Upload
jaysonsantos1723
View
1.272
Download
3
Embed Size (px)
Citation preview
ASSESMENT NURSING DIAGNOSIS
PLANNINGIMPLEMENTATION
EVALUATIONNURSING
INTERVENTIONRATIONALE
Subjective:
“Nasakit Ditoy nga banda” as
Verbalized by the patient
evidenced by arm pointing at
epigastric region.
Objective:
Conscious and Coherent
Weak in Appearance
With intact and dry
dressing over the incision
site.
Facial grimace when in
pain
With guarding behaviour
With minimal vaginal
discharges
Able to perform ADL with
assistance
V/S taken as follows:
T: 36.7
P: 70
R: 25
BP: 110/80
Pain related to
tissue trauma
secondary to
(TAH) Total
Abdominal
Hysterectomy.
After 8 hours
of nursing
interventions
the patient’s
pain will be
relieved.
Independent:
Provide Comfort
measures like
helping patient
assume position of
comfort. Suggest use
of relaxation
technique and deep
breathing exercises.
Encourage early
ambulation
Encourage
divertional activities
like waching T.V. or
reading books.
Provide adequate
rest periods
Assist client to
learn breathing
techniques
Promoting
relaxation
enhances coping
abilities.
Enhances
coping abilities
Refocuses the
attention that
may help in
coping
processes.
Will help the
client in the
coping process.
To assist in
muscle and
generalized
relaxation
After 8 hours of nursing
interventions Goal is
completely met, pain is relived.