Make a nursing care plan Acute pain related to post operative surgery as evidenced by guarding and facial grimace Subjective Cues Objective cues Scientific Analysis Situational Analysis Goals and Objective Short term Goal Cognitive Goal Affective Goal Psychomotor Goal Implementation Independent nursing interventions Dependent Nursing Intevention Collaborative Nursing Intervention Rationale Evaluation Chief Complaints: Hypogastric pain history of present illness2 months prior to consultation the patient complained of abdominal pain associated with discomfort, she was admitted to the ER but was discharged with unrecalled medications. 1 month prior to consultation the patient had moderate to severe dysmenorrhea, a whole abdominal ultrasound was performed and the results indicated the patient to have myoma in her uterus. 2 weeks prior to admission the attending physician was consulted due to the results of the whole abdominal ultrasound hence her admission for a total abdominal hysterectomy bilateral salpingo-oophorectomy. past health history Patient underwent a total thyroidectomy Diagnosis: Myoma Uterine
Make a nursing care plan
Acute pain related to post operative surgery as evidenced by guarding and facial grimace
Subjective Cues
Objective cues
Scientific Analysis
Situational Analysis
Goals and Objective
Short term Goal
Cognitive Goal
Affective Goal
Psychomotor Goal
Implementation
Independent nursing interventions
Dependent Nursing Intevention
Collaborative Nursing Intervention
Rationale
Evaluation
Chief Complaints: Hypogastric pain
history of present illness
2 months prior to consultation the patient complained of abdominal pain associated with discomfort, she was admitted to the ER but was discharged with unrecalled medications.
1 month prior to consultation the patient had moderate to severe dysmenorrhea, a whole abdominal ultrasound was performed and the results indicated the patient to have myoma in her uterus.
2 weeks prior to admission the attending physician was consulted due to the results of the whole abdominal ultrasound hence her admission for a total abdominal hysterectomy bilateral salpingo-oophorectomy.
past health history
Patient underwent a total thyroidectomy
Diagnosis: Myoma Uterine
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