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Nursing Care Plan Cues Subjective masakit sa may tiyan Objective 4/10 pain felt (+)facial grimace Nursing

ing Diagnosis Impaired Comfort r/t Abdominal Cramps Secondary to Acute Appendicitis Background Knowledge The client is diagnosed to have appendicitis wherein one of the symptoms is abdominal pain Long Term After 3 days, the client will feel no pain at all. Short Term In 4 hours, the client will be able to tolerate felt pain as manifested by (-)facial grimace. The client will also verbalize a decrease in rated felt pain from 4 to 1 or 0 in the 0-10 numerical pain distress scale using the pain scale: 0- No pain felt 1- 3 mild pain 4-7 moderate Plan of Rationale Interventions Monitor VS To look for significant changes in vital signs To alleviate Administer pain felt pain medications as per Doctors order Promote comfort by making sure patient is positioned properly. Clients position may aggravate pain felt. Positioning properly may promote comfort and also ensure good circulation.

Evaluation Reassessmen t of clients pain felt

Encourage deep breathing

To facilitate expansion of abdomen and to decrease pain

pain 8-10 severe pain

exercises

Give health teachings on: Deep breathing Deep exercises can breathing help lessen exercises the pain. Diversional Diversion activities will al help the client activites focus on other such as things rather reading a than the pain book, felt. watching TV or playing board -To make the games client feel Energy conserva rested. tion techniqu es such as resting wheneve r possible

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