20834481-NCP - ASSESSMENT S"Masakit ang ulo at tiyan niya...

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ASSESSMENT NURSING DIAGNOSIS OUTCOME IDENTIFICATION PLANNED INTERVENTION RATIONALE EVALUATION S: “Masakit ang ulo at tiyan niya” as verbalized by the watcher O: NGT intact weak body movement limited body movement irritable anxiety warm skin to touch afebrile 36.0 occational productive cough Acute Pain r/t Present Illness S.T.O : After 24 hrs of nursing intervention the patient will verbalized relief of anxiety and body weakness. After 24 hrs of nursing intervention the patient will demonstrate use of relaxational activities as indicated for individual situation L.T.O: After 3 days of nursing intervention the patient will incorporate therapeutic regimen into activities of daily living (ADL) After 3 days of nursing interevntion the pt will follow pharmacological regimen as prescribed. Dx: Assessed general health status Monitored and recorded v/s Tx: Established Rapport Ensured safety and comfort measures Encouraged adequate rest
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