Scribd
Upload
889 views2 pages

NCP For Pain (Appendicitis)

The patient presented with acute pain in the right lower abdomen due to appendicitis. After 4 hours of nursing interventions, the patient was able to demonstrate use of relaxation skills and other methods to promote comfort. The nursing interventions included assessing and monitoring the patient's pain, keeping the patient at rest in semi-Fowler's position, encouraging early ambulation, providing divertional activities, keeping the patient NPO and maintaining NG suction initially, and administering analgesics as indicated.

Uploaded by

Iris Balino
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
889 views2 pages

NCP For Pain (Appendicitis)

The patient presented with acute pain in the right lower abdomen due to appendicitis. After 4 hours of nursing interventions, the patient was able to demonstrate use of relaxation skills and other methods to promote comfort. The nursing interventions included assessing and monitoring the patient's pain, keeping the patient at rest in semi-Fowler's position, encouraging early ambulation, providing divertional activities, keeping the patient NPO and maintaining NG suction initially, and administering analgesics as indicated.

Uploaded by

Iris Balino
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Assessment Diagnosis Planning Intervention Rationale Evaluation

SUBJECTIVE: Acute pain on After 4 hours of 1. Assess pain, noting 1. Useful in monitoring After 4hours of nursing
“Sumakit po lalo right lower nursing location, effectiveness of interventions, the patient
yun tyan na abdomen due interventions, the characteristics, medication, progression was able to demonstrate
pagka dating.” to appendicitis. patient will severity (0–10 scale). of healing. Changes in use of relaxation skills,
Pain started the demonstrate use Investigate and characteristics of pain other methods to promote
night before. of relaxation skills, report changes in may indicate developing comfort.
Pain started the other methods to pain as appropriate. abscess or peritonitis,
night before after promote comfort. requiring prompt
drinking alcohol. medical evaluation and
Pain is 8/10 intervention.
2. Provide accurate, 2. Being informed about
honest information to progress of situation
patient and SO. provides emotional
OBJECTIVE: support, helping to
Facial grimace decrease anxiety.
Deep breathing 3. Keep at rest in semi- 3. To lessen the pain.
Deep sigh Fowler’s position. Gravity localizes
inflammatory exudate
T: 38.5 into lower abdomen or
BP: 140/80 pelvis, relieving
abdominal tension,
which is accentuated by
supine position.
4. Encourage early 4. Promotes normalization
ambulation. of organ function
(stimulates peristalsis
and passing of flatus,
reducing abdominal
discomfort).
5. Provide divertional 5. Refocuses attention,
activities promotes relaxation,
and may enhance
6. Keep NPO and coping abilities.
maintain NG suction 6. Decreases discomfort of
initially. early intestinal
peristalsis, gastric
7. Administer analgesics irritation and vomiting.
as indicated. 7. Relief of pain facilitates
cooperation with other
therapeutic
interventions
(ambulation, pulmonary
8. Place ice bag on toilet).
abdomen periodically 8. Soothes and relieves
during initial 24–48 pain through
hr, as appropriate. desensitization of nerve
endings. Note: Do not
use heat, because it
may cause tissue
9. Never apply heat to congestion.
the right lower 9. This may cause the
abdomen. Appendix to rupture.
10. Watch closely for
possible surgical 10. Continuing pain and
complications. fever may signal an
abscess.

You might also like