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CARAGAN, Chantal Herpes Zoster Assessment Diagnosis Planning Interventions Rationale Evaluation Subjective: Short Term: Independent: Short Term

1. The patient presented with acute pain from herpes zoster rated 7/10, with objective signs of normal vital signs. Nursing interventions included pain assessment, loose clothing, cool dressings, pain medications as prescribed, and education on pain management. 2. Short term goals were to reduce pain to 3-4/10 within 30 minutes and long term was disappearance of rashes after 15 days. Evaluations included monitoring pain scale, skin appearance, and vital signs. 3. Nursing diagnoses included acute pain from nerve cell necrosis, deficient knowledge about pain medications, and risk for infection.

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Chantal Caragan
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3K views

CARAGAN, Chantal Herpes Zoster Assessment Diagnosis Planning Interventions Rationale Evaluation Subjective: Short Term: Independent: Short Term

1. The patient presented with acute pain from herpes zoster rated 7/10, with objective signs of normal vital signs. Nursing interventions included pain assessment, loose clothing, cool dressings, pain medications as prescribed, and education on pain management. 2. Short term goals were to reduce pain to 3-4/10 within 30 minutes and long term was disappearance of rashes after 15 days. Evaluations included monitoring pain scale, skin appearance, and vital signs. 3. Nursing diagnoses included acute pain from nerve cell necrosis, deficient knowledge about pain medications, and risk for infection.

Uploaded by

Chantal Caragan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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CARAGAN, Chantal

HERPES ZOSTER

Assessment Diagnosis Planning Interventions Rationale Evaluation


Subjective: Acute Pain r/t Short Term: Independent: Short Term:
“Mahapdi parang hemorrhagic After 30 1. Note patient’s 1. In order to fully After 30 minutes
nassunog yung necrosis of minutes of attitude toward under understand of Nursing
balat ko. Mga nerve cells as Nursing pain and use of patient’s pain interventions
nasa 7 out of 10 manifested by interventions pain medications symptoms. patient reported a
yung sakit.” As reports of patient will be including any 2. To demonstrate pain scale of less
verbalized by the burning and able to report history of improvement in than 3 to 4 out of
patient. itching a pain scale of substance abuse. status or to identify 10.
less than 3 to 2. Perform pain worsening of
Objective: 4 out of 10. assessment each underlying Long Term:
Vital Signs: time pain occurs. condition/developin After 15 days of
 BP Long Term: Document and g complication. nursing
-120/70 After 15 days Investigate 3. Usually altered in interventions
 RR -19 of nursing changes from acute pain. patient will be
bpm interventions previous reports 4. Provides baseline able to report
 PR – 89 patient will be and evaluate for interventions and disappearance of
bpm able to report results of pain teachings, provides rashes.

 Temp. – disappearance interventions. opportunity to allay

37.6 C of rashes. 3. Monitor skin color common fears, and


and temperature misconceptions.
and VS. 5. Constrictive,
4. Ascertain patient’s nonbreathing
knowledge of garments may rub
CARAGAN, Chantal
HERPES ZOSTER

expectations lesions and


about pain aggravate skin
management. irritation. Cotton
5. Advise patient to clothing allows
wear loose evaporation of
nonrestrictive moisture.
clothing made of 6. Provides relief and
cotton. reduces the risk for
6. Apply cool, moist secondary infection.
dressings to Prevents entrance
pruritic lesions of microorganism
with NSS several into the lesion.
times a day. 7. To relieve the stress
Discontinue once of the pain of the
the lesions have patient.
dried. 8. To reduce anxiety
7. Teach diversional and avoid
activities such as misunderstanding
meditation or from pain
listening to medications.
soothing music. 9. To maintain
8. Explain to patient “acceptable” level of
that it is safe to pain and to meet
take the pain pain control goal.
CARAGAN, Chantal
HERPES ZOSTER

medications that 10. To soften and


will be prescribe separate adherent
by her physician, crusts and prevent
secondary infection.
11. Provides
Dependent: opportunity to
9. Administer modify pain
analgesics as management
prescribed by the regimen and allows
physician. for timely
10. Administer anti- intervention for
bacterial developing
ointments (after complications.
acute stages) as
prescribed by the
physician.
Collaborative:
11. Identify specific
signs/symptoms
and changes in
pain
characteristics
requiring medical
follow-up.
CARAGAN, Chantal
HERPES ZOSTER

Nursing Diagnosis:

1. Acute Pain r/t hemorrhagic necrosis of Nerve cells as manifested by reports of burning and itching
2. Deficient Knowledge r/t hesitation in taking pain medications
3. Risk for infection

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