

When the toe is touched the patient winces in pain. The patient toe is red and warm to the touch. The patient blood pressure is now under control but now the patient has developed pain in his left big toe. Objective DataĪ 68 year old male is admitted for hypertension. The patient rates his pain 8 on 1-10 scale.

The patient states his mother had gout attacks but this is the first time he has had one and finds it very painful. He states it hurt more at night and describes the pain as throbbing and crushing. The patient states it hurts to move his toe and that it is painful for a blanket or sheet to touch it. Nursing DiagnosisĪcute pain related to tissue trauma and reflex muscle spasms secondary to gout as evidence by patient rates pain 8 on 1-10 scale and winces in pain. The patient rates his pain 8 on 1-10 scale. The patient states it hurts to move his toe and that it is painful for a blanket or sheet to touch it. He states it hurt more at night and describes the pain as throbbing and crushing. Otherwise, scroll down to view this completed care plan.Ī 68 year old male is admitted for hypertension.
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If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. The most important part of the care plan is the content, as that is the foundation on which you will base your care. Some hospitals may have the information displayed in digital format, or use pre-made templates. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Do not treat a patient based on this care plan.Ĭare Plans are often developed in different formats. Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions. What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan? Some reasons include musculoskeletal disorders such as fractures or arthritis to treatment related issues such as burns or accidents.īelow is a nursing care plan for acute pain that includes a nursing diagnosis, interventions, and goals.

Patient can experience acute pain due to many reasons. Other signs that may be present are increased vital signs from baseline vitals, crying, moaning, facial mask of pain, or a guarded position. The defining characteristic for a nursing care plan for acute pain is that the patient must report or demonstrate signs of discomfort. Some signs of discomfort include nausea, itching, vomiting, or pain.
