DIAGNOSIS IDENTIFICATION
S: “MASAKIT PARIN Acute Pain r/t Present S.T.O : Dx: S.T.O :
UNG SINGAW KO KAYA Illness After 24 hrs of nursing Assessed general health To determine any After 24 hrs of nursing
DI AKO MAKAIN” as intervention the patient status underlying intervention the patient
verbalized will verbalized relief of abnormalities will be able to
anxiety and body Monitored and recorded To have a baseline data verbalized relief of
O: weakness. v/s anxiety and body
After 24 hrs of nursing Tx: To gain cooperation weakness.
weak body intervention the patient Established Rapport and trust with the pt. After 24 hrs of nursing
movement will demonstrate use of To help client achieve intervention the patient
limited body relaxational activities Ensured safety and OLOF will be able to
movement as indicated for comfort measures demonstrate use of
irritable at times individual situation To prevent fatigue relaxational activities as
warm skin to L.T.O: Encouraged adequate rest indicated for individual
touch After 3 days of nursing period situation
afebrile 36.0 intervention the patient Encouraged verbalization To evaluate clients L.T.O:
occational will incorporate of feelings and concerns status. After 3 days of nursing
productive cough therapeutic regimen Evaluated ability to intervention the patient
with dressing into activities of daily understand events, will be able to
intact at the right living (ADL) provided realistic To determine the clients incorporate therapeutic
foot After 3 days of nursing appraisal. ability to recognize regimen into activities of
interevntion the pt will Encouraged client to use present status. daily living (ADL)
follow pharmacological affirmation “ I am healing, To help patient manage/ After 3 days of nursing
regimen as prescribed. I am relaxed” lessen pain interevntion the pt will be
psychologically able to follow
pharmacological regimen
as prescribed.