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    Nursing Care Plan (Post Op Exlap)

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    Kay D. Beredo
    The patient had abdominal surgery and is experiencing pain and impaired mobility. Goals are to relieve pain to a level of 0-2/10 within 8 hours through rest, medication, and distraction. Evaluation found pain reduced to 5/10 and goals partially met after 8 hours of nursing intervention including medication, wound care, rest and diversional activities.

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    Nursing Care Plan (Post Op Exlap)

    Uploaded by

    Kay D. Beredo
    2K views2 pages
    The patient had abdominal surgery and is experiencing pain and impaired mobility. Goals are to relieve pain to a level of 0-2/10 within 8 hours through rest, medication, and distraction. Evaluation found pain reduced to 5/10 and goals partially met after 8 hours of nursing intervention including medication, wound care, rest and diversional activities.

    Original Description:

    ExLap

    Original Title

    Post Op

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    The patient had abdominal surgery and is experiencing pain and impaired mobility. Goals are to relieve pain to a level of 0-2/10 within 8 hours through rest, medication, and distraction. Evaluation found pain reduced to 5/10 and goals partially met after 8 hours of nursing intervention including medication, wound care, rest and diversional activities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views2 pages

    Nursing Care Plan (Post Op Exlap)

    Uploaded by

    Kay D. Beredo
    The patient had abdominal surgery and is experiencing pain and impaired mobility. Goals are to relieve pain to a level of 0-2/10 within 8 hours through rest, medication, and distraction. Evaluation found pain reduced to 5/10 and goals partially met after 8 hours of nursing intervention including medication, wound care, rest and diversional activities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    NURSING CARE PLAN (Post Op Exlap)

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    Subjective: “Nanasakit po Impaired physical mobility After 8 hrs of nursing Independent: Provide quite To promote relaxation and After 8 hours of of nursing
    yung opera ko sa tyan” as r/t post-op at midsagittal intervention,the patient will and comfortable / reduce tension intervention goals are
    verbalized by the patient. incision wound at the be able to report that the therapeutic environment. partially met.
    abdomen as manifested by pain is relieved that can be
    The patient was slightly
    facial grimace, guarding evidenced by pain scale of
    relieved from pain as
    Objective: Patient manifest behavior limited motion and at least 0 - 2 / 10. Encourage diversional
    To divert the attention of evidenced by the pain scale
    as weak and pale pain scale 7 / 10. activities
    patient from the pain of 5 / 10.
    appearance

    difficulty in standing and


    Encourage adequate rest
    sitting- slowed movement- To prevent fatigue
    wound care and change of
    limited range
    dressing To reduce avoid infection
    Facial grimace and guarding
    behavior
    Discuss with relative ways in
    which they can assist client
    Pain scale 7/10 To reduce precipitating
    factor that may ease or
    T = 36.5 ⁰C increase pain
    P = 81 BPM
    Dependent:
    R = 20 BPM
    Administer due medication
    BP = 110 / 90 mmHg

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