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"ain scale o# ! "alpable abdominal mass ! ($) %acial grimace ! with &uarding behavior ! %lank pain ! 'imited ( ) ! *ody weakness ! (( + *" changes
PLANNING ,#ter .hrs o# nursing intervention/ the patient will be able to report gradual reduction-relie# #rom pain.
SELECTED INTERVENTION )onitor vital signs. "er#orm an assessment o# pain including location/ characteristics/ onset-duration. "rovide com#ort measures/ 0uiet environment and calm activities 1ncourage diversional activities and rela2ation techni0ues (e. g. watching 34/ listening to radio) "rovide com#ort measures such as back rub/ change position/ use o# heat- cold ,ssist with sel!care activities ,dminister analgesics as indicated
IMPLEMENTED INTERVENTION )onitored vital signs. "er#ormed an assessment o# pain including location/ characteristics/ onset-duration. "rovided com#ort measures/ 0uiet environment and calm activities 1ncouraged diversional activities and rela2ation techni0ues (e. g. watching 34/ listening to radio) "rovide com#ort measures such as back rub/ change position/ use o# heat- cold ,ssist with sel!care activities ,dministered analgesics as needed.
RATIONALE alteration #rom normal maybe signs o# in#ection indicates need #or-e##ectiveness and may signal development o# complications to prevent #atigue and lessen stimuli to distract attention and reduce tension to promote non! pharmacological pain management to be able to per#orm ,5'6s and maintain good hygiene to reduce pain
EVALUATION &oal )et. ,#ter .hrs o# nursing intervention/ the patient was able to report gradual reduction-relie# #rom pain.