B. Nursing Care Plan
ASSESSMENT NURSING
DIAGNOSIS
ANALYSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION
Subjective:
“Sumasakit pa
nga yung tahi ko
dito sa parteng ni-
ligate at sa cs ko”
Objective:
Facial mask of
pain
(+) Guarding
position while we
are interviewing
her.
Acute pain
related to post-
op surgical
incision as
evidenced by
facial mask of
pain.
The patient
experiences pain
because of the
incision done to her
after her CS and
BTL operation.
Pain is an
unpleasant sensory
and emotional
experience arising
from actual or
potential tissue
damage .
(http://www.pain-
management-
info.com/definition-
of-pain.htm)
GOAL
After 8 hours of
nursing
intervention,
the patient’s pain
will be minimized.
OBJECTIVES
After 5 minutes,
the client will
verbalize the
characteristic and
location of pain.
After 10 minutes
the client will be
able to perform
pain management
like;
Deep breathing
technique
On the right time
Perform a
comprehensive
assessment of
pain to include
location,
characteristics,
onset, duration,
frequency,
quality, intensity
or
severity, and
precipitating
factors of pain.
Teach the use of
non-
pharmacologic
techniques:
Deep breathing
technique
Pain is a
subjective
experience and
must be
described by the
patient in order
to plan effective
treatment.
The use of
noninvasive pain
relief measures
that can increase
the release of
endorphins and
enhance the
therapeutic
effects of pain
The patients pain
minimized.
The patient was
able to verbalize,
to characterize
and locate the
pain.
The patient was
able to perform
deep breathing
exercise.
The patient was
