The client, a 19-year-old male, presented with epigastric pain manifesting as a facial grimace and muscle guarding. The nurse assessed the client and diagnosed an alteration in comfort related to the pain. The nurse's plan was to provide nursing interventions for 2-4 hours to help the client: 1) express a reduction in discomfort, 2) appear relaxed and able to rest appropriately, and 3) be assisted in finding a comfortable position. The interventions included establishing rapport, observing the client, encouraging positioning for comfort and pain relief, and administering prescribed medication.
The client, a 19-year-old male, presented with epigastric pain manifesting as a facial grimace and muscle guarding. The nurse assessed the client and diagnosed an alteration in comfort related to the pain. The nurse's plan was to provide nursing interventions for 2-4 hours to help the client: 1) express a reduction in discomfort, 2) appear relaxed and able to rest appropriately, and 3) be assisted in finding a comfortable position. The interventions included establishing rapport, observing the client, encouraging positioning for comfort and pain relief, and administering prescribed medication.
The client, a 19-year-old male, presented with epigastric pain manifesting as a facial grimace and muscle guarding. The nurse assessed the client and diagnosed an alteration in comfort related to the pain. The nurse's plan was to provide nursing interventions for 2-4 hours to help the client: 1) express a reduction in discomfort, 2) appear relaxed and able to rest appropriately, and 3) be assisted in finding a comfortable position. The interventions included establishing rapport, observing the client, encouraging positioning for comfort and pain relief, and administering prescribed medication.
The client, a 19-year-old male, presented with epigastric pain manifesting as a facial grimace and muscle guarding. The nurse assessed the client and diagnosed an alteration in comfort related to the pain. The nurse's plan was to provide nursing interventions for 2-4 hours to help the client: 1) express a reduction in discomfort, 2) appear relaxed and able to rest appropriately, and 3) be assisted in finding a comfortable position. The interventions included establishing rapport, observing the client, encouraging positioning for comfort and pain relief, and administering prescribed medication.
Subjective: Alteration in After 2-4 hrs of Nsg. Action Rationale After 2-4 hrs of “Sobrang sakit ng comfort nursing interventions 1. Established 1. Building up trust nursing sikmura ko.” as related to the client will be able rapport. helps Nurse- interventions, goal verbalized by epigastric to: 2. Observe patient met as evidence patient. pain as 1. Express nonverbal interaction more by: manifested reduction of cues/pain effective. 1. Express Objectives: by facial discomfort behaviors and 2. Observations reduction c pain scale grimace and 2. Appear other may be of of 8,10as muscle relaxed, able objectives congruent with discomfort the highest guarding to rest defining verbal reports. 2. Appear and 0 as the appropriately characteristics, 3. Position affects relaxed, lowest as noted, the patient's able to rest c facial especially in ability to sleep appropriate grimace persons, who effectively. ly. c muscle can’t 4. It enhances guarding communicate. coping abilities. V/S taken 3. Assisted 5. Provides relief as follow: patient to find of discomfort. T: 36.2 position of P: 75 comfort. R: 22 4. Encouraged BP:120/90 early ambulation. 5. Administer prescribed pain medication.
