NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Independent:
Subjective: • Acute pain • Pott’s disease • After 8 hours • Investigate report • Helpful in • After 8
related to is a form of of nursing of pain, noting determining hours of
“Sumasakit ang inflammatory interventions characteristics, pain nursing
extrapulmonary
likod ko” as process. , the patient location, intensity management intervention
verbalized by tuberculosis will be able (0-10 scale). needs and s, the
patient. that impacts to effectiveness of patient will
the spine. It incorporate the program. be able to
Objective: has an effect relaxation • Provide firm • Soft or sagging incorporate
that is skills and mattress and mattress and relaxation
• Facial mask of sometimes diversional small pillows. large pillows skills and
pain. described as activities into inhibits the diversional
being a sort of pain control proper body activities
• Self narrowed arthritis for the program. alignment. into pain
focus. vertebrae that • Suggest patient • In acute phase, control
assume position total bed rest program.
make up the
• Fatigue. spinal column. of proper comfort may be
while in bed or necessary to
More properly
• V/S taken as chair. Promote limit pain.
follows:
known as bed rest as
tuberculosis indicated.
T: 37.3 spondylitis. It is • Encourage • Prevents
P: 80 often frequent changes general fatigue
R: 18 experienced as of position. and joint
Bp: 120/90 a local stiffness.
phenomenon • Apply warm or • Heat promotes
that begins in moist compress muscle
the thoracic on the affected relaxation and
section of the area several mobility,
spinal column. times a day. decreases pain
and relieves
Early signs of
morning
the presence of stiffness.
Pott’s disease • Provide gentle • Promotes
generally begin massage. relaxation and
with back pain reduces muscle
that may seem tension.
to be due to
simple muscle • Encourage use of • Promotes
strain. stress relaxation,
management provides sense
techniques. of control and
may enhance
coping
activities.
Collaborative:
• Administer non • These drugs
steroidal anti- control mild to
inflammatory moderate pain
drugs as and
prescribed. inflammation by
inhibition of
prostaglandin
synthesis.
• Administer anti- • To prevent
biotic as further
prescribed. infection.