Nursing Scientific Nursing

Objective Rationale Evaluation

Diagnosis Analysis Intervention
Acute pain After 8 hours Vital signs were Alterations from normal Pain is reduced /
related to Acute pain is described as of nursing monitored q 4 hours may be signs of infection. controlled to a
surgery an unpleasant sensory or intervention, until stable and Moistened dressings are tolerable extent as
incision on emotional experience the patient: dressing was favorable site for verbalized.
left ankle associated with actual or checked. microorganism to culture. Relieving
potential tissue damage or -verbalizes methods and
Subjective: injury as lasting from minimized or Adjusted constricting This is to prevent relaxation
“Sakit ang ge- seconds to 6 months. In controlled bandage and advised diminished circulatory techniques are
operahan nga cases of fracture, pain is feeling of pain to elevate left leg and nerve function and understood and
left ankle continuous and increasing control swelling of the demonstrated.
nako”, as in severity until bone Verbalizes site.
verbalized by fragments are immobilized. methods that
the patient. In this type of fracture, the provide relief Instructed to do To reduce swelling and
main medical management activities such as prevent stiffness the
Objective: is open reduction with Demonstrate deep breathing stated activities must be
Incision on internal fixation (ORIF), use of exercise, coughing done. Decreased lung
the left ankle wherein the fracture relaxation exercise and sitting capacity and decreased
(D/3 radius L fragments are reduced and skills and exercises. cough efficiency are
with bone internal fixation devices diversional predisposing factors to
grafting) are used to hold the bone activities respiratory infections.
fragment in position until
Posterior solid bone healing occurs. Noted to avoid To prevent from
casts and weight bearing until complications on the
bandage on allowed. incision site, activities
left ankle that may extend the cut
must be avoided.
BP = 90 / 60
mmHg Encouraged to void This is advised in order to
freely. prevent constipation and
fecal impaction.

Enough rest and sleep This promotes healing by

was also advised. reducing basal metabolic
rate and allowing oxygen
and nutrients to be
utilized for tissue growth,
healing and regeneration.

Intake of pain NSAID activity includes

reliever and modulation of T-cell
antibacterial function, inhibition of