Nursing Diagnosis : Acute Pain related to injury of biological agents (decreased peripheral tissue perfusion)
NOC :
- level of pain
- pain controlled
- level of comfort
1 Controlling pain, with indicators :
- Know the factors that cause.
- Know the onset of pain.
- Non-pharmacological aid measures.
- Analgesic use.
- Reported pain symptoms to the health care team.
- Pain controlled.
- Reported pain.
- Frequency of pain.
- The duration of pain episodes.
- The expression of pain ; face.
- Changes in respiration rate.
- Changes in blood pressure.
- Loss of appetite.
Interventions (NIC)
Pain Management :
- Perform a comprehensive pain assessment includes the location, characteristics, duration, frequency , quality and ontro precipitation.
- Observation of nonverbal reactions of discomfort.
- Use therapeutic communication techniques to determine the client's experience of pain before.
- Environmental controls that affect pain such as room temperature, lighting, noise.
- Reduce pain ontro precipitation.
- Choose and pain management (pharmacological / non- pharmacological).
- Teach non- pharmacological techniques ( relaxation , distraction, etc.) to mengetasi pain.
- Give analgesics to reduce pain.
- Evaluation of pain -reducing action / ontrol pain.
- Collaboration with a physician if there are complaints about the administration of analgesics to no avail.
- Monitor client acceptance of pain management.
Analgesics Administration :
- Check program providing analogetik ; the type, dosage, and frequency.
- Check history of allergy.
- Determine the analgesic of choice, the optimal route of administration and dose.
- Monitor vital signs before and after the administration of analgesics.
- Give analgesic especially timely when the pain arises.
- Evaluation of the effectiveness of analgesics, signs and symptoms of side effects.
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