ASSESSMENT

Subjective data ;
babys mother says
that the is havining
irritable crying.

DIAGNOSIS

Assessment of
visual analog scale
by moving facial
expressionJoint

PLANNING

RATIONALE

IMPLEMENTATION

EVALUATION

1.Perform a
Acute pain and

Reduce the

related to

severity of

mild to no.

Help
restore
mobility

incisional wound the pain

secondary to

Objective data ;

GOAL

Restoratio
n of normal

inflammation of

use of the

joint as

affected

evidenced by
moving facial
expression
Visual Analog
Scale Score;4

extremity

Rest will
minimize the
pain

comprehensive
Assessment of pain to
include location,
characteristics, onset,
duration, frequency,
quality, intensity or
severity, precipitating
factors of pain.
2.Provide rest for
involved joints.
Excessive use
aggravates the
symptoms and
accelerates

The child stopped

the cry, which
indicates the pain
relieved.

degeneration.
3.Advise the mother
toallow the baby to
sleep that precipitate
pain.
4.Apply heat as
directed to relieve
muscle pain and
stiffness.
5.Teach the mother to
keep correct posture
and body mechanics.
6.Teach the mother
range-of-motion
exercises to maintain

join mobility.
7.Refer baby to
physical and
Subjective data ; :
Mother says that

Impaired thermo patient has

regulation

to maintain

related to

core

hypermetabolis

temperatur

Objective data :

m secondary to

Checked vital

infection as

babys boby
temperature is
raising.

signs of
Temperature shows
101 degree F

evidenced by
hyperthermia

occupational therapy.

Aid in
preventing
complicatio
ns such as

1.Monitor heart rate

and rhythm.

infection,
phlebitis and
respiratory
problems

2.Provide /
encourage fuid

Teperature 101

intake to drink

degree F

plenty.
3.Instruct the patient
to wear clothing that

is thin and easy to

absorb sweat.

4)Observation of
intake and output,
vital signs
(temperature, pulse,
blood pressure)
every 3 hours once
or more often.

Collaborative:

5)ntravenous fluids
and appropriate drug
delivery program.