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    Acute Pain NCP

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    Roberto Joaquin Angeles
    The patient reported continued severe abdominal pain (8/10) despite nursing interventions. Goals were not met. Contributing factors were not fully assessed or addressed. Continued focus on comprehensive pain management is needed.

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    Attribution Non-Commercial (BY-NC)
    Download as ODT, PDF, TXT or read online from Scribd

    Acute Pain NCP

    Uploaded by

    Roberto Joaquin Angeles
    7K views3 pages
    The patient reported continued severe abdominal pain (8/10) despite nursing interventions. Goals were not met. Contributing factors were not fully assessed or addressed. Continued focus on comprehensive pain management is needed.

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    © Attribution Non-Commercial (BY-NC)

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    The patient reported continued severe abdominal pain (8/10) despite nursing interventions. Goals were not met. Contributing factors were not fully assessed or addressed. Continued focus on comprehensive pain management is needed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as ODT, PDF, TXT or read online from Scribd
    Download as odt, pdf, or txt
    7K views3 pages

    Acute Pain NCP

    Uploaded by

    Roberto Joaquin Angeles
    The patient reported continued severe abdominal pain (8/10) despite nursing interventions. Goals were not met. Contributing factors were not fully assessed or addressed. Continued focus on comprehensive pain management is needed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as ODT, PDF, TXT or read online from Scribd
    Download as odt, pdf, or txt
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    The document discusses a patient experiencing abdominal pain and the nurse's assessment, diagnosis, plan of care, interventions and evaluation of the patient's response.

    The patient complained of abdominal pain rated at 8/10 for the past 8 hours. Upon assessment, the nurse noted facial grimacing, guarding behavior, abdominal distension and body weakness, indicating acute pain possibly due to gastrointestinal bleeding.

    The nurse applied pain management interventions like administering pain medications as ordered, encouraging compliance to therapeutic interventions, reducing anxiety and stress, including the patient and family in care planning, and encouraging adequate rest.

    Student Nurse: Patient Name: Diagnosis: Assessment S- Masakit tyan ko mula pa kagabi grabe hindi ako makatulog -pain

    scale of 8/10 O- (+) facial grimace (+) guarding behavior -(+)body weakness -(+)abdominal distension Diagnosis Acute pain possibly related to upper gastrointestinal bleeding Scientific Explanation The patient is experiencing pain on his abdominal area probably due to ulcers, hyper acidity or bleeding in the epigastric area Planning After 8 hours of nursing interventions, the patient will be report reduced pain and discomfort Selected Interventions Independent > Assess conditions contributing to long-term pain > Note availability of SO Implemented Interventions Independent > Assessed conditions contributing to long-term pain > Noted availability of SO Rationale Evaluation Goal not met. Patient reported no reduction of pain and pain scale remained at 8/10.

    > To identify contributing factors to long-term pain > To ensure continuity of interventions

    > Note age and > Noted age and > To determine gender of the gender of the the perceptive patient patient ability of the patient > Evaluate pain > Evaluated behaviors pain behaviors > To identify the patients responses to pain

    > Assess degree > Assessed of degree of maladjustment maladjustment

    > To determine factors contributing to increased pain

    > Encourage compliance to therapeutic interventions > Reduce anxiety and stress

    > Encouraged compliance to therapeutic interventions > Reduced anxiety and stress

    > To alleviate episodes of pain

    > To ensure proper compliance to interventions

    > Include patient and SO in making the plan of care > Observe for any untoward signs and symptoms > Encourage adequate rest periods Dependent > Apply pain management interventions, as indicated

    > Included patient and SO in making the plan of care > Observed for any untoward signs and symptoms > Encouraged adequate rest periods

    > To limit focus on pain

    > To determine presence of a new physical problem

    > To help alleviate pain

    Dependent > Applied pain > To relieve management acute interventions, as manifestations indicated of the disease

    process > Administer pain medications, as ordered > Administered pain > To alleviate medications, as episodes of pain ordered

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