cues Subjective: patient verbalized Ang sakit, matagal pa ba bago ako ooperahan Objective: Guarding behaviour protective gestures;

positioning to avoid pain restlessness Irritated Observable pain scale of 8-10

Objective of care Report pain is relieved/controlled.

intervention Obtain client s assessment of pain to include location, characteristics, onset/duration, frequency, quality, intensity. Monitor vital signs during episodes of pain.

rationale To asses painand to scalepain from (0-10

implementation Assessed patient: intense pain on groin with observable pain scale of 8 out of 10

evaluation

Blood pressure, respiratory and heart rate are usually altered in acute pain Client s perception of pain is influenced by age and developmental stage, underlying problem causing pain, cognitive, behavioral and sociocultural factors. To maintain acceptable level of pain management.

Regular monitoring of vital signs

Assess client s perceptions of pain, along with behaviors and cultural expectations regarding pain.

Assessed client s tolerability to pain.

Demonstrate use of relaxation skills and diversional activities as indicated for individual situation.

Provide Comfort measures

Performed back rubbed. Position the client to a comfortable position Encouraged patient to think of other things rather than focusing on the pain Encourage the patient to take a rest. Determine clients impression about pain

Diversional/distraction activities,

To destruct patients attention from pain

Verbalize methods that provide relief.

Provide enough rest

To prevent fatigue

Encourage verbalization of feelings about the pain

to evaluate coping abilities and to identify areas of additional concern.

Review client s previous experiences with pain and methods found either helpful or unhelpful for pain control in the past. Review procedures/expectations and tell client when treatments will hurt.

Useful in determining appropriate interventions.

Evaluate patient s previous methods in relieving pain

to reduce concerns of the unknown and muscle tension associated with anxiety/fear

Reviewed the procedure to be than to provide adequate knowledge for the patient