Acute Pain Related To Body Response To An Infective Agent

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NURSING DIGANOSIS: ACUTE PAIN RELATED TO BODY RESPONSE TO AN INFECTIVE AGENT

ASSESSMENT PLANNING NURSING RATIONALE EVALUATION


INTERVENTIONS
Subjective: After 8 hours of nursing INDEPENDENT: After 8 hours of nursing
“sakit akong tiyan walaintervention the patient  Monitor vital signs,  To establish baseline intervention the patient
sad ko gana mo kaon.” will successfully use compare with of data. successfully used
As verbalized by the individually appropriate patient’s normal or appropriate comfort
patient. comfort measures and previous readings. measures and
demonstrate use of demonstrated relaxation
Objective: relaxation skills and  Identify source,  To determine the skills and diversional
Body Temperature: 38.1 diversional activities. location, and extent course of treatment activities. Also, patient
C Also, patient will report of discomfort; note and individual reported discomfort is
Pulse Rate: discomfort is signs and symptoms interventions. relieved and controlled.
96bpm relieved/controlled. of infectious
Blood Pressure: process.  Helps promote
110/68mmHg dryness and prevent
 Provide information skin breakdown.
 Flushed skin with about hygienic
warm peripheries measures such as
frequent bathing,
 Tender and boggy use of cotton
uterus underwear.

 Warm uterus  Provide comfort  To manage and


measure by alleviate pain.
practicing deep
breathing for pain
management.  To avoid disturbance.

 Provide quiet and


peaceful
environment.

 Maintain bed rest.


Schedule activities
to provide
undisturbed rest
periods.

DEPENDENT:

 Administer  Reduce fever and


anitpryretics as chills.
prescribed
(paracetamol)

 Administer  For pain reliever.


analgesics.

 Antibiotics specific  Eradicates organisms


to organisms associated with UTI,
cultured (thru IV) bacterial pneumonia,
STDs (gonorrhea,
syphilis, chlamydial
infection), and
listeriosis. Relieves
flu-like symptoms
associated with
listeriosis.

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