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College of Nursing (Male) Korangi # 5 Karachi BSCN Programme Year-I Semester Ii Nursing Care Plan

This nursing care plan summarizes the care for a 36-year-old male patient with hemorrhoids who is experiencing pain, swelling, and itching. The plan assesses the patient's subjective reports of incomplete bowel movements and anal itching for 8 years. Objectively, the patient's vital signs are normal. The short-term goal is to relieve the patient's pain within 6 hours. Interventions include administering topical medications, stool softeners, and educating the patient. The long-term goal is for the patient to improve strength and easily pass stool within 4 days post-surgery. The care plan also includes a drugs card outlining medications like ketorolac tromethamine and a

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Rock Zagham
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164 views3 pages

College of Nursing (Male) Korangi # 5 Karachi BSCN Programme Year-I Semester Ii Nursing Care Plan

This nursing care plan summarizes the care for a 36-year-old male patient with hemorrhoids who is experiencing pain, swelling, and itching. The plan assesses the patient's subjective reports of incomplete bowel movements and anal itching for 8 years. Objectively, the patient's vital signs are normal. The short-term goal is to relieve the patient's pain within 6 hours. Interventions include administering topical medications, stool softeners, and educating the patient. The long-term goal is for the patient to improve strength and easily pass stool within 4 days post-surgery. The care plan also includes a drugs card outlining medications like ketorolac tromethamine and a

Uploaded by

Rock Zagham
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
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COLLEGE OF NURSING (MALE) KORANGI # 5 KARACHI

BScN PROGRAMME YEAR- I SEMESTER II

NURSING CARE PLAN

Student Name: Muhammad Shamoon Zagham Date:16-OCT-2021


Ward: Surgical Week:5th Weak Patient’s name : Zakir Ali
Bed #:09 Age: 36 Sex: Male Medical / Surgical: Surgical

NURSING NURSIN PLANNING NURSING RATIONAL EVALUATIO


ASSESSMENT G INTERVENTIO N
DIANOSI N
S
-Pain Short term -Reduce swelling, -After 8 hours
Subjective Data (Chronic) goal Pain and or itching of nursing
-Access the Pt for in order to make intervention ,the
According to Patient he Related to After 6 hrs of the presence of the patient more patient was able
is having a sensation of Rectal nursing hemorrhoids, comfortable. to report pain
incomplete fecal swelling intervention discomfort or was relieved
evacuation and anal and patient is pain associated and controlled.
itching.Some time proplapse. feeling well, with hemorrhoids, -Provides base line
bleeding may occur pain is relived diets, fluids information as to
during defecation and its and controlled. intake and the type of
happening from last 8 presence of hemorrhoids
years. constipation ( External or
internal) degree of
venous
-.Administer thrombosis, enable
topical medicines initiation of care
as ordered plan appropriate
for the patient

Objective Data - Administer stool


Long term softener - Reduce swelling
goal pain and itching in
A 36 year old man order to make the
sitting on bed with After 4 days of - Instruct Pt and patient more
normal hygienic surgery , PT family regarding comfortable.
condition with a good will be able to the use of bulk
level of consciousness improve producing agents
strength and such as husk.
Vital Signs: easily pass
stool. He is
Bp_ 110/70 mmHg properly guided
Temp_ A/F about the
Pulse_ 72 bpm proper nutrition
Resp _ 14 bpm intake and

Student Signature ________________ Teacher Signature_____________________


when to take
medicines
properly.

COLLEGE OF NURSING (MALE) KORANGI # 5 KARACHI


BScN PROGRAMME YEAR- I SEMESTER II

DRUGS CARD
Student Name:Muhammad Shamoon Zagham Date:16-OCT-2021
Ward:Surgical Week:5th Weak Patient’s name : Zakir Ali
Bed #:09 Age: 36 Sex: Male Medical / Surgical: Surgical
S:N Drug Name
O
01. Generic name -Ketorolac Tromethamine
-Amoxicillin

02. Chemical formula -C15H13NO3


-C16H19

03, Drug class NSAIDS


Antimicrobials

04 Strength -BD
-TD

05 Dose -30 mg
-1.2 mg

06. Indication -Use to treat severe acute pain,Usuallyin a postoperative


settings,
-Symptoms ofd different infections
07. Contraindication -Patient with allergic reaction to any pencillin
( Augmentin)
-Patient with active peptic ulcer disease (Toradol)
08 Nursing intervention -Access the patient for any GIT side effects.
-Check vomits that look like coffee grounds and do vital

Student Signature ________________ Teacher Signature_____________________


signs.

Student Signature ________________ Teacher Signature_____________________

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