Assessment Subjective:

Diagnosis Acute Pain related to surgical incision as manifested by verbal response to pain.

Analysis Acute pain is defined as an unpleasant and emotional experience arising from actual or potential tissue damage; sudden or slow onset of any intensity from mild to severe with an anticipated or predictable end and a duration of less than 6 months.

Goals and Objectives Goal: After 4 hours of nursing intervention, the client will be able to report that pain is controlled. Objectives: After nursing interventions: The client will be able to define/discuss his knowledge about Pain in 75% accuracy in 10 minutes Client.

Intervention Independent: - Establish rapport - Provide privacy - Encourage verbalization of pain

Rationale

Evaluation

The client complains pain in the abdomen at the incision site. ang sakit sakit ng area ng sugat ko kung saan ako inoperahan, hirap ako kumilos at matulog as verbalized by the patient. In a pain scale of 8 over 10.

- Establishes trust and comfort to the patient - Reduces anxiety to the patient - Reduces anxiety

After 4 hours of nursing intervention, the client was able to report that pain is controlled. Objectives: After nursing interventions: The client was able to define/discuss his knowledge about Pain in 75% accuracy in 10 minutes Client.

Note patients attitude toward pain and use of pain medications. Discuss to the client what is acute pain.

Helps the client to know what cause of her pain.

Objective: - Facial Grimace - Guarding behavior - Reduced interaction to people and the (Nurses Pocket Guide 11the Edition, page 498)

The client will be able to identify what are causes of pain.

Explain/Enumera te 5 possible cause of pain. Determine

The client will be able to identify what are causes of pain. Helps the client to know what cause of her pain.

environment

presence of possible pathophysiologic al cause of pain. Monitor skin color/temperatur e and vital signs. Note location of surgical procedure. Use pain rating scale appropriate for age. Assess for referred pain. Obtain clients assessment of pain. Accept clients description of pain. Observe nonverbal cues/pain behaviours.

Which are usually altered in acute pain.

To help determine possibility of underlying condition.

To rule out worsening of underlying condition. Pain is a subjective experience and cannot be felt by others. Observation may/may not be congruent with verbal reports. The client was able to

 The client will be able to Demonstrate use of relaxation skills and diversional activities

Encourage use of relaxation techniques such as deep breathing and imagery. Encourage client to have adequate rest periods.

May help decrease pain perception by interrupting the conduction of nerve pain impulse. To prevent fatigue

Demonstrate use of relaxation skills and diversional activities

The client will be able to verbalize appreciation to the interventions.

The client was able to verbalizes appreciation to the interventions.