Nursing Diagnosis Analysis Goals and Nursing intervention Rationale Evaluation

objectives

Acute pain related to Gastritis is a series GOAL: Independent:

irritation/ of condition that At the end of the 8 - establish rapport - to facilitate At the end of the 8
inflammation of present with hour shift of cooperation as hour shift of
gastric mucosa as inflammation of rendering nursing well as to gain pts rendering nursing
evidenced by the gastric care patient will trust care, the patient
recurrent abdominal mucosa. Usually be relieve from was relieved from
pain stems from pain - Note for the location, - To determine the pain
ingestion of a scale, intensity and nursing care to be
Subjective cues: corrosive, erosive, onset of pain given to the
or infectious patient.
Patient substance
verbalize of - Maintain a calm and - To minimize
moderate pain quite environment. stimulus that could
with scale of aggravate the
5/10 condition of the
patient
0-3= less pain
4-7= moderate pain -Provide a dim and light
8-10= severe pain but providing good - To add comfort
ventilation. to the patient
Objective cues:
- take and record vital - to note changes
Facial grimace signs that can affect the
pts condition
restlessness
- provide health - to promote
vital signs teachings such as: optimum wellness
increase oral
T- 38* C fluid intake
P- 88 bpm emphasize the
R- 24 cpm importance of
BP- 110/ 70 proper
mmHg hygiene

Dependent:
- to regulate IVF as
ordered - to assure that the
body receives
accurate amount of
fluids and
electrolytes
- to give due
medications - to aid in the easy
recovery
- instructed on home
meds - to serve as a
guide in doing
self-medication
 that promotes
independence