Rhea Mae V.

Valles

BSN-IV

NCP for Chronic Calculous Cholecystitis

Assessment Diagnosis Planning Interventions Evaluation

Subjective: Pain related to After 2 hours of Nsg. Action Rationale After 2 hours of
Minsan sobrang inflammatory nursing 1. Observe and 1. Assists in nursing interventions
sakit nitong buong process as interventions the document differentiating the patient was:
tiyan saka itong evidenced by patient will: location, cause of pain, Report pain
likod ko. as facial mask of Report pain severity (0 and provides is relieved or
verbalized by the pain and is relieved 10 scale), information controlled.
patient. guarding or and about disease Demonstrate
behavior controlled. character of progression use of
Objectives: Demonstrat pain (steady, and resolution, relaxation
c pain scale e use of intermittent, development skills and
of 8, 10 as relaxation colicky). of diversional
the highest skills and 2. Note complications, activities as
and 0 as the diversional response to and indicated for
lowest activities as medication, effectiveness individual
Rebound indicated and report to of situation.
tenderness for physician if interventions.
Muscle individual pain is not 2. Severe pain
guarding situation. being not relieved by
Positive to relieved. routine
Murphys 3. Promote measures may
sign bedrest, indicate
Restlessness allowing developing
BP: 140/100 patient to complications
assume or need for
position of further
comfort. intervention.
4. Use soft or 3. Bed rest in
 cotton low-Fowlers
linens; position
calamine reduces intra-
lotion, oil abdominal
bath; cool or pressure.
moist 4. Reduces
compresses irritation and
as indicated. dryness of the
5. Control skin and
environment itching
al sensation.
temperature. 5. Cool
6. Encourage surroundings
use of aid in
relaxation minimizing
techniques. dermal
Provide discomfort.
diversional 6. Promotes rest,
activities. redirects
7. Make time attention, may
to listen to enhance
and coping.
maintain 7. Helpful in
frequent alleviating
contact with anxiety and
patient. refocusing
attention,
which can
relieve pain.