Submitted by: De Guzman, Tammy

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Nursing Care Plan
BSN 113 –Group 49
NURSING
ASSESSMENT GOAL & OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS

Subjective: After 8 hours of nursing After 8 hours of nursing

Acute pain intervention, the client intervention, the client
- Reports of related to will be able to verbalize was able to verbalize
pain by the inflammatory minimized or controlled
minimized or controlled
patient response feeling of pain.
secondary to feeling of pain.
Objective: infection.
Objectives:
-Guarded
behavior • To get baseline data ♦ Monitor vital signs ♦ Establishes
-Restless of the client. comparative
-Pain Scale= 7 baseline providing
(10 is opportunity for
highest) timely intervention.
• To assess for client’s ♦ Assess for signs of
pain. pain, location, and ♦ To aid in evaluating
intensity and use of need for proper
pain scale (0-10) and intervention.
evaluate Continued pain may
characteristics of indicate developing
pain. complication.

• To know what
medication is needed ♦ Anticipate need for ♦ Early intervention
by the client pain relief/ may decrease the
medication. total amount of
analgesic required.

♦ Eliminating stressors
helps the client to be
• To eliminate stressors ♦Eliminate additional relieved from pain.
or sources of stressors or sources
discomfort. of discomfort
 whenever possible
and determine the
appropriate pain
relief method.
♦ Promote healing by
To encourage the client
in engaging some reducing basal
activities that will lessen metabolic rate and
♦Encourage
the pain that he allowing oxygen &
diversional activities
experience. nutrients to be
and use of relaxation
utilized for tissue
exercises such as
regeneration
focused breathing.
To encourage adequate
rest and sleep. ♦Having adequate
rest and sleeps aids
in regaining
♦Encourage adequate
strength.
rest and sleep.