Assessment Diagnosis
Subjective:
“madalas sumakit yung
dibdib ko” as verbalized by
the patient.
Objective:
 Pain Scale of 7/10
 Facial Grimacing
Planning Intervention Rationale Evaluation
Acute Pain related After 8 hrs of  Monitor vital signs  Alteration from After 8 hrs of nursing
to excess fluid nursing normal maybe intervention the
between the layers interventions the signs of patient was able to
of the pleura patient will be able infection rate the pain in a
outside the lungs to experience  Perform an  Indicates the scale of 5/10
as manifested by gradual relief of assessment of pain to need for/
pleuritic chest pain pain with a pain include location, effectiveness of After a series of
scale of 5/10 characteristics, interventions nursing intervention,
onset/duration, and may signal the patient was able
frequency, quality, development/res to report that pain
severity, grimacing olution of was controlled and
(pain scale) complications. relieve.
 Provide comfort  To promote non
measures, quiet pharmocologica
environment and l pain
calm avtivities management.
 Encourage  To distract
diversional activities attention and
and relaxation reduce tension
techniques such as
focused breathing
and imaging
 To maintain
 Administer “acceptable”
analgesics, as level of pain
indicated, to
maximize dosage, as
needed.