Nursing Care Plan
Assessment N. Diagnosis Planning Interventi Rationale Evaluation
on
Subjective: -The Acute pain R/T Short term goal:- Subjective
patient of 45 years to gall bladder Admi For analgesic data:
old lady in HMC inflammation During my clinical nister reduce pain and She feel that
Emergency told me or presence of hour I will try to reduce pain discomfort now she feel
that she has a sever gall stone. the pain upto 5 on the killer. enhances rest. better.
severepigestric pain scale.
from few days for For vital signs
that purpose when provide base line
she want to local Monit information for
hospital they gave or and comparison of
her pain killer after Long term goal: record changes.
using it she feel vital
some comfort but The patient will be sign.
after sometime the completly relieved after
pain become more discharged from the
sever and she can’t Hospital and she will
tolerate it and want free from all difficulties Objective data:
to local hospital the realated to disease.If Anxiety is
local doctor refers patient takes complete relived.
me to HMC for treatment and advised
better treatment. the consultant. The patient is
Now I came here now quite relax
and doctor admitted as evidence by
me few days before. his facial
expression.
OBJECTIVE:A 45
years old female
lying on the bed in
supine
position,acannula on
the left hand,and the
NG tube was
passed to her for
giving her semifluid
food for her
nutrition balance.
Catheter was also
passed to her,she
has weakness and
anxiety on the face.
VITAL SIGNS:
Temp:36.9c
Pulse:75
R.R:18
B.P:100/80
Pain scale:8/10
ASSIGNMENT
(NCP)
Adult Health Nursing
CLINICAL
Bs.c (gene) Year 2 sem 3
SUBMITTED BY:JAVERIA AKBAR
ROLL.NO: 07
FACULTY: SIR BAKHTAYAR ALI SHAH
Date:18,10,2016
