Make a nursing care plan Nursing Diagnosis: Acute pain related to post operative surgery as evidenced by guarding and facial grimace 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 Subjective CuesObective cuesScientific AnalysisSituational AnalysisGoals and ObjectiveShort Term GoalCognitive GoalsAffective GoalsPsychomotor goalsImplementationIndependent Nursing InterventionsDependent Nursing InterventionCollaborative Nursing InterventionsRationale for each interventionEvaluation
Make a nursing care plan
Nursing Diagnosis: Acute pain related to post operative surgery as evidenced by guarding and facial grimace
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
Subjective Cues
Obective cues
Scientific Analysis
Situational Analysis
Goals and Objective
Short Term Goal
Cognitive Goals
Affective Goals
Psychomotor goals
Implementation
Independent Nursing Interventions
Dependent Nursing Intervention
Collaborative Nursing Interventions
Rationale for each intervention
Evaluation
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