Scribd
Upload
108 views1 page

Assessment Diagnosis Inference Planning Intervention Rationale Evaluation

The patient presented with acute pain related to a possible bacterial infection. Leptospirosis, caused by bacteria of the genus Leptospira, was inferred as it can cause a wide range of symptoms including high fever, severe headache, chills, and muscle aches. The plan was for the patient to demonstrate use of relaxation skills and other comfort measures to relieve pain after 8 hours of nursing interventions. The rationale included establishing a baseline, individualized perceptions of pain, and cognitive behavioral interventions to promote comfort and relieve pain without pharmacological therapy.

Uploaded by

Franz Rolf
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
108 views1 page

Assessment Diagnosis Inference Planning Intervention Rationale Evaluation

The patient presented with acute pain related to a possible bacterial infection. Leptospirosis, caused by bacteria of the genus Leptospira, was inferred as it can cause a wide range of symptoms including high fever, severe headache, chills, and muscle aches. The plan was for the patient to demonstrate use of relaxation skills and other comfort measures to relieve pain after 8 hours of nursing interventions. The rationale included establishing a baseline, individualized perceptions of pain, and cognitive behavioral interventions to promote comfort and relieve pain without pharmacological therapy.

Uploaded by

Franz Rolf
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Acute pain related Leptospirosis is a After 8 hrs of Independent: To provide baseline After 8 hours of
 “Napakasakit ng to bacterial infections bacterial disease that nursing   information. nursing
ulo at buong in the body. affects humans and interventions, the  Assess reports of ♦ interventions,the
katawan” animals. It is caused by patient will pain, including   patient wa sable to
 As verbalized by bacteria of the genus demonstrate use location and intensity Pain is unique to demonstrate use of
the patient. Leptospira. In humans it of relaxation skills, (scale of 0-10). each patient.One relaxation skills,other
causes a wide range of other methods to may encounter methods to promote
OBJECTIVE: symptoms, and some promote comfort varying descriptions comfort and to
infected persons may and to relieve Observe non-verbal because of relieve pain.
Facial grimacing have no symptoms at all. pain. cues. individualized
Symptoms of perceptions.
Irritability leptospirosisinclude highf   Nonverbal cues may
  ever, severe Explore alternative aid in evaluation of
Guarding of the headache,chills, muscle pain relief measure pain and
affected areas. aches, and vomiting, and like relaxation effectiveness of
  may technique,breathing therapy.
 V/S taken as include jaundice (yello techniques and ♦
follows: w skin and eyes),red guided imagery.  
eyes,abdominal Cognitive behavioral
T: 37.3 pain,diarrhea, or a rash interventions may
P: 89 reduce reliance on
R: 23 pharmacological
BP: 110/70 therapy and
enhance patient’s
sense of control.
♦

You might also like