University:
American Career College
Course:
NURS-113 | Beginning Medical/Surgical Nursing
Academic year:

2020
Views:

264

Pages:

1
Author:

sonalhava9qv

NANDA Nursing Diagnosis: Acute Pain Related to: trauma, mobility and comfort alterations As evidenced by (only use if not Òrisk forÓ): Patient states, Òmy left hip hurts when I move itÓ and Ònothing makes me feel betterÓ PLANNING PHASE IMPLEMENTATION PHASE RATIONALE EVALUATION PHASE Patient-centered goal (s) Be sure goal is measurable and includes an appropriate time frame. Consider: Short term goal & long term goal Interventions: Must be written in order of priority. Think about all the things the RN does to help the patient with this problem. Be specific. Use a primary source to provide the rational for your specific nursing intervention. Cite references. Goal/s met? 1. Patient will do range of motion exercises for 10 mins during each shift 1a. Nurse will educate patient to do the moves slowly and carefully and emphasize that patient shouldnÕt force it if he canÕt do a certain exercise 1b. Nurse will assist patient with range of motion exercises but let the patient do some of the exercises independently if he can. 1a and 1b. prevents muscle degeneration, improves balance and strength 1. Goal met Ð patient was able to perform ROM exercises with minimal assistance during shift