NURSING PROCESS TEACHING CARE PLAN SUPPORTIVEDATA
Objective:
DX-UTI & possible urosepsis, Hip Fracture, and fall during not a candidate for surgery, CHF
Buck’s traction applied
Assessment: Limited mobility, SOB, confusion, does not want to get out of bed due to pain & fear of falling,
Meds: Hydrocodone 7. mg/acetaminophen 325mg 1 to 2 tab PO, PRN for pain Tylenol 650 mg 2 PO, PRN for pain.
NURSINGDIAGNOSIS
Knowledge deficit for pain management r/t lack of follow up with instructions
PATIENT GOALS/OUTCOME CRITERIA
The patient will have knowledge of pain mgmt A. E. B:Stg:
Verbalizes use and dosing of pain medication
Verbalizes pain relief lover than 4/10 in 30-60 min after intervention
Demonstrates use of non-medication pain mgmt solutions by end of shift
Ltg:
Verbalizes how often can get pain medications
Verbalizes ability to do ADL with pain below 6/10 by D/C
NURSING ACTIONS
Assess knowledge of current pain medications/does/time/use
Instruct on how often to take pain medications
Instruct of pain meds if the pain level is above 4/10
Teach the reason for keeping pain below 4/10
Instruct on taking Tylenol 650 mg before activity/ADL
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