DATA NURSING PLANNING INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS
Subjective: After 8 hours of nursing Assess pain Provides information to aid After 8 hours of nursing care intervention the
”kasla nasakit care, the client will be noting location, in determining choice and patient was able to:
latta toy pus-ong able to: intensity(pain effectiveness of
ko adding, kasla scale 0f 0-10), intervention. Pain scale degraded from 8/10 down to
madlaw ko nga characteristics 5/10
marigatan nak Acute Pain as Report pain and duration.
latta umisbo uray evidenced by relieved or Promotes relaxation,
Provide comfort Goal met.
adda toy tubo reported series controlled. refocuses attention and
kon”as of measures and may enhance coping
helping client Patient be able to sleep and rest
verbalized by pain(bladder) abilities.
patient assume position appropriately.
of comfort,initiate
deep breathing
exercise.
Objective:
-patient seems like
un easy upon
interviewing.
-grimace upon
talking when the
pain occurs
-Difficulty of
turning
-minimal
movement
Pain scale of 7/10
VS taken as Fear or anxiety Demonstrate Provide Helps client understand Patients report that his anxiety and fear is
follows: as possibly appropriate range information purpose of what is reduced to manageable level.
BT= 38.1‘C evidenced by of feelings and about specific being done to reduce
PR= 141 bpm increaseds lessened fear. [Link] Goal met.
RR= 22 cpm concerns associated
tension and what to expect
BP= 120/90 worries about afterwards. with unknown.
mmHg the upcoming
surgery.