Nursing Diagnosis for Headache
1. Acute Pain related to stess and tension, irritation of nerve pressure, vasospasm, increased intracranial pressure.
2. Ineffective individual coping related to crisis situations, personal vulnerability, not adequat support system, work overload, inadequate relaxation, not adequat coping methods, severe pain.
Nursing Intervention for Headache
Nursing Diagnosis I
Acute Pain related to stess and tension, irritation of nerve pressure, vasospasm, increased intracranial pressure.
Nursing Interventions:
Nursing Diagnosis II
Ineffective individual coping related to crisis situations, personal vulnerability, not adequat support system, work overload, inadequate relaxation, not adequat coping methods, severe pain
Nursing Interventions :
1. Acute Pain related to stess and tension, irritation of nerve pressure, vasospasm, increased intracranial pressure.
2. Ineffective individual coping related to crisis situations, personal vulnerability, not adequat support system, work overload, inadequate relaxation, not adequat coping methods, severe pain.
Nursing Intervention for Headache
Nursing Diagnosis I
Acute Pain related to stess and tension, irritation of nerve pressure, vasospasm, increased intracranial pressure.
Nursing Interventions:
- Assess complaints of pain, note the intensity with pain scale 0 -10, pain characteristics (eg heavy, throbbing, constant) location, duration, factors that aggravate or relieve.
- Observation of nonverbal signs of pain, are like: facial expression, posture, restlessness, crying / grimacing, withdrawal, diaphoresis, changes in the frequency of cardiac / respiratory, blood pressure.
- Note the distinct possibility of pathophysiology, such as brain / meningeal / sinus infection, cervical trauma, hypertension or trauma.
- Make sure the duration / episode of the problem, who has been consulted, and drug and / or what therapy was used.
- Instruct patient to report pain immediately if the pain arises.
- Assess the relationship between physical / emotional state of a person.
- Note the influence of pain such as: loss of interest in life, decreased activity, weight loss.
- Suggest to rest in a quiet room.
- Observation of nausea / vomiting.
- Instruct the patient to use a positive statement "I am cured, I'm relaxing, I love this life." Advise patient to realize the internal-external dialogue and say "stop" or "delayed" if it appears that negative thoughts.
Nursing Diagnosis II
Ineffective individual coping related to crisis situations, personal vulnerability, not adequat support system, work overload, inadequate relaxation, not adequat coping methods, severe pain
Nursing Interventions :
- Approach the patient with a friendly and attentive. Take advantage of activities that can be taught.
- Assist patients in understanding the changes in the concept of body image.
- Advise the patient to express his feelings and discussion how the headaches that interfere with the work and pleasures of this life.
- Ensure the impact of illness on se.ual needs.
- Give information about the causes of headaches, handling, and expected results.
- Collaboration : Refer to counseling and / or family therapy or class assertiveness training sites as indicated.
