GOALS AND NURSING

HEALTH PROBLEM ANALYSIS RATIONALE EVALUATION

OBJECTIVES INTERVENTIONS
After 8 hours, Do the
Acute pain Acute pain is GOAL: interventions
related to Partial described as an After 2 hours of eliminate or lessen
Hip prosthesis unpleasant nursing interventions the pain that the
surgery with sensory or the patient client is
bone cement emotional pain will be experiencing?
experience relieved or lessen
 Client associated with ___ Met
verbalized actual or OBJECTIVES: ___ Partially Met
“Mejo masakit potential Independent: Provides ___ Unmet)
ang kaliwang tissue damage 1. To evaluate • Evaluate pain information
hita ko ” or injury as client’s regularly noting about need for Was the client able
 “Di ako maka lasting from response to characteristics, or effectiveness
to discuss
galaw sa sakit” seconds to 6 pain. location, intensity Of interventions.
months. In (0-10 scale).
physiology and
 When the
cases of • To acceptable
client ranked the
pain she was fracture, pain 2. Assist client to • Provide provide non- variations in pain?
experiencing she is continuous & explore quiet and calm pharmacological
gave 6, being 10 increasing in method for environment pain ___ Met
as the highest and severity until alleviation/cont management ___ Partially Met
1 is the lowest”. bone fragments rol of pain ___ Unmet
are • Prevents undue
immobilized. In • Identify specific strain on
this type of activity operative site. Was the client able
fracture, the limitations. to review
main medical
management is individual/risk
• relieves mild to
open reduction factors and specific
• Encourage use moderate pain
with internal and
interventions?
of relaxation
fixation technique like enhances
(ORIF)or a hip deep breathing lung expansion. ___ Met
replacement in in which Exercise and ROM ___ Partially Met
the hip joint is replaced exercises. ___ Unmet
by a prosthetic implant. • Improves
Pain will be experienced • Provide comfort circulation, Was the client
by the patient after the reduces muscle
measures (ex. encouraged to
surgery. Back rub, use of tension and exercise within
heat and cold anxiety
Resources: application) associated with limits?
Fundamentals of pain.
Nursing by Kozier; ___ Met
Nurses pocket guide, • Promote ___ Partially Met
http://en.wikipedia.org/w • Encourage wellness. ___ Unmet
iki/Hip_replacement diversional
activities
3. To promote Was the client able to
• To prevent
wellness • Schedule fatigue and
attain pain
adequate rest promote wellness managemnent
periods. habits?

EFFICIENCY:
• Provides Were the time,
• Review elements materials and human
importance of necessary for resources used
nutritious diet tissue competently?
(high protein and regeneration or Yes ___
vitamin C) healing. No ___
and adequate
Why?
fluid intake.
ADEQUACY:
• Reposition as
Were the numbers of
indicated. interventions
sufficient for the
client?
4. To provide Collaborative: • To relieve pain Yes ___
pharmacologic • Administer or to maintain No ___
intervention for pain acceptable level
analgesics or Why?
NSAID’S of pain
drugs as ACCEPTABILITY:
prescribed. Were the
interventions suitable
References:
Nursing Pocket
for the nurse and the
Guide by client?
Marilynn Yes ____
Doenges et. al No ___
page: 498-503 Why?

Nursing APPROPRIATENES
Diagnosis and S
Intervention by Were the
Gulanick, Klopp interventions used
et al. page 49-52 proper to the client?
Yes ___
No ___
Why?