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No Data Problem Etiology Diagnosis NOC NIC

1. DS: Acute Pain Increased intra- Acute Pain b.d 1.Pain control 1. Pain Management
ocular pressure Increased TIO Indicators : Activities :
 Clients said visual
(TIO)  The patient can  Problem a comprehensive
acuity reduced
perform deep assessment of pain to
 The client says and
breathing include location,
see the colors of the
exercises characteristic,
rainbow glare around
independently onset/duration, frequency,
lights
 After being quality, intencity of
 Clients say headache
trained in the anxiety of pain and
and around the eyes ,
techniques of precipitating factors
and sometimes
breath 3 times in  Observe for nonverbal
nausea .
24 hours for 3 cues of discomfort,
days reduced pain aspecilly in those unable
DO : expected from a to communicate
scale of 6 to 3 effectively
vital signs :
 after being given  Explore pain knowledge
• TD : 150/100 mmHg
analgesics 3 days and beliefs about pain
• Nadi : 80x / min
from the first day
• Temperature : 37 ° C
• Breathing : 20x / min . to come to the  Determine the impact of
• Scale pain : 8 clinic are expected the pain experiences on
to decrease quality of life
patient's pain  Provide information about
the pain, such as cause of
2.Pain Level the pain, how long it will
Indicators : last, and anticipate
 Patients are discomforts from
expected to procedures
describe the level  Control environmental
of pain using a factors that may influence
pain scale the patients response to
 Patients are discomfort (e.g,room
expected to be temperature lighting
able to control noise)
anxiety to pain  Reduce or eliminate
 focus patients are factors that recipitate or
expected not to increase the pain
get sidetracked experience (e.g, fear
by the pain fatigue monitori and lack
knowledge)
 Select and implement a
variety of measures (e.g,
pharmacological non
pharmacological
interpersonal ) to facilitate
pain relief, as appropriate
 Consider type and source
of pain when selecting
pain relief strategi
 Teach the use of
pharmacological
techniques
 Collaborate with the
patient, significant order ,
and other health
professional to select and
implement non
pharmacological pain
relief measure

2.Analgesic Administration
Activities :
 Determine pain location,
characteristics, quality,
and severity before
medicating patient
 Check a medical order for
drug, dose, and frequency
of analgesic prescribed
 Check history for drug
allergies
 Evaluate the patient’s
ability to participate ini
selection of analgesic,
route, and dose, and
involve the patient, as
appropriate
 Choose the appropriate
analgesic or combination
of analgesics when more
than one is prescribed
 Determine analgesic
selection (narcotic, non
narcotic, or NSAID)
based on type and severity
of pain
 Determine the preferred
analgesic, route of
administration, and
dosage to achieve optimal
analgesia
 Monitar vital sign before
and after administering
narcotic analgesic with
first time dose or if
unusual sign are noted
 Attend to comfort needs
and other activities that
assist relax action to
facilitate to analgesia
 Document response to
analgesic and any
untoweard effect