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Headache Management for Nurses

The document provides an assessment, explanation, goals, nursing interventions, rationale and evaluation for a patient who complained of headache pain. The nursing interventions include monitoring vitals, assessing pain level, providing a comfortable environment and administering IV fluids as needed. The goals are for the patient to report a pain level of 3 or less within 4 hours and to maintain normal vitals within 8 hours with the nursing interventions.

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Kate Weygan
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67 views2 pages

Headache Management for Nurses

The document provides an assessment, explanation, goals, nursing interventions, rationale and evaluation for a patient who complained of headache pain. The nursing interventions include monitoring vitals, assessing pain level, providing a comfortable environment and administering IV fluids as needed. The goals are for the patient to report a pain level of 3 or less within 4 hours and to maintain normal vitals within 8 hours with the nursing interventions.

Uploaded by

Kate Weygan
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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Assessm Explanation Goals Nursing Rationale Evaluation

ent of the Interventions


problem
Subjective: Unpleasant STG: Dx: STG: Goal Met
Patient sensory and Within 4 1. Monitored -To establish a -After 4 hours of
verbalized emotional hours of vitals signs. baseline. Nursing Interventions,
“Masakit experience Nursing patient reports pain
ang ulo ko.” associated with Interventions, 2. Assess pain -Monitor the pain level scale of 3 out of 10.
actual or Patient will level closely using a pain
Objective: potential tissue report a pain scale
Headache damage, or score of 3 or 3. Assess the - A detailed pain LTG: Goal Met
and described in less out of patient’s assessment can help -After 8 hours of
migraine terms of such 10 pain determine the type of Nursing Interventions,
pain damage. experience headache and patient’s vital signs are
-Headache develop the most maintained within the
and LTG: appropriate treatment normal range and the
migraine Within 8 regimen pain become tolerable
pain hours of
Nursing Tx:
Interventions,
Nursing Dx: Patient will 1. Monitor fluid -Verifying if the patient
maintain vital status in is on a fluid restraint is
Acute pain signs within relation to necessary.
related to the normal dietary
headache range. intake.
as
evidenced
by report of 2. Provide a -promotes rest and
pain. comfortable comfort.
environment.
3. Administer
IV Fluid as
indicated. -Fluid may be given in
this manner, if client is
instructed NPO
Edx: throughout the shift.

1. Educate
patient about
possible
causes and -Enough knowledge
effects of aids the patient in
fluid loss or taking part in their
plan of care.
decreased
fluid intake.
2. Emphasize
the
relevance of -Increasing the
maintaining patient’s knowledge
proper nutriti level will assist in
on and preventing and
hydration managing the
3. Encourage problem.
adequate
sleep and
-promote relaxation
rest.
and comfort to
alleviate pain.

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