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Cholecystectomy Nursing Care Plan: Post-Operative Acute Pain

The nursing care plan addresses post-operative acute pain management following a cholecystectomy. The plan involves assessing and monitoring the patient's pain level, administering pain medication as ordered, providing diversional activities to relieve pain, and evaluating the effectiveness of interventions in providing pain relief after 2 and 4 hours.

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Cherald Paul C Asuncion
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3K views2 pages

Cholecystectomy Nursing Care Plan: Post-Operative Acute Pain

The nursing care plan addresses post-operative acute pain management following a cholecystectomy. The plan involves assessing and monitoring the patient's pain level, administering pain medication as ordered, providing diversional activities to relieve pain, and evaluating the effectiveness of interventions in providing pain relief after 2 and 4 hours.

Uploaded by

Cherald Paul C Asuncion
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Cholecystectomy Nursing Care Plan: Post-Operative Acute Pain

Assessment S: patient may verbalize: > unrelieved pain O: patient may manifest: > (+) facial grimaces >appears irritable, restlessness >guarded or protective behavior >diaphoresis >inability to sleep Nursing Diagnosis Acute pain Scientific Explanation In performing cholecystecto my, surgical incision is done. By which, the incision causes direct irritation to the nerve endings by chemical mediators released at the site such as bradykinin. This irritation will send signal to the cortex and thalamus of the brain thus producing pain perception. Planning Interventions (Objective/Goal) Short-term: 1. administer medication After 2 hours of as ordered nursing interventions, the 2. Monitor and patient will report record vital relief from pain. signs Long-term: After 4 hours of nursing interventions, the patient report pain is controlled. 3. assess the severity, frequency, and characteristi c of pain 4. provide divertional activities such as reading newspapers Rationale 1. to minimize the pain 2. for baseline data 3. pain is a subjective data, therefore it should be reported and to determine patients level of pain Evaluation Short-term: After 2 hours of nursing interventions. the patient shall have reported relief from pain. Long-term: After 4 hours of nursing interventions, the patient shall have reported pain is controlled.

4. to divert 5. provide nonthe pain pharmacolog the patient ial is intervention experienci such as ng touch and frequent changing of 5. to provide position comfort

Impaired tissue integrity r/t presence of secretions Risk for infection r/t primary defense

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