NURSING CARE PLAN

ASSESSMENT

DIAGNOSIS

PLANNING

Subjective

Acute pain

After 15-20

Data:

related to

minutes of

surgical incision

nursing

Nagsakit datoy
naopera
kanyak, as
verbalized by
the patient.
Objective Data:
>facial
grimacing
>Guarding
behavior

INTERVENTION

>Monitor vital
signs.

intervention
patient will be
able to verbalize
relief of pain
and with a pain
scale from 6/10
to 2/10 scale

RATIONALE

>Monitoring
vital signs will
serve as
baseline data.

>Support area
with extra pillow

>To prevent
straining.

> Instruct client

to use
diversional
activities.

>To divert
patients focus
on pain.

>Instruct client
to avoid
strenuous
activities.
>Administer
pain
medications.

> To prevent
bleeding or
reopening of the
surgical incision

> To relieve
patient from
pain

EVALUATION
Goal met, after
15-20 minutes
of nursing
intervention, the
patient will be
able to verbalize
relief of pain
and with pain
scale reduced
from 6/10 to
2/10