ASSESSMENT
Subjective Data: Acute pain related to
joint swelling and
“Masakit ang tuhod ko
kapag nasasagi at
naigagalaw konti, para
bang may mga buhangin
sa loob” as verbalized
by the patient
Pain Scale: 6/10
Objective Data:
-Vital Sign
Temperature: 37.3 C
PR: 88 bpm
RR: 20 cpm
BP: 130/90 mmhg
-restlessness
-irritability
-facial grimace
DIANOSIS PLANNING INTERVENTION RATIONALE EVALUATION
Short Term: INDEPENDENT: The goal was met.
-proper positioning of - provide comfort for the
tenderness At the end of 8 hours of the knee in recumbent affected
nursing intervention the position
patient will be able to
demonstrate use of -provide comfort -applying heat to an
relaxation skills and measures like use of inflamed area will dilate
diversional activities. warm compress on the the blood vessels,
affected area promote blood flow,
Long Term: reduce swelling and
control pain
At the end of 2-3 days of
nursing intervention the -instruct and encourage -deep breathing reduce
patient will be able to use of relaxation muscle tension thereby
report pain is lessened techniques such as lessening pain
from 6/10 to 4/10. focused on breathing
-encourage diversional -to divert the focus of the
activities ( TV/Radio, patient from the pain to
Socialization with other activities
others)
-encourage adequate -to reduce fatigue
rest periods
DEPENDENT:
-administer analgesics -relieve mild to
(Acetaminophen) as moderate pain
indicated