ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING INTERVENTION RATIONALE Expected

EXPLANATION Outcome
S: “Nananakit Pain related Complex After 4 hours ➢ Monitor ➢ To have After 4 hours
ang to Surgical responses of of nursing vital a of nursing
pinaghiwaan Incision tissue and intervention, signs. baselin intervention,
sa akin” nerve endings the client’s e data. the client’s
due to trauma reported pain pain will be
O: >pain from surgery will subside. relieved.
scale: 8 (incision) and
>Facial cause ➢ Instruct ➢ To
grimace hypersensitivi the client prevent
> ty to the to avoid bleedin
Protective central strenuous g of the
behavior nervous exercise surgical
> Restless system that and incision
> sighing causes activities. made
unpleasant from
physical and the
emotional operati
reactions and on.
responses. ➢ Instruct
the client ➢ To
to have a promot
short e blood
walk circulati
everyday on and
as a form faster
of healing
exercise. of the
incision
.

➢ To aid
➢ Advise in
the client strengt
to eat hening
plenty of of
nutritious having
foods and a good
vegetabl Immun
es and e
drink system
plenty of against
water. infectio
n.

➢ Instruct
to clean
and
change of
wound
dressing
at least
once a
day.

➢ Give
medicatio
n ordered
by the
physician
.