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.
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.
- 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.
