8/13/2019 20629005 Ncp Acute Pain Fracture (1)

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Assessment Nursing Diagnosis ObjectiveNursing

InterventionRationale Evaluation

S:

masakit angpaa ko

O:

>iap!oresis> "it!

guaringbe!avior

>"it! pain

an s"ellingon R knee

>"it! reportso# pain $%&

BP: 130/90

Temperature

: 37.8C

Pulse:

75bpm

RR: 21bpm

Acute painA#ter ' !ours

o# nursing

intervention(t!e patient:

)verbali*esminimi*e or

controlle#eeling o# pain

+erbali*es

met!os t!at

provie relie#

Demonstrateuse o#

rela,ation

skills aniversional

activities

+ital signs "eremonitore - . !ours

until stable anressing "as

c!ecke/

Ajuste constricting

banage an aviseto elevate le#t leg

Instructe to oactivities suc! as

eep breat!inge,ercise( coug!ing

e,ercise an sitting

e,ercises/

Note to avoi"eig!t bearing until

allo"e/

Encourage to voi

#reel0/

Enoug! rest an sleep"as also avise/

Intake o# pain

reliever an

antibacterial

Alterations #rom normalma0 be signs o# in#ection/

1oistene ressings are#avorable site #or

microorganism to culture/

2!is is to prevent

iminis!e circulator0an nerve #unction an

control s"elling o# t!esite/

2o reuce s"elling anprevent sti##ness t!e

state activities must beone/ Decrease lung

capacit0 an ecrease

coug! e##icienc0 arepreisposing #actors to

respirator0 in#ections/

2o prevent #romcomplications on t!e

incision site( activities

t!at ma0 e,ten t!e cutmust be avoie/

2!is is avise in orer to

prevent constipation an

#ecal impaction/

2!is promotes !ealing b0reucing basal metabolic

rate an allo"ing o,0genan nutrients to be

utili*e #or tissue gro"t!(

!ealing an regeneration/

NSAID activit0 inclues

moulation o# 2)cell

#unction( in!ibition o#

3ain is reuce %controlle to a

tolerable e,tent asverbali*e/

Relieving

met!os anrela,ation

tec!ni-ues areunerstoo an

emonstrate/