You are on page 1of 3

CHINESE GENERAL HOSPITAL COLLEGE OF NURSING

NURSING CARE PLAN

PATIENT’S NAME: Patient X AGE: 22 DIAGNOSIS: Acute Gastritis


ASSESSMENT NURSING GOAL INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
SUBJECTIVE: Acute Pain LONG TERM: INDEPENDENT: LONG TERM:
*Client Related to After 2 days of *Perform a *Pain is a subjective After 2 days of
verbalized” inflammation being provided with comprehensive experience and must intervention, client is
Sumasakit and edema appropriate care, assessment of pain be described by the relieved from pain.
pag umuupo the client will including location, client in order to plan
ako o kaya demonstrate no characteristics, onset, effective treatment.
pag signs of pain as duration, frequency,
hinahawakan. evidenced by: quality, intensity or
” severity and SHORT TERM:
*verbalization of precipitating factors of *After 8 hours of
mild to no report of pain. *To allow prompt nursing intervention,
OBJECTIVE: pain intervention and client’s condition
*pain scale is 6- *absence of facial *Assess for signs and improved pain control improved.
10 grimace and symptoms of pain
*protective protective gestures *Some patients will
gesture noted feel uncomfortable
*facial grimace SHORT TERM: * Assess patient’s exploring alternative
*swelling on left *After 8 hours of willingness or ability to methods of pain
gluteal area nursing explore a range of relief. However,
*contusion on left intervention, the techniques aimed at patients need to be
thigh client’s condition controlling pain. informed that there
will improve as are multiple ways to
evidenced by: manage pain.
* To enhance overall
*demonstrating *Reduce or eliminate management of pain
ability to take factors that precipitate
medication given or increase pain
appropriately experience. *Use of noninvasive
*ability to cope with pain relief measures
incompletely *Teach the use of non can increase the
relieved pain pharmacologic release of endorphins
manifested by techniques. and enhance the
reduced protective therapeutic effects of
gestures pain relief
medications

*Fear and anxiety can


decrease client’s
*Implement measures to threshold and
reduce fear and anxiety. tolerance of pain
increasing its
perception.

*To decrease pain


* Promote relaxation perception and
through bed rest, music increase
therapy, etc. effectiveness of pain
management
measures.
* Provide rest periods to
facilitate comfort, sleep, *The patient’s
and relaxation. experiences of pain
may become
exaggerated as the
result of fatigue. In a
cyclic fashion, pain
may result in fatigue,
which may result in
exaggerated pain and
DEPENDENT: exhaustion.
*Administer drug that
inhibit gastric acid
secretions
* To relieve pain

You might also like