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    I. Nursing Care Plan Assessment Diagnosis Planning Intervention Evaluation

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    Cherubim Lei DC Flores
    The nursing care plan summarizes the care provided to a patient experiencing pain related to inflammation of the stomach secondary to ulcerative colitis. Key aspects included establishing rapport, monitoring vital signs, promoting rest, increasing fluid intake, providing diversional activities, administering prescribed medications, and encouraging the reporting of pain levels. The goals of relieving pain were met, as evidenced by the patient's report of decreasing pain levels from 7/10 to 4/10 over the 8-hour shift.

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    I. Nursing Care Plan Assessment Diagnosis Planning Intervention Evaluation

    Uploaded by

    Cherubim Lei DC Flores
    336 views3 pages
    The nursing care plan summarizes the care provided to a patient experiencing pain related to inflammation of the stomach secondary to ulcerative colitis. Key aspects included establishing rapport, monitoring vital signs, promoting rest, increasing fluid intake, providing diversional activities, administering prescribed medications, and encouraging the reporting of pain levels. The goals of relieving pain were met, as evidenced by the patient's report of decreasing pain levels from 7/10 to 4/10 over the 8-hour shift.

    Original Description:

    NURSING NCP AND DRUG STUDY

    Original Title

    NURSING NCP AND DRUG STUDY

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    The nursing care plan summarizes the care provided to a patient experiencing pain related to inflammation of the stomach secondary to ulcerative colitis. Key aspects included establishing rapport, monitoring vital signs, promoting rest, increasing fluid intake, providing diversional activities, administering prescribed medications, and encouraging the reporting of pain levels. The goals of relieving pain were met, as evidenced by the patient's report of decreasing pain levels from 7/10 to 4/10 over the 8-hour shift.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    336 views3 pages

    I. Nursing Care Plan Assessment Diagnosis Planning Intervention Evaluation

    Uploaded by

    Cherubim Lei DC Flores
    The nursing care plan summarizes the care provided to a patient experiencing pain related to inflammation of the stomach secondary to ulcerative colitis. Key aspects included establishing rapport, monitoring vital signs, promoting rest, increasing fluid intake, providing diversional activities, administering prescribed medications, and encouraging the reporting of pain levels. The goals of relieving pain were met, as evidenced by the patient's report of decreasing pain levels from 7/10 to 4/10 over the 8-hour shift.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Romel S.

    Guiang BSN-4
    I. Nursing Care Plan

    Assessment Diagnosis Planning Intervention Evaluation


    Subjective: Pain related to Within my 8 hours span >Established rapport Goal Met
    “hapdos akong tiyan sir, inflammation of of care patient will be > Monitor vs After my 8 hours span
    tapos naay dugo akong stomach secondary able to verbalize reliefs > Promote bed rest of care patient was able
    tae” as verbalized by ulcerative colitis. of pain. > Increase fluid intake to verbalized relief of
    the patient. >Encouraged patient to pain from 7/10 to 4/10.
    have diversional activities
    such as watching movie
    Objectives:
    > Encouraged patient to
    intake of non-irritating
    >grimaced face liquids
    > weak > Encouraged patient to
    > restlessness report pain
    >pain scale; 7/10 > Assist patient to
    >tarry stool comfortable position
    V/S: >medication given as
    Temp- 37.1 prescribe by the
    P- 75 physician.
    RR- 23 >encouraged patient to
    avoid dark color foods.
    BP- 130/90
    II. Drug Study

    Name of Drugs Classification Dosage Indication Contraindication Adverse Reaction Nursing Responsibilities

    Generic: Anti- 400mg Active mild Contraindicated in Abdominal pain, >Instruct patient to carefully
    mesalamine inflammatory P.O. t.i.d. to children and in cramps, discomfort, follow instruction supplied with
    drug moderate patients allergic to flatulence, diarrhea, drug to swallow.
    distal mesalamine, rectal pain, bloating, >tell patient not to take drug
    Brand name: ulcerative sulfites (including nausea, pancolitis, with antacid.
    Asacol colitis. sulfasalazine), any vomiting, >teach patient about proper
    salicylates, or any constipation, use of retention enema.
    component of the eructation,
    preparation. HEMORRHAGE.
    III. Sample Charting

    FOCUS DATA ACTION RESPONSE


    “hapdos akong tiyan sir, tapos Pain related to inflammation >Established rapport Goal met
    naay dugo akong tae” of stomach secondary > Monitor vs After my 8 hours span of care
    ulcerative colitis. > Promote bed rest patient was able to verbalized
    > Increase fluid intake relief of pain from 7/10 to
    >Encouraged patient to have 4/10.
    diversional activities such as
    watching movie
    > Encouraged patient to intake of
    non-irritating liquids
    > Encouraged patient to report
    pain
    > Assist patient to comfortable
    position
    >medication given as prescribe
    by the physician.
    >encouraged patient to avoid
    dark color foods.

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