Medical Diagnosis: Acute Gastroenteritis (Adult) Problem: Acute Pain RT Inflammatory Process Assessment Subjective: Masakit ing atyan

ku as verbalized by the patient Objectives: The patient manifested: Abdominal Pain Appears weak Limited range of motion Restlessness Verbalization of pain with a pain scale of 6/10. The pt. may manifest: Facial grimaces Irritability Impaired thought process Reduced interaction with people sleep disturbances diaphoresis Scientific Explanation Acute Pain related to Gastroenteritis is the Inflammatory Process inflammation of the stomach and intestinal tract that primarily affects the small bowel. One of the manifestations of gastroenteritis is abdominal pain. During the course of inflammation, the bodys immune response, causing the release of cytokine and prostaglandin causing an increase in vascular permeability and causes pain, which felt by the patient in the abdomen. (Joyce M. Black, 2008) Nursing Diagnosis Planning Short term: After 3 hrs of nursing interventions the pt. will report pain is relieved from a pain scale of 6/10 to 2/10. Interventions 1. Establish rapport 2. Monitor and record vital signs. 3. Review factor that aggravate or alleviate pain 4. Instruct the SO to massage the area where pain is elicited if not contraindicated 5. Encourage pain reduction techniques 6. Provide adequate rest 7. Provide diversional activities like socialization 8. Administer analgesics to maintain acceptable level of pain if not contraindicated 9. Instruct client to perform deep breathing exercises (DBE) 10. Monitor effectiveness of Rationale 1. To gain the trust and cooperation of the patient 2. To provide baseline data and note deviations from normal. 3. Helpful in establishing diagnosis and treatment needs 4. To lessen/alleviate pain caused by various factors (administer meds via IV push) 5. To reduce pain and promote relief/comfort 6. To promote healing 7. For clients comfort and relief from pain 8. To decrease pain. 9. Deep breathing exercises may reduce pain sensation/ used in pain Evaluation Short term: After 3 hrs of nursing interventions the pt. shall have reported pain is relived from a pain scale of 6/10 to 2/10

Long Term: After 2 days of nursing interventions the pt will be free from pain as evidence by demonstration of relaxation skills and diversional activities with the help of the SO.

Long Term: After 2 days of nursing interventions the patient shall be free from pain as evidenced by demonstration of relaxation skills and diversional activities with the help of the SO.

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management 10. To promote timely intervention/ revision of plan of care

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