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Showing posts with label Acute Pain NCP. Show all posts
Showing posts with label Acute Pain NCP. Show all posts

11 Feb 2014

2. Acute pain: Bronchitis Nursing Care Plans

2. Acute pain
related to: the inflammation of the pleura.
As evidenced by:[Check those that apply]
Major:
(
Must be present)
(_) Pt. reports or demonstrates discomfort.
Minor:
(
May be present)
(_) Autonomic response to acute pain:
  • increased BP, P, R
  • diaphoresis
  • dilated pupils
  • guarding
  • facial mask of pain
  • crying/moaning
  • abdominal heaviness
  • cutaneous irritation

Date &
Sign.
Plan and Outcome[Check those that apply]Target
Date:
Nursing Interventions[Check those that apply]Date
Achieved:
The patient will:
(_) Experience relief of pain A.E.B.
  • verbal reports of relief of pain
  • less autonomic responses to pain
(_) Other:
(_) Asses characteristics of pain: location, severity on a scale of 1-10, type, frequency, precipitating factors, relief factors.
(_) Eliminate factors that precipitate pain: eg.:__________________
________________________
(_) Offer analgesics q___ hrs prn (according to physician order).

9 Nov 2013

Coronary Artery Disease Nursing Care Plans: Acute Pain

Coronary Artery Disease Nursing Care Plans



Acute Pain

Coronary artery disease (CAD) is caused by a narrowing of the arteries that supply the heart muscle with blood. When the arteries narrow, blood flow is reduced. The reduced blood flow causes the heart muscle to receive less oxygen than it needs to function properly. When ischemia occurs patients typically develop angina or chest pain originating from the heart. It has been described as chest pain or discomfort that has a squeezing or pressure-like quality, usually felt behind the breastbone (sternum), but sometimes felt in the shoulders, arms, neck, jaws, or back.

Assessment
Objective data:
 The pt. May manifest:
ü  restlessness
ü  pain scale of 9/10
ü  chest pain
ü  irritability
ü  (+) guarded behavior
ü  (+) facial grimaces
ü  crying
ü  v/s change
ü  diaphoresis
ü  sleep disturbance
ü     increase RR and pulse          

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