patients pain.

To alter pain and diminish emotional stress

To maintain acceptable level of pain.