Assessment Nursing Diagnosis Objective of Care Intervention Rationale

Subjective cues: Pain related to an Monitor and Most patients with

imbalance in oxygen At the end of 8hrs nursing document an acute MI appear
“sumasakit po ang supply and demand intervention, the patient will characteristic of ill, distracted, and
dibdib ko minsan, at be able to: pain, noting verbal focused on pain.
nahihirapan din po ako reports, nonverbal
huminga” cues
 Verbalize
Objective cues: relief/control of chest Instruct patient to Helpful in
pain within do relaxation decreasing
-Weak in Appearance appropriate time techniques: deep perception and
-Restless frame for and slow breathing, response to pain
-Fatigue administered distraction
-Has Facial Grimace medications. behaviors,
visualization,
 Display reduced
guided imagery. 
tension, relaxed
manner, ease of
Provide quiet Decreases external
movement.
environment, calm stimuli,
 Demonstrate use activities, and
of relaxation techniq comfort measures.
ues.

Reference:

https://nurseslabs.com/7-myocardial-infarction-heart-attack-nursing-care-plans/#acute_pain