Acute Pain Ncp

ASSESSMENT S> “Aray!!! Masakit po!.” as verbalized by the client. O>Facial grimace >crying >muscle guarding in the genital area >Surgical incision in the penis >Pain scale of 5/5

NURSING DIAGNOSIS

SCIENTIFIC EXPLANATION

Acute pain Mechanical, related to post thermal or surgery chemical stimuli. (Circumcision) as evidenced by facial grimace Nociceptors and surgical incision in the penis. Afferent Nerves

PLANNING Discharge Outcome: After 1 month of nursing interventions, the client will be free from experiencing pain in the genital area.

End terminals unmyelinated C fibers and myelinated-A delta fibers

spinal cord brain cortex

Pain

Short Term Outcome: After 3 hours of nursing interventions: 1. the client will state 3 ways of relieving pain such as imagery, application of hot and cold compress and

IMPLEMENTATION Independent: ♥ Encourage patient to verbalize about pain. ♥ Provide comfort measures such as deep breathing exercises like yoga and meditation. ♥ Encourage diversional activities (TV/radio, socialization with others, imagery) ♥ Provide application of hot and cold compress. ♥ Provide therapeutic

SCIENTIFIC RATIONALE ♥ Promotes cooperation from the client. (Fundamentals of Nursing by Taylor 5th e. p.1216) ♥ This calms and soothes the patient. (Fundamentals of Nursing by Taylor 5th e. p.1216) ♥ To divert attention from pain. (Fundamentals of Nursing by Taylor 5th e. p.1216) ♥ To relieve pain in the muscle area. Maternal and Child Health Nursing 5th e. by Pilliteri page 547) ♥ To promote feeling of comfort.

EVALUATION Outcome Achieved. Client stated 3 ways of relieving pain such as imagery, application of hot and cold compress and therapeutic touch.

REFERENCE: Maternal and Child Health Nursing 5th e. by Pilliteri page 545

therapeutic touch. 2. the client’s pain scale will decrease from 5/5 to 3/5.

touch.

♥ Increase intake of Vitamin C.

♥ Monitor Vital signs.

Collaborative: ♥ Administer Mefenamic Acid and Toradol (analgesic) as ordered.

(Maternal and Child Health Nursing 5th e. by Pilliteri page 547) ♥ To promote healing of wound. (Nutrition and Diet Therapy by Peckenpaugh page 328) ♥ An information baseline comparison from previous data. (Manual of Nursing Procedures Vol. I by Locquiao, Cruz, Arguelles and Lontoc page 122) ♥ To comply with the physician’s order. (Manual of Nursing Procedures Vol. II Locquiao, Manalastas, Mejilla and Merin. page 3)