Assessment Diagnosis Planning Interventions Rationale

Subjective: Acute Pain related Within 2-4 hrs of  Establish rapport >To gain the
to inflammatory nursing trust and
Process interventions the pt. cooperation of
Objectives: will report decrease the patient
▪ Appears weak pain.
▪ Limited range of  Monitor and record >To provide
motion vital signs. baseline data
▪ Restlessness. and note
deviations from
▪ Facial grimaces
normal.
▪ Irritability
▪ sleep
disturbances  Review factor that >Helpful in
aggravate or establishing
alleviate pain diagnosis and
treatment needs

 Encourage pain >To reduce pain

reduction and promote
techniques relief/comfort

 Provide adequate >To promote

rest healing

 Provide >For client’s

diversional comfort and
activities like relief from pain
socialization
>To decrease
 Administer
pain.
analgesics to
maintain
acceptable level of
pain if not
contraindicated
 Instruct client to >Deep breathing
perform deep exercises may
breathing reduce pain
exercises (DBE) sensation/ used
in pain
management

 Monitor >To promote

effectiveness of timely
pain medications intervention/
revision of plan
of care