c c c c c c c

SUBJECTIVE: Acute Unrelieved INDEPENDENT: c c c

- Patient pain acute pain
related 1. Instruct client to
leads
verbalized
to debilitation, report any
³Masakit t improvement/exac
diminished
yung tuhod o
quality of life, er-bation in pain
ko, yung physical experience.
and
parte na agent
depression.
2. Encourage
Unrelieved
may a
nakatusok,´ acute
nd verbalization of
- Verbalized postoperative
inflammatory feelings about the
pain leads to
process pain.
³Namaman development
hid yung secondary to of Provide comfort
tuhod ko, insertion of chronic pain
parang may Steinmann syndromes and measures such as
tumutusok, increased use of incentive
pasumpong pin complications. spirometry or
-sumpong In fact, blow
sya.´ a unrelieved bottles.
nd presence pain
- Verbalized of arthritis can kill. 4. Encourage

³Mas respectivel Source: relatives to

masakit c perform touch
yung Medical- therapy.
rayuma ko Surgical
sa kaliwang Nursing, 7th 5. Encourage and
kamay, ed.
pasumpong by Black, assist client to do
-sumpong Joyce deep breathing
sya.´ M. and Jane exercises.
Hokanson
- Verbalized 6. Provide
Hawks; p. 440

³Masakit yung psychological

Etiology of
rayuma ko support/motivation
Acute Pain
lalo na pag .
from the Site
ginagalaw
of Steinmann 7. Encourage
ko; lagi
Pin Insertion: mobilization of the
syang left upper
Immediate extremity. Assist
kumikirot.´ cause: with ROM
exercises.
OBJECTIVE: Activation of 8. Encourage
- Pain scale adequate periods
nociceptors or
pain receptors
of 10 for of rest and sleep,
arthritis on Intermediate including
left wrist cause: uninterrupted
Break in the periods of
- Pain scale skin integrity sufficient duration,
Root cause:
meeting comfort
Insertion of
of 2 for site Steinmann pin needs, limiting/
of Etiology of avoiding use of
Steinmann Pain on Left caffeine/ alcohol
pin Wrist: and medications
insertion Immediate affecting REM
cause:
sleep. Encourage
- RR: 21 quiet, restful
cpm Activation of
atmosphere.
- Exhibited nociceptors or
pain receptors 9. Discuss with
facial
grimace Intermediate
cause relatives the
upon
GOAL: importance of
movement
early detection and
of the left
After 8 hours reporting of
upper
of changes in
extremity condition or any
nursing
interventions, unusual physical
- Exhibited
the discomforts/
facial patient will be changes.
grimace able to
upon palpation experience 10. Teach the client
gradual and significant
of wrist
reduction/relief others about the
of nonpharmacologic
pain. ways to lessen
c pain.
OBJECTIVES:

After the series

of 11. Notify physician if
nursing regimen is
interventions,
 the inadequate.
patient will be
COLLABORATIVE:
able to: 1. Administer

1. verbalize
reduction/ medications
relief of pain. (particularly
2. have normal analgesics) as
Respiratory prescribed.
Rate.

3. move his left

upper
extremity
without facial
grimace
c
have no facial
grimace upon
palpation of
the wrist

5. recite the

nonpharmacol
ogic ways to
lessen pain.

6. demonstrate

the
nonpharmacol
ogic ways to
lessen pain

c
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