CABRIGA, LADY DIANE BSN-III

NURSING
ASSESSMENT PLANNING NURSING INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS
Subjective: Impaired After of 4 hours Independent: - To determine the After 4hours of nursing
“ Masakit ang ulo comfort of nursing - Note for the nursing care to be interventions, goal met.
ko” as verbalized by interventions location, scale, given to the Patient verbalized
related to
the patient. patient’s intensity and onset patient. being relieved of pain
headache perception of of pain. - To minimize and there is no non-
altered - Maintain a calm and stimulus that verbal indicators of
Objective: comfort/pain will quite environment could aggravate pain/discomfort
- Pain scale of be decreased; - Use relaxation the condition of present.
5/10 patient will be technique such as: the patient.
- With facial able of verbalize deep breathing - To promote
grimace relief of pain; exercise comfort and
- Restlessness there will be - Provide a dim and relaxation.
- diminished or light but providing - To add comfort to
absent non- good ventilation. the patient.
verbal indicators. - Offer back rubs - They serve as non-
massage, slow pharmacological
rhythmic breathing, methods for
repositioning and reducing
other diversional pain/promoting
activity such as comfort.
listening music or - To help relieve of
talking to the SO. pain.

Dependent:
- Administer pain
medications as
ordered.