Definition: unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage, of sudden or slow onset of any intensity from mild to severe with an anticipated or predictable end and lasting <6 month.
Defining characteristics :
- Changes in appetite
- Changes in blood pressure
- Changes in heart rate
- Changes in respiratory rate
- Signal report
- Diaphoresis
- Distraction behavior
- Expressing behavior (whining, crying, restlessness)
- Attitude to protect the pain area
- Report pain verbally
- Change position to protect the pain.
- Sleep disturbance
Related factors:
1) Agent of injury (e.g., biological, physical, chemical, psychological)
Nursaing Diagnosis for Peritonitis : Acute pain related to disruption of tissue continuity
Nursing Outcomes Classification (NOC):
After nursing actions for ... x 24 hours
It is hoped that the client's pain is controlled or can be resolved.
Result Criteria:
- Able to control pain (know the cause of pain, able to using non-pharmacological techniques to reduce pain, seeking help).
- Reported that pain was reduced by using pain management.
- The client is able to recognize pain (scale, intensity, frequency and pain sign).
- Expressing a sense of comfort after the pain is reduced.
Nursing Interventions Calcification (NIC)
Nursing activities:
- Perform a comprehensive pain assessment including location, characteristics, duration, frequency, quality and precipitation fractures.
- Maintain immobilization of the affected area with bed rest, cast, splint or traction
- Use therapeutic communication techniques to know the patient's pain experience.
- Teach patients non-pharmacological techniques to reduce pain 5) Collaborate on giving analgesics according to indications
- Evaluation of pain complaints (scale, verbal and non-verbal cues, changes in vital signs.
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