Nursing Care Plan for Acute Pain

Acute 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