Assessment Jan. 28, 2009 7:30am
Subjective: “nasasaktan siya kapag umuubo.” As vervalized by the client’s aunt.
Nursing Diagnosis Acute pain related to frequent cough as evidenced by pain scale
Scientific Explanation pulmonary chest pain is usually due to pleuritis or inflammation of the membranes that line the chest cavity. Pleuritic chest pain is characterized by sharp, well localized pain that is made worse on breathing and coughing or sneezing. Pleural .
Planning After 8 hours of nursing intervention the client will:
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assess for referred pain as appropriate
outcome: •
Objective:
-facial mask
Independent:
Discharge
reference: www.knol .gogle.com
-observe evidence of pain.
Intervention
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Teach the moth er how to lesse n the pain while coug hing The moth er will know what to do if the pain persis ted
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note client’s locus of control
collaborative:
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provide comfort measure like: touch use of warm or cold packs
Scientific Rationale •
To help determine possibility of underlying condition or organ dysfunction requiring treatment NANDA p. 500
•
Indiv idual with exter nal locus contr ol may take little or no respo nsibil ity for pain mana geme nt NAN
Evaluation Jan. 28, 2009 2:00 pm
achieve
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The patient feels a little bit comfortabl e
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Client can socialized with the parent and with the student nurse
DA p. 501
•
Short outcome: •
The client will feel comfortab le
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The client’s pain will lessen
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health teaching
Encourage use of relaxation technique, such as focused breathing Imaging, CDs •
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To prom ote nonp harm acolo gicall pain mana geme nt NAN DA p.501
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To distra ct attent ion and reduc e tensi on NAN DA p.
Suggest parent be present during procedure
501
•
To comf ort child NAN DA p. 501