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NURSING CARE PLAN-1

Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married
Medical Diagnoses: – Myocardial Infarction Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007

ASSESSMENT NURSING PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION


DIAGNOSI
S
Pain r/t After 8 hours of 1. Obtain full description of 1. Pain is a subjective Goal met,
SUBJECTIVE: tissue nursing pain from patient experience and must be patient
I’ve been ischemia intervention including location, described by patient Has verbalized
experiencing coronary the intensity (0–10), relief/control of
chest pains as artery patient will duration, characteristics chest pain
verbalized by the occlusion) Verbalize (dull/crushing), and within
patient relief/control of radiation. Assist patient appropriate
chest pain to quantify pain by time
OBJECTIVE: within comparing it to other 2. Delay in reporting pain frame for
appropriate experiences hinders pain relief/may administered
• Restlessness time 2. Instruct patient to report require increased dosage of medications.
• Facial grimace frame for pain immediately. medication to achieve relief
• Pain scale of administered 3. Decreases external
9 out of 10 medications. stimuli, which may
• V/S taken as 3. Provide quiet aggravate anxiety and
follows environment, calm cardiac strain, limit coping
T: 37.6 ¢ªC activities, and comfort abilities and adjustment to
P: 112 measures current situation
R: 12 4. Helpful in decreasing
BP: 140/ 100 perception of/ response to
4. Assist/instruct in pain. Provides a sense of
relaxation techniques, having some control over
e.g., deep/slow the situation, increase in
breathing, distraction positive attitude.
behaviors, visualization,
guided imagery

Reference:
Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company.
Student name: BHERU LAL Discipline B.Sc. N-1(2007-9)

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