Scribd
Upload
34 views2 pages

Acute Pain NCP

The document is a nursing care plan for a 29-year-old female patient admitted for acute gastritis with moderate dehydration. The plan assesses the patient's pain, sets objectives to reduce the pain score, and outlines interventions like deep breathing and repositioning to meet the objectives.

Uploaded by

Jayson P. Jalbuna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
34 views2 pages

Acute Pain NCP

The document is a nursing care plan for a 29-year-old female patient admitted for acute gastritis with moderate dehydration. The plan assesses the patient's pain, sets objectives to reduce the pain score, and outlines interventions like deep breathing and repositioning to meet the objectives.

Uploaded by

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

JMJ Marist Brothers

Notre Dame of Marbel University


College of Arts and Sciences – Nursing Department
Alunan Avenue, Koronadal City, South Cotabato

NURSING CARE PLAN


Patient’s Name: ____________________________________________________Age:_______________________Sex:______________________
M.K 29 F Rating: ___________________________
Chief Complaint/s: Abdominal Pain Date Admitted: March 30, 2024 Impression/ Diagnosis: ACUTE GASTRITIS WITH MODERATE DEHYDRATION

ASSESSMENT CUES NEEDS NURSING DIAGNOSIS BACKGROUND NURSING OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
INFORMATION

Subjective: Physiological Acute pain, Pain is mainly cause Within 8 hours of Independent: - Deep breathing After 8 hours of
“Wala na ko iban nga needs related to by a specific nursing holistic techniques is one nursing holistic
mabatyagan, bukod sa inflammation of hormone which is the intervention, the - Instructed the patient to of the relaxation intervention:
sakit akon nga tiyan” the stomach lining Prostaglandin, when patient would be perform deep breathing techniques proven
“Mag umpisa siya there is a trauma or able to: techniques. to be effective in At 9am
sakit halin sa 6am infection in our body - Repositioned the patient alleviation of pain. The patient was
asta na gid sa 6pm” that irritates or - Verbalize an into a comfortable - Proper positioning able to report pain
“ga dula ang sakit damaged our tissue. alleviation of pain position. the patient reduces score of 3/10. Goal
kung maka inom ko score from 6/10 to pain by giving the met.
bulong” 3/10. patient more
- Demonstrate deep comfort. At 10am
breathing The patient was
techniques able to perform
Objective: -Verbalize if pain Dependent: deep breathing
- Received patient persist - At 8:00am, celecoxib techniques. Goal
lying on bed, awake, 200mg 1cap BID, P.O. met.
conscious, coherent, Given.
and responsive with
even respiration. With
PNSS 1L at volume of
650ml regulated in 30 Reference:
drops per minute and
attached in the right
NSG-HOSP-002
antecubital vein,
secured.
- Pain score: 6/10
- (+) Facial grimace
- (+) Generalized
weakness
- (+)Guarding behavior

Student’s Name: Jayson P. Jalbuna Year and Section: 3-B

Clinical Instructor’s Name: Ralph Valencia, RN Rating:


Date Submitted: April 08, 2024 Subject/ Rotation: South Cotabato Provincial Hospital

NSG-HOSP-002

You might also like