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  • Nursing Care Plan - Acute Pain Assessment Diagnosis Scientific Rationale Planning Intervention Rationale Evaluation

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    Nicole cuencos
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    The nursing care plan addresses acute pain related to urinary tract inflammation in a client. Key points include: 1. The client reports burning pain with urination. Objective findings include fever, abdominal pain, and hematuria. 2. The diagnosis is acute pain related to urinary tract inflammation. Nursing interventions over 3 days aim to relieve the client's pain and include relaxation techniques, increased fluids, and comfort measures. 3. Goals are to achieve pain relief and for the client to demonstrate self-care skills to manage pain at discharge. The plan will be evaluated for effectiveness and to identify any need for follow-up.

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    NCP example

    Original Title

    Acutepain Uti

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    The nursing care plan addresses acute pain related to urinary tract inflammation in a client. Key points include: 1. The client reports burning pain with urination. Objective findings include fever, abdominal pain, and hematuria. 2. The diagnosis is acute pain related to urinary tract inflammation. Nursing interventions over 3 days aim to relieve the client's pain and include relaxation techniques, increased fluids, and comfort measures. 3. Goals are to achieve pain relief and for the client to demonstrate self-care skills to manage pain at discharge. The plan will be evaluated for effectiveness and to identify any need for follow-up.

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    © All Rights Reserved
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    81 views3 pages

    Nursing Care Plan - Acute Pain Assessment Diagnosis Scientific Rationale Planning Intervention Rationale Evaluation

    Uploaded by

    Nicole cuencos
    The nursing care plan addresses acute pain related to urinary tract inflammation in a client. Key points include: 1. The client reports burning pain with urination. Objective findings include fever, abdominal pain, and hematuria. 2. The diagnosis is acute pain related to urinary tract inflammation. Nursing interventions over 3 days aim to relieve the client's pain and include relaxation techniques, increased fluids, and comfort measures. 3. Goals are to achieve pain relief and for the client to demonstrate self-care skills to manage pain at discharge. The plan will be evaluated for effectiveness and to identify any need for follow-up.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    Nursing care plan – Acute pain

    Assessment Diagnosis Scientific rationale Planning Intervention Rationale Evaluation


    Subjective: Acute pain related Colonization of E- Discharge outcome: Independent: Goal achieved:
    “Sobrang to inflammation of COLI in the urethra/
    sakit po kapag the urinary tract as cervix/ bladder After 3 days of nursing 1. Perform pain To demonstrate The client pain is relieved and
    umiihi ako” as evidenced by intervention the client assessment each improvement in status controlled
    verbalized by burning pain in will report pain is time pain occurs. or to identify worsening
    theclient urination relieved or controlled of underlying condition, The client was able to
    Ascension to the developing demonstrate relaxation skills and
    Objective: bladder Short term outcome: complications diversional activities such as.
    -Fever Focused breathing, visualization,
    -Abdominal After 2 hours of guided imagery
    pain nursing intervention 2. Encouraged To Increased hydration
    -Dysuria Increase in the patient will increased oral fluid helps in flushing the
    (Burning pain) neutrophil demonstrate 1-2 intake (2-3 liters if no bacteria and toxins.
    -presence of relaxation skills and contraindications.
    hematuria diversional activities
    -urinary 3 Provide additional Improves circulation,
    urgency, Inflammatory comfort measures reduces, reduces mucle
    hesistancy response such as backrub and tension and anxiety
    and anuria heat or cold associated with pain
    -Flank/back applications
    pain
    -vomiting
    -Facial Prostaglandin
    grimace release 4. Use puppets to To enhance
    -pain scale demonstrate understanding and
    8/10 procedure for child. reduce level of anxiety
    and fear

    Burning pain during 5. Encourage To evaluate coping


    urination verbalization of abilities and to identify
    feelings about the areas of additional
    pain such as concern
    about tolerating pain, concern.
    anxiety, pessimistic
    thoughts.

    Collaborative:

    1. identify specific s/s


    and changes in pain It provides opportunities
    characteristic to modify pain
    requiring medical management regimen
    follow up. and allows for timely
    intervention for
    developing
    complications.

    2. provide for
    individualized Promotes active, rather
    physical therapy or than passive, role and
    exercise program enhances sense of
    that can be control.
    continued by the
    client after discharge

    References:
    Marilynn E. Doenges,
    Marry Frances
    Moorhouse, Alice C.
    murr nurse’s pocket
    guide diagnoses,
    prioritized
    interventions, and
    rationales Pages 602 -
    605

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