Nursing Care Plan for Acute Pain NANDA

Nursing Care Plan for Acute Pain NANDA

Acute Pain Definition:
Feelings and unpleasant emotional experience arising from actual tissue damage and potential, or the picture of the damage. It can occur suddenly or slowly, the intensity of the light or heavy. With predictions roughly healing time of less than 6 months.

Defining characteristics:
  • Reports of verbal and nonverbal
  • Observation reports
  • Position the patient to be careful to avoid the pain
  • The movement to protect
  • Cautious behavior
  • Face mask
  • Sleep disturbances (eyes glazed, looking tired, difficult or chaotic movement, smirk)
  • Focus on self-
  • Focus narrows (decreased perception of time, damage to the thought, decreased interaction with people and the environment)
  • Distraction activity (walk, meet other people or activities, repetitive activity)
  • Response autonomy (diaphoresis, changes in blood pressure, changes in breathing, pulse and dilated pupils).
  • Autonomy in response to changes in muscle tone (visible from weak to stiff)
  • Expressive behavior (restlessness, moaning, crying, alert, irritable, sigh)
  • Changes in appetite drink.

Related Factors
  • Agent injury (biological, chemical, physical, psychological)

NOC
  • not done at all
  • rarely do
  • sometimes done
  • often done
  • always do

NIC
Pain Management

Interventions :
  • Perform a comprehensive assessment
  • Observation nonverbal reactions and discomfort
  • Use therapeutic communication to know Pain Experience
  • Assess the culture that affects pain response
  • Evaluation of past painful experiences
  • Aids Patients and families to seek and find support
  • Environmental control
  • Reduce the Pain of precipitation factor
  • Choose and pain management (pharmacological, nonpharmacological and interpersonal)
  • Assess the source and type of pain to determine intervention
  • Teach about nonpharmacological techniques
  • Give analgesics to relieve pain
  • Increase rest
  • Collaboration with your doctor if any pain complaints and the action does not work
  • Monitor patient acceptance of pain management.

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