NURSING CARE PLAN

ACUTE APPENDICITIS S/P APPENDECTOMY (ACTUAL)

PT: MR.RD AGE: 29 years old CASE: ACUTE APPENDICITIS s/p APPENDECTOMY
ASSESSME DIAGNOSIS INFERENCE OBJECTIVES INTERVENTION / RATIONALE EVALUATION
NT IMPLEMENTATIO
N

SUBJECTIVE: Acute pain Pain is an Short term GOAL MET

“Masakit related unpleasant goal: Explain that after Explaining nature
talaga nung Surgical sensory and pains are normal of disease and After my
una pero Incision emotional After 6 hours because of the illnesses nursing
ngayon Secondary to experience of nursing surgical incision. alleviates anxiety intervention
siguro mga APPENDECTO associated with intervention to the client. the client will
7/10”. As MY actual or the patient will (“Nursing Care be able to
verbalized by as evidenced potential tissue be able to Plans: Nursing eliminate pain
the client by pain scale damage, or state atleast 3 Diagnosis and through
of 8/10. described in pain Intervention, 6th demonstrating
OBJECTIVE: terms of such management edition” pain
damage. Note: techniques and Meg Gulanick management
• Wears The inability to know whay &Judith L. Myers) techniques.
facial communicate does the pain
mask of verbally does occur. Discussion
pain not negate the facilitates
• Mild possibility that Discuss the understanding
fatigue an individual is Long term different pain and promotes
and experiencing goal: management client’s
discomfor pain and is in techniques. participation in
t. need of  After 6 care.
• VS TAKEN: appropriate days of (“Nursing Care
T: 36.7 pain-relieving nursing Plans: Nursing
PR: 81 bpm treatment. Pain interventio Diagnosis and
RR: 26 Cpm is always n the client Intervention, 6th
BP: 110/70 subjective. Each will be able edition”
mmhg individual learns to Meg Gulanick
the application eliminate &Judith L. Myers)
of the word pain
through through
experiences demonstra Patient’s
related to injury ting pain cooperation in
in early life. manageme the health care
Biologists nt Assess the procedures is
recognize that techniques willingness of very important to
those stimuli reach expected