Nursing Treatment Plan
Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]
This nursing treatment plan provides a comprehensive approach to care for a patient recovering from surgery, aiming to ensure a smooth recovery, prevent complications, and enhance the patient's overall well-being.
Date | Assessment Data | Nursing Diagnosis | Nursing Interventions | Expected Outcomes |
|---|
January 15, 2050 | Patient recovering from abdominal surgery, experiencing mild pain (3/10). | Acute pain related to surgery. | Administer prescribed analgesics as per doctor’s order. | Pain reduced to 0-2/10 within 2 hours. |
January 16, 2050 | Surgical site clean, no signs of infection. Swelling present but manageable. | Risk for infection related to surgical incision. | Monitor the incision site for signs of infection, ensure sterile dressing changes. | No signs of infection within 48 hours. |
January 17, 2050 | Patient reports increased mobility, able to sit up for 15 minutes. | Impaired physical mobility related to pain and surgery. | Encourage gradual ambulation, provide physical therapy sessions. | Able to walk 10-15 feet independently by January 20, 2050. |
January 18, 2050 | Patient reports no new pain, sleeping through the night. | Anxiety related to surgery recovery. | Provide emotional support, reassure the patient, encourage deep breathing exercises. | Decrease in anxiety, patient reports feeling more relaxed by January 19, 2050. |
January 20, 2050 | Patient feels confident with mobility, walking short distances without pain. | Knowledge deficit regarding post-operative care. | Educate patient on signs of infection, pain management, and activity restrictions. | Patient verbalizes understanding and adherence to care instructions. |
This nursing treatment plan aims to ensure a safe and effective recovery for the patient following surgery. By monitoring progress and adjusting interventions, the patient will be supported in achieving optimal health outcomes.
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