Assessment

SUBJECTIVE: Masakit pa din kahit papano yung inopera sa akin AVBTC

Diagnosis

Inference

Planning

Intervention
Independent

Evaluation

Acute pain may be related to distention of intestinal tissue by inflammation and presence of surgical incision.

OBJECTIVE: (+) facial grimace (+) guarding behavior Pain noted; pain scale of 5/10 w/ dryness of lips noted

Appendectomy is the removal of the inflamed appendix. In an open, conventional, and uncomplicated appendectomy, the surgeon removes the appendix through an incision approximately 3 inches long in the right lower quadrant. The incision is larger if the appendix is in a typical position or if peritonitis is present.

After 1 hour of nursing interventions, the Patient will report pain is relieved or controlled and appear to be relaxed, able to sleep and rest appropriately.

Keep at rest in high-fowlers postion Instructed to moisten lips or garle lips Encouraged to do deep breathing exercises Emphasized to maintain NPO till further orders Monitored for signs and symptoms of infection.

After 1 hour of nursing interventions, the Patient was able to report pain is relieved or controlled and appear to be relaxed, able to sleep and rest appropriately.