Pain AssessmentPlanningInterventionScientific RationaleEvaluation

Subjective:ang sakit sakit ng dibdib at ulo ko!! as verbalized by the patient

Objective:> Facial grimace> Weakness in appearance > Restlessness> Coldy clammy skin> Pain scale: 10/10> Vs taken as follows:T: 37CPR: 89pbmRR: 23BP: 140/80mmHgAfter 8 hours of nursing intervention,the patient will experience decrease pain as evidence by: verbalization of decrease pain,relaxe facial expression and body positioning,increased participation in activities and stable vital signs.

Assess pain reports, noting location, intensity (010 scale), frequency, and time of onset. Note nonverbal cues like restlessness, tachycardia, grimacing.

Instruct and encourage patient to report pain as it develops rather than waiting until level is severe.

Encourage verbalization of feelings.

Provide diversional activities: provide reading materials, light exercising, visiting, etc.

Perform palliative measures: repositioning, massage, ROM of affected joints.

Instruct and encourage use of visualization, guided imagery, progressive relaxation, deep-breathing techniques, meditation, and mindfulness.

Provide oral care.

Apply warm or moist packs to pentamidine injection and IV sites for 20 min after administration.

Administer analgesics and/orantipyretics, narcotic analgesics. Use patient-controlled analgesia (PCA) or provide around-the-clock analgesia with rescue doses prn. Indicates need for or effectiveness of interventions and may signal development or resolution of complications. Chronic pain does not produce autonomic changes; however, acute and chronic pain can coexist. Efficacy of comfort measures and medications is improved with timely intervention.

Can reduce anxiety and fear and thereby reduce perception of intensity of pain.

Refocuses attention; may enhance coping abilities.

Promotes relaxation and decreases muscle tension.

Promotes relaxation and feeling of well-being. May decrease the need for narcotic analgesics (CNS depressants) when a neuro/motor degenerative process is already involved. May not be successful in presence of dementia, even when dementia is minor.

Oral ulcerations and lesions may cause severe discomfort.

These injections are known to cause pain and sterile abscesses

Provides relief of pain and discomfort; reduces fever. PCA or around-the-clock medication keeps the blood level of analgesia stable, preventing cyclic under medication or overmedication. Drugs such as Ativan may be used to potentiate effects of analgesics.After 8 hours of nursing intervention,the patient was able to experience decrease pain as evidenced by: verbalization of decrease pain,relaxe facial expression and body positioning,increased participation in activities and stable vital signs.