cues Subjective: patient verbalized Ang sakit, matagal pa ba bago ako ooperahan Objective: Guarding behaviour protective gestures; positioning to avoid pain restlessness Irritated Observable pain scale of 8-10
Objective of care Report pain is relieved/controlled.
intervention Obtain client s assessment of pain to include location, characteristics, onset/duration, frequency, quality, intensity. Monitor vital signs during episodes of pain.
rationale To asses painand to scalepain from (0-10
implementation Assessed patient: intense pain on groin with observable pain scale of 8 out of 10
evalu
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