| |NURSING ANALYSIS | |GOAL AND GOALS |NURSING INPUT | | | |CUES | |ANALYSIS | | |RATIONALE |EVALUATION | |SUBJECTIVE: |Acute Pain related to |Pain is subjective |Goal |Asses pain (location, |To know the dimensions of the degree of |from pain range 5 to pain | |Verbal survey of discomfort |tissue trauma as |incident usually |After 8 hours of nursing |duration and intensity) |discomfort |scale reduced and the | |" masakit yung tahi ko kaya|manifested by 3cm right |manifested by mental |interventions the customer will | | |latest pain size is two | |hindi ako makagalaw |medio lateral |reports of the client. It|have no further gripes of |Assist patient to look for |Elevation affects the |the client reduced facial| |masyado. " |episiorraphy, facial |is important for pain to |pain |position of relief |ability to rest and relax |grimacing when moving to | | |grimace, redness and |be happy to promote | | | |chair | |With pain scale of 5 |swelling in the incision |client's health and well |Objectives |Provide ease and comfort measures |To promote |the client verbalized | | |site |being. |After thirty minutes of nursing jobs |(e. g. touch, transfering, |non-pharmacological soreness |comfort | |OBJECTIVE: | | |intervention the patient is going to be|use of heat/cold bags, |management | | |-Facial grimace when ever | | |able to lessen pain while |nurse's presence) quiet | |Process | |turning to other side | | |manifested by: |environment and calm | | | |-irritability | | |from pain size 5 to pain size |activities | |Adequacy | |-3cm correct medio spectrum of ankle | | |2 | | |The resources were enough | |episiorraphy | | |decrease facial grimacing when |Encourage divisional | |to satisfy the goal | |-with inflammation and swelling| | |moving to seat |activities | | | |in the incision web page | | |verbalization of comfort | |Promotes rest |Appropriateness | | | | | |Instruct/ encourage use of | |The concours were | | | | | |relaxation approaches such as| |appropriate for the...

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