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    Assessment Nursing Diagnosis Outcome Identification Planning Intervention Rationale Evaluation Subjective Data: Short Term: Independent

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    Dimple Castañeto Callo
    The nursing assessment identified the client's acute joint pain as the primary diagnosis. The identified nursing outcomes were for the client to report relief of pain within 4 hours and 2 days, appear relaxed and able to rest, and verbalize ways to relieve pain. The plan included independent, dependent, collaborative, and assistant nursing interventions with rationales. The evaluation showed that after 4 hours the client's pain scale reduced from 7 to 5, and after 2 days was further reduced to 2, allowing the client to rest without much pain and explain ways to relieve joint pain.

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    Assessment Nursing Diagnosis Outcome Identification Planning Intervention Rationale Evaluation Subjective Data: Short Term: Independent

    Uploaded by

    Dimple Castañeto Callo
    149 views2 pages
    The nursing assessment identified the client's acute joint pain as the primary diagnosis. The identified nursing outcomes were for the client to report relief of pain within 4 hours and 2 days, appear relaxed and able to rest, and verbalize ways to relieve pain. The plan included independent, dependent, collaborative, and assistant nursing interventions with rationales. The evaluation showed that after 4 hours the client's pain scale reduced from 7 to 5, and after 2 days was further reduced to 2, allowing the client to rest without much pain and explain ways to relieve joint pain.

    Original Title

    NCP-Acute-Pain-Swine-Flu

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    The nursing assessment identified the client's acute joint pain as the primary diagnosis. The identified nursing outcomes were for the client to report relief of pain within 4 hours and 2 days, appear relaxed and able to rest, and verbalize ways to relieve pain. The plan included independent, dependent, collaborative, and assistant nursing interventions with rationales. The evaluation showed that after 4 hours the client's pain scale reduced from 7 to 5, and after 2 days was further reduced to 2, allowing the client to rest without much pain and explain ways to relieve joint pain.

    Copyright:

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

    Assessment Nursing Diagnosis Outcome Identification Planning Intervention Rationale Evaluation Subjective Data: Short Term: Independent

    Uploaded by

    Dimple Castañeto Callo
    The nursing assessment identified the client's acute joint pain as the primary diagnosis. The identified nursing outcomes were for the client to report relief of pain within 4 hours and 2 days, appear relaxed and able to rest, and verbalize ways to relieve pain. The plan included independent, dependent, collaborative, and assistant nursing interventions with rationales. The evaluation showed that after 4 hours the client's pain scale reduced from 7 to 5, and after 2 days was further reduced to 2, allowing the client to rest without much pain and explain ways to relieve joint pain.

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

    ASSESSMENT NURSING OUTCOME PLANNING INTERVENTION RATIONALE EVALUATION

    DIAGNOSIS IDENTIFICATION
    Subjective data: Acute pain related 1. Client will report Short Term: Independent: 1. Soft and sagging mattress, After short term (4hours)
    “Ang sakit ng to inflammatory relieved of pain. 1. Recommend or provide a large pillows prevent and long term (2 days) of
    katawan ko, hindi changes in joints  At the end of 4 firm mattress or bed board, maintenance of proper body
    2. Client will appear hours of nursing nursing intervention, the
    ako makagalaw and biological small pillow. Elevate linens alignment, placing stress on
    ng matino.” As injury agent relaxed and able to intervention, the with bed cradle as needed. affected joints. Elevation of following goals were met:
    verbalized by the (infection) rest client pain scale of bed linens reduces pressure
    client. 7 will reduce to 5 on inflamed or painful 1. Client pain scale is
    3. Client verbalize out of 10. joints.
    ways to relieved reduced from 7 to 2
    Objective data: 2. Suggest client to assume a 2. To limit pain or injury to
    pain position of comfort while in joint. out of 10
    Long Term:
     Guarding
    bed or sitting in a chair. 2. Client able to rest
    behavior At the end of 2 days of
     Irritability properly
    nursing intervention the 3. Place and monitor use of 3. Rests painful joints and
     Unfocused pillows, sandbags, trochanter maintains a neutral 3. Client enumerate
    patients will able to:
     Pain scale of rolls, splints, braces. position. Use of splints can ways to relieve joint
    7 out of 10.  Have a pain scale decrease pain and may pain
    of 2 out of 10. reduce damage to joint,
     Rest without much prolonged inactivity can
    result in loss of joint
    pain
    mobility and function.
     Explain ways to
    relieved joint pain 4. Encourage frequent changes 4. Prevents general fatigue
    of position. Assist the patient and joint stiffness.
    to move in bed, supporting Stabilizes joint, decreasing
    affected joints above and joint movement and
    below, avoiding jerky associated pain.
    movements.

    5. Recommend that client to 5. Heat promotes muscle


    take a warm bath or shower. relaxation and mobility,
    Apply warm, moist decreases pain, and relieves
    compresses to affected joints morning stiffness.
    several times a day.

    6. Encourage the use of stress


    management techniques such
    as progressive relaxation,
    biofeedback, visualization, 6. Promotes relaxation,
    guided imagery, and provides a sense of control,
    controlled breathing. and may enhance coping
    abilities.
    Dependent
    1. Administer analgesic
    medications as prescribed by
    the physician.
    1. These drugs control mild to
    Collaborative: moderate pain and
    inflammation.
    1. Assist with physical therapies
    such as paraffin glove,
    whirlpool baths.
    1. Provides sustained heat to
    reduce pain and improve
    ROM of affected joints.

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