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S: ͞ Masakit itong Hemorrhoids are Goal: To relieve the Diagnostics:
almoranas ko, dilated portions of pain felt by the patient >Assess PQRST of Pain -PQRST of pain serves as STO will be Fully met if
nahihirapan akong the anal canal and an important parameter the patient verbalizes
umupo at dumumi͟ are very common to STO: Within 3-4 hours to know the exact decrease pain feeling
>Pain is precipitated those individuals of nursing location and degree of from 7/10-2-3/10 and
when patient sits and who are 20-50 years intervention the client the pain felt by the patient is able to identify
defecates old depending on will be able to patient. ways which will provide
>Pain is Characterized the lifestyle they verbalize decrease >Assess for Non-Verbal -Pain is a subjective data ease in defecation and
as ͞Mahapdi͟ have. In the case of feelings of pain from Cues for pain and sometimes patients sitting. Partially met if
>Localized, non the patient the 7/10- 2-3/10. The deny it, that is why we one of the following
radiating Hemorrhoid started patient will also be have to be cognizant on criteria is met and Not
>With a Pain scale of as a small mass until able to identify ways Non-verbal cues of pain met if none of those
7/10 eventually grew which will provide for us to know the criteria stated is achieved.
>pain is felt when bigger, the exact ease in defecation and necessary interventions
patient sits and cause is unknown sitting. to be instituted.
defecates. but we have to >Assess characteristic of -It determines the LTO is Fully met if the
consider that the hemorrhoid degree of and severity patient will be able to
O: Limited movement patient was LTO: After 2-3 days of of the condition adapt necessary lifestyle
noted pregnant and that Nursing interventions >Assess for Bowel >determines whether or changes to prevent
>Often seen lying on the pressure of the the patient will be Patterns not the problem disease progression and
bed gravid uterus to the able to know and interferes with the have learned to manage
>grimaces observed rectal veins was too adapt the necessary Patient͛s ADL͛s condition by instituting
when patient sits high which probably lifestyle changes home management.
>hemorrhoid caused the local needed to prevent Therapeutics: Partially met if one of the
assessed, external , inflammation. The further progression of >Offer patient with High -High Fiber diet helps following criteria is met
reddish, with 3-4cm patient is now disease. The patient Residue Diet loosen hard stools thus and Not met if none of
in diameter, with experiencing should also be able to preventing too much those criteria stated is
bloody discharges problems such as manage own straining on defecation achieved.
oozing to the perineal intense pain, bloody condition by therefore reduces pain
area discharges, difficulty instituting home >Offer Fluids to the -Increase in oral fluid
>stool observed to in defecating and remedies that will be patient intake helps soften
have blood streaks sitting. taught during stools thus preventing
hospitalization. too much straining on
defecation therefore
A: Acute pain related reduces pain
to Localized >Warm Compress or Hot - Warm compress and
inflammation at the Sitz Instructed to patient Hot sitz promotes
perianal area ( If at home patient may relaxation by
secondary to use ͞Arinola͟ with warm vasodilation therefore
presence of water on it as a Sitz) reduces engorgement
hemmorhoids. thus reduces pain
>Administer Analgesics -Analgesics produces
as prescribed analgesia which blocks
the feeling of pain
>Provide Rest periods - Rest promotes
relaxation by decreasing
movement of muscle
therefore reducing
muscle tension thus
reducing pain
>Administer laxatives as - Laxatives increase the
prescribed stools water content
therefore making it
loose/soft. This will
prevent the patient
from straining therefore
decreases feelings of
pain
>Provide droplight for -Droplight/perilight has
20-30 mins per day the same action as what
hot sitz do, this
promotes vasodilation
therefore promoting
relaxation which
eventually decreases
pain.
Educative:
>Encourage patient to - High Fiber diet helps
eat Fiber Rich foods loosen hard stools thus
preventing too much
straining on defecation
therefore reduces pain
>Emphasized the - Increase in oral fluid
importance of high fluid intake helps soften
intake stools thus preventing
too much straining on
defecation therefore
reduces pain
>Encourage to have -this will allow patient
gradual lifestyle changes modify own lifestyle in
if previous lifestyle is his own time and pace
thought to have caused thus preventing the
present condition aggravation of the
present condition.