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    Pascual Janine Krista E. NCP

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    Czarina Mae Lomboy
    The document contains assessments of three patients with different conditions: 1. A patient with acute ear pain related to mastoid pain whose pain will be reduced within 30 minutes and 8 hours of nursing interventions. 2. A patient with gastroenteritis who is dehydrated and their fluid and blood volumes will return to normal within 8 hours of interventions. 3. A patient with a urinary tract infection whose pain will be relieved or controlled within 8 hours of nursing care.

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    Pascual Janine Krista E. NCP

    Uploaded by

    Czarina Mae Lomboy
    61 views3 pages
    The document contains assessments of three patients with different conditions: 1. A patient with acute ear pain related to mastoid pain whose pain will be reduced within 30 minutes and 8 hours of nursing interventions. 2. A patient with gastroenteritis who is dehydrated and their fluid and blood volumes will return to normal within 8 hours of interventions. 3. A patient with a urinary tract infection whose pain will be relieved or controlled within 8 hours of nursing care.

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    Pascual Janine krista E. NCP

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    The document contains assessments of three patients with different conditions: 1. A patient with acute ear pain related to mastoid pain whose pain will be reduced within 30 minutes and 8 hours of nursing interventions. 2. A patient with gastroenteritis who is dehydrated and their fluid and blood volumes will return to normal within 8 hours of interventions. 3. A patient with a urinary tract infection whose pain will be relieved or controlled within 8 hours of nursing care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    61 views3 pages

    Pascual Janine Krista E. NCP

    Uploaded by

    Czarina Mae Lomboy
    The document contains assessments of three patients with different conditions: 1. A patient with acute ear pain related to mastoid pain whose pain will be reduced within 30 minutes and 8 hours of nursing interventions. 2. A patient with gastroenteritis who is dehydrated and their fluid and blood volumes will return to normal within 8 hours of interventions. 3. A patient with a urinary tract infection whose pain will be relieved or controlled within 8 hours of nursing care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    SUBJECTIVE: Acute pain related to SHORT TERM : INDEPENDENT


    "Sobrang sakit daw yung mastoid pain After 30 min. Of nursing  Provide a patient  To provide comfort SHORT TERM :
    kanyang tainga sa kaliwa " interventions patient for a comfortable for the patient After 30 min. Of nursing
    as verbalize by the mother will be able to : position like lying interventions patient will be
       Express reduction with operated ear  To reduce swelling able to :
    in pain/reduction up and pressure on  Express reduction in
    OBJECTIVE:  State degree of  Elevate the head operated ear pain/reduction
     Ear Discomfort pain is tolerable of bed  State degree of pain is
     Facial Grimacing  Appear relaxed  Avoid Heavy  To prevent tolerable
     Moaning and crying and sleep/rest lifting , straining , dislodging the  Appear relaxed and
     Vital Signs Taken appropriately exertion do not tympanic sleep/rest
    PR- 120 LONG TERM : blow nose for 2-3 membrane graft appropriately
    TEMP-37.1 After 8 hours of nursing weeks after LONG TERM :
    RR-20 intervention patient will surgery  Provide relief After 8 hours of nursing
    be able to : COLLABORATIVE: dicomfort/pain and intervention patient will be
     Remain free of  Administered facilities rest able to :
    discomform or narcotics/analgesi participation in  Remain free of
    pain cs as indicated postoperafive discomform or pain
    theraphy

     ACUTE EAR PAIN


    ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
    After 8 hours sof
    SUBJECTIVE:  Difficient fluid volume After 8 hours of nursing  Monitor and record  Tachycardia , nursinginterventions,
    " Masakit daw po ang related to active fluid intervention the patient the vital signs dypnea, or the patient fluid and
    kanyang tiyan at dumi volume loss fluid and blood volume  Measure intake and hypotension may blood volume return to
    po siya dumi basa po will return to normal output , Record and indicate fluid normal as evidenced by
    yung tae niya " as significant changes volume deficit or stable vital signs
    verbalize by the mother include urine and electrolyte
    stool imbalance
    OBJECTIVE:  Increase water  Low urine output
     Sunken eyeballs intake and high specific
     Administer IV fluid gravity indicates
     Restlessness. hypovoclemia
     To replace fluids
     V/S taken as and blood volume
    follows:
    T: 38.9
    PR : 80
    RR: 21
    Bp: 100/80
     GASTROENTERITIS
    ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    SUBJECTIVE:  Acute pain related After 8 hours of nursing


    "Hindi daw po siya to biological intervention , the patients  Assess pain ,  Provides After 8 hours of nursing
    makaihi at masakit daw factors such as pain will be relieved or nothing location information to aid interventions the patient
    po" as verbalize by the trauma ,or activity controlled . intensity in determining pain will be relived or
    mother of disease process choice or controlled.
     Encourage effectiveness of
    OBJECTIVE:: increased fluid intervention
     Facial Grimace intake  Increased
     Restlessness hydration flusshes
     Vital signs taken  Investigate report bacteria and toxin
    TEMP. - 37.3 of bladder fullness  Urinary retention
    PR- 90 may develop
    RR - 20  Observe for causing tissue
    BP-100/80 changes mental distention and
    status , behavior. potentiate risk for
    further infection
     Provide comfort  Promote
    measure like back relaxation,
    rub refocusses ,and
    attention
     URINARY TRACT INFECTION

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