ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING INTERVENTION RATIONALE Expected

EXPLANATION Outcome
S: “Nananakit Pain related to Complex After 4 hours of  Monitor  To have a After 4 hours of
ang pinaghiwaan responses of nursing vital signs. baseline data. nursing
sa akin” tissue and nerve intervention, the intervention, the
endings due to client’s reported client’s pain will
O: >pain scale: 8 trauma from pain will subside.  To prevent be relieved.
>Facial surgery (incision)  Instruct bleeding of
grimace and cause the client the surgical
> Protective hypersensitivity to avoid incision made
behavior to the central strenuous from the
> Restless nervous system exercise operation.
> sighing that causes and
unpleasant activities.  To promote
physical and blood
emotional circulation
reactions and and faster
responses. healing of the
 Instruct incision.
the client
to have a  To aid in
short walk strengthening
everyday of having a
as a form good Immune
of system
exercise. against
infection.

 Advise the
client to
eat plenty
of
nutritious
 foods and
vegetables
and drink
plenty of
water.

 Instruct to
clean and
change of
wound
dressing at
least once
a day.

 Give
medication
ordered by
the
physician.