Peptic ulcer disease
CUES NURSING OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS
Subject: Acute pain After 4 hours of Note report of pain, This comparison may After 8 hours of
related to nursing including location, assist in diagnosis of my duty goal met,
"Sumasakit Ang sikmura
chemical burn of interventions the duration and etiology of bleeding patient has
ko pagkatapos Kong
gastric mucosa. patient will intensity. and development of verbalized relief of
kumain" as verbalize by
verbalize relief of complications pain.
the patient
pain. Identify and limit Food has an acid
food that create neutralizing effect and
discomfort such as dilutes the gastric
Objectives: spicy or carbonated contents
drinks Small meals prevent
Restlessness
Encourage small distension and the
Facial grimacing
frequent meal release of gastrin
Pain scale of 6 out
Encourage patient to Reduces abdominal
of 10
assume position of tension and promote
comfort sense of control
Provide and Food choices depends
implement on the diagnosis
prescribed dietary
modification
Gastroesophageal reflux disease
CUES NURSING OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS
Subjective: Acute Pain related After 6 hours of Advocate the client To mimimize After 6 hours of
to irritated nursing to avoid food or occurrence of nursing
"sobrang sakit po ng tiyan
esophageal mecusa intervention, the drink 2 hours andigestion intervention, the
ko at mainit na
as evidenced by client will report betong bedtime or client reported
pakiramdan sa dibdib ko"
verbalization of relieved of pain Iying down after decreased of pain
as verbalized by patient
heartburn and eating as evidenced by the
Objective: abdominal pain Encorange the pain scale from
patient to avoid To prevent izflus 8/10 into 5/10.
sore throat activity and remain Goal met
cough upright for 1 to 4
dysphagia hours after each
Abdominal pain meal.
with pain scale of Advice the patient
8/10 to avoid tight fiting To enhance
Heart burn clothes fresting pattern
Regurgitation Instruct the patient this may
back pain to eat slowly and contribute in
chew food selieving
thoroughly To promote
proper digestion
of food
Appendicitis
CUES NURSING OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS
Subjective: Acute Pain related After 4 hours of Place in semi This position allows After hours of
to Acute nursing fowlers position gravity to assist by nursing
"Sumasakit po ang tiyan
Appendicitis intervention the reducing abdominal intervention, goal
ko sa bandang tagiliran
Inflammation patient report Maintain NPO stress and relieves met.
ko" as verbalized by the
Secondary to decreased of pain diet discomfort
patient Patient is able to
and feel Record intake avoids intestinal
sleep/verbalize a
Objective: comfortable. and output irritation
feeling of comfort
To serve as a basis to
Febrile (38 degrees after interventions
monitor met the
celsius) are carried out.
Monitor urine balance of fluids in
Vomiting the body
Fetal position to Reduced amount of
reduce pain utine and it
Abdominal pain coricentration
indicate reduced. fluid
in the body
Monitor skin
Loss can lead to loss
turgor
of elasticity
Cholecystitis
CUES NURSING OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS
Subjective: "Napapadalas na Acute pain After 8 hours of Note for potential To aid in Short term goal
yung pagsakit ng tagiliran ko" related to nursing types of pain that understanding the After 8 hours of
as verbalized by the client. Inflammation interventions may be affecting the reason for severity of nursing
and distortion of the patient will client. pain. interventions the
Objective:
tissues as report control of Monitor skin color To prevent any patient is able to
Scale of pain: 7/10 manifested by pain. and temperature complications report control of
Blood pressure: pain in the upper and vital signs To reduce intra- pain and able to
110/70 mm/Hg right side. of Instruct bed rest in abdominal pressure. do activities
Pulse rate: 79 bpm abdomen. low fowler's To reduce irritation without feeling
Respiratory rate: 17 position. and dryness of the skin any pain.
cpm Provide hot or cold and itching.
Temperature: 37.4°c compress. Promotes rest and
Instruct relaxation redirecting attention
exercises. may enhance coping.
