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Group Members: Vhince Pisco, Hyde Bacalucos,Rosa Mae Gumilo, Krystal Jane Salinas Year and Section: III - A The nursing care plan assessed a client experiencing acute headache pain. The nursing diagnosis was acute pain related to increased cerebral vascular pressure. The plan was for the client to report relief of pain within four hours through medication, rest, and recommended relief methods. The implementation included allowing medication, encouraging rest, and limiting movement. The evaluation found the client's pain had subsided and general appearance improved within four hours.

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Vhince Norben Pisco
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712 views1 page

NCP Format

Group Members: Vhince Pisco, Hyde Bacalucos,Rosa Mae Gumilo, Krystal Jane Salinas Year and Section: III - A The nursing care plan assessed a client experiencing acute headache pain. The nursing diagnosis was acute pain related to increased cerebral vascular pressure. The plan was for the client to report relief of pain within four hours through medication, rest, and recommended relief methods. The implementation included allowing medication, encouraging rest, and limiting movement. The evaluation found the client's pain had subsided and general appearance improved within four hours.

Uploaded by

Vhince Norben Pisco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Group Members: Vhince Pisco, Hyde Bacalucos,Rosa Mae Gumilo, Krystal Jane Salinas

Year and Section: III - A

NURSING CARE PLAN

ASSESSMENT NURSING PLANNING WITH RATIONALE IMPLEMENTATION EVALUATION


DIAGNOSIS

Subjective Cues: Acute Pain related After four hours of nursing intervention the client • Goal Met
will be expected to manifest improvements as
to Increased evidenced by: After four hours of
The client verbalized "Ni-sakit akung nursing intervention the
ulu kaganiha katung pagmata naku." cerebral vascular •Client will report relief of pain/discomfort. patient was able to
pressure display improvement as
"I had headache when I woke up" •Rationale: The verbal cue of the client about the evidenced by:
dissipation of the headache will confirm that the
The patient verbalized "Sakit, pero headache has already subsided. • Let the client take her •The client took her
inig makainum na ku ug kape mawala maintenance medicine. medication.
na intawun"
•Encourage and maintain • The client verbalized
"It hurts, but if I already took my •Client will verbalize methods that provide relief. bed rest during acute that the pain already
coffee, the pain subsides" phase especially if the subsided and she no
•Rationale: The methods that the client was able episode occurs in the longer feels radiating
Objective Cues: to mention will be used to manage the headache morning before the client pain.
the next time it will appear again. goes to work.
BP: 130/80 mmHg
BP: 130/80 mmHg •Recommend methods of
relief, such as neck and • The client successfully
•Client will appear comfortable and pain-free. back rubs, applying cool identified and recalled
Client reports radiating pain in the cloths to the forehead, and four methods to
left temporal part of the head •Rationale: The general appearance of the client avoiding bright lights and minimize the episode
is one of the determinants that the client has diversional tactics such as and severity of
already managed the pain. guided imagery. headache.
Client is rubbing her head
•Limit how much the
patient moves around
Client is holding her efficascent. Reference: during morning and • The general
emphasize the importance appearance of the client
www.PrepScholar.com of taking maintenance has improved.
medicine.
www.nurseslabs.com

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