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NURSING CARE
PLAN
Assessment Nursing Nursing Goals Nursing Rationale Evaluation
Diagnosis Analysis Intervention
To promote non-
pharmacological
4. (b, B)Provide
pain management
comfort
Goals: measures (e.g.
After nursing touch,
interventions, repositioning,
the patient use of cold/hot To evaluate the
will be able to: packs, nurse’s client’s response
presence) to pain. Pain is a
A. Achieve subjective
complete 5. (D) Accept experience and
relief of client’s cannot be felt by
pain description of others
B. Exhibit pain.
wellness Acknowledge
and the pain
comfort out experience and Body language/
of bed convey nonverbal cues
C. Prevent acceptance of may be both
complicatio client’s physiological and
ns and response to pain psychological and
infection may be used in
D. Assume 6. (D) Note conjunction with
responsibili nonverbal cues verbal cues to
ty for such as determine the
alleviation reluctance to extent or severity
of move and of the problem
discomfort abdominal
E. Report guarding. The use of
successful noninvasive pain
manageme relief measures
nt of pain can increase the
release of
endorphins and
7. (c) Teach the enhance the
use of non- therapeutic effects
pharmacologic of pain relief
techniques, medications.
such as focused
breathing, Patients may
imaging, experience an
CDs/tapes (e.g. exaggeration in
“white” noise, pain or a
music, decreased ability
instructional) to tolerate painful
stimuli if
8. (D) Eliminate environmental,
additional intrapersonal, or
stressors or psychological
sources of factors are further
discomfort stressing them
whenever
possible To prevent fatigue
and to facilitate
comfort, sleep,
and relaxation
11.(b, B) Provide
for
individualized
physical
therapy/
exercise
program that
can be
continued by
the client after
discharge
Legends: (b) – pertains to the corresponding objective (B) – pertains to the corresponding goal (b, B) – pertains to the corresponding objective
and goal