Nursing Care Plan for Acute Pain

Acute Pain Nursing Care PlanAcute Pain

Definition:

An unpleasant sensory and emotional experience arising in an actual or potential tissue damage or describe the damage (International Association of Pain Study): a sudden attack or low in intensity from mild to severe which can be anticipated by the end of a predictable and with a duration less than 6 months .

Defining Characteristics:

  • Report of verbal or non verbal
  • The fact of the observation
  • Antalgic position to avoid pain
  • Movement to protect
  • Cautious behavior
  • Face masks
  • Sleep disturbances (eyes glazed, looking tired, difficult or chaotic motion, grinning)
  • Focused on self-
  • Focus narrowed (decreased perception of time, the damage is thought process, decreased interaction with people and the environment)
  • Behavior distraction, for example: roads, meet other people and / or activities, repetitive activities)
  • Autonomic Response (such as diaphoresis, changes in blood pressure, changes in breathing, pulse and dilated pupils)
  • Changes in muscle tone, autonomic (probably in the range from weak to stiff)
  • Expressive behavior (eg, restlessness, moaning, crying, alert, irritable, breath / bitching)
  • Changes in appetite and drinking

Related factors:

Injury agents (biological, chemical, physical, psychological)


NOC:
  • Pain Level,
  • Pain control,
  • Comfort level

Results Criteria:
  • Ability to control pain (know the cause of pain, able to use the technique nonfarmakologi to reduce pain, seek help)
  • Reported that the pain was reduced by using a pain management
  • Able to identify pain (scale, intensity, frequency and signs of pain)
  • Declare a sense of comfort after pain was reduced
  • Vital signs are within normal ranges

NIC:

Pain Management
  • Perform a comprehensive pain assessment includes the location, characteristics, duration, frequency, quality and factors presipitas
  • Observation of nonverbal reactions of discomfort
  • Use therapeutic communication techniques to determine the patient's pain experience
  • Assess the culture that affect the pain response
  • Evaluation of past experience of pain
  • Evaluate with the patient and other health care team about the ineffectiveness of past pain control
  • Help patients and families to seek and find support

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