List of Nursing Diagnosis

Nursing Care Plan for Osteoarthritis

Pain (acute / chronic) related to tissue distension by accumulation of fluid / inflammation, joint destruction.

Outocomes :

• Showed pain control.
• The client looks relaxed, can sleep / rest and participate in activities.
• Following therapy program.
• Combining the skills of relaxation and entertainment activities into the program of pain control.

Interventions :

1. Assess complaints of pain, note the location and intensity of pain (scale 0-10), note the factors that accelerate and signs of pain.
2. Give a hard mattress, small pillows. Elevate the bed linens as needed.
3. Let the patient take a comfortable position when sleeping or sitting in a chair. Increase bed rest as indicated.
4. Encourage patients to frequently change positions. Help the patient to move in bed, prop sore joints above and below, avoid jerky movements.
5. Encourage patients to a warm bath or shower to wake-up time. Provide a warm washcloth to compress the affected joints several times a day. Monitor the temperature of the water compresses , water bath.
6. Give a gentle massage.
7. Collaboration : Give medication before activity or exercise that is planned according to the instructions as acetyl salicylate.

Rationale :

1. Assist in determining the need for and effectiveness of pain management programs.
2. Soft mattress, great pillows will prevent the maintenance of proper body alignment, placing setres the diseased joints. Elevation of the bed linens pressure on inflamed joints / pain.
3. In severe disease, bed rest may be necessary to limit joint pain or injury.
4. Preventing the occurrence of general fatigue and joint stiffness. Stabilize the joint, reduce movement / pain in the joints.
5. Heat increases muscle relaxation and mobility, decrease pain and stiffness in the morning release. The sensitivity of the heat can be removed and dermal wounds can be healed.
6. Increasing relaxation / reduce muscle tension.
7. Increase relaxation, reduce muscle tension, ease to participate in therapy.

Nursing Care Plan for Appendicitis

Nursing  Diagnosis: Acute  Pain related to Surgical Incision

Purpose:
After nursing care, client comfort level increased, pain controlled with the expected outcomes:

• Clients report reduced pain, pain scale 2-3
• Calm facial expression, and can rest, sleep.
• Vital signs are within normal limits.

Nursing  Intervention for Appendicitis : Acute  Pain related to Surgical Incision

Pain Management:

• Assess pain comprehensively including location, characteristics, duration, frequency, quality factor and precipitation.
• Observation of nonverbal reactions inconvenience.
• Use therapeutic communication techniques to determine the client's experience of pain before.
• Provide a quiet environment
• Reduce pain precipitation factor.
• Teach non-pharmacological techniques (relaxation, distraction, etc.) to overcome the pain.
• Give analgesics to reduce pain.
• Evaluation of pain reducers / pain control.
• Collaboration with the doctor if there are complaints about the administration of analgesics to no avail.
• Monitor client's acceptance of pain management.

Analgesic  Administration:.

• Check program providing analgesic; types, dosage, and frequency.
• Check history of allergy.
• Determine the analgesic of choice, route of administration and optimal dosage.
• Monitor vital signs
• Give analgesics on time especially when pain appears.
• Evaluation of analgesic efficacy, side effects signs and symptoms.