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  • NCP - Labor Pain

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    akire12
    11K tayangan1 halaman
    The client reported pain from her incision as "Masakit yung tahi ko". On assessment, she had a facial mask of pain, was guarding her behavior, and had vital signs of BP 100/70, PR 88, RR 24. The diagnosis was acute pain related to her C-section. The plan was for her pain to be relieved and controlled to a level of 3/10 within 8 hours with nursing interventions including pain evaluation, comfort measures, exercises, repositioning, distraction, and wound dressing. After 8 hours the patient's pain had decreased from 8/10 to 3/10 as evidenced by less facial grimacing and guarding behavior, meeting the goal.

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    Ncp - Labor Pain

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    The client reported pain from her incision as "Masakit yung tahi ko". On assessment, she had a facial mask of pain, was guarding her behavior, and had vital signs of BP 100/70, PR 88, RR 24. The diagnosis was acute pain related to her C-section. The plan was for her pain to be relieved and controlled to a level of 3/10 within 8 hours with nursing interventions including pain evaluation, comfort measures, exercises, repositioning, distraction, and wound dressing. After 8 hours the patient's pain had decreased from 8/10 to 3/10 as evidenced by less facial grimacing and guarding behavior, meeting the goal.

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    Attribution Non-Commercial (BY-NC)
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    Tandai sebagai konten tidak pantas
    11K tayangan1 halaman

    NCP - Labor Pain

    Diunggah oleh

    akire12
    The client reported pain from her incision as "Masakit yung tahi ko". On assessment, she had a facial mask of pain, was guarding her behavior, and had vital signs of BP 100/70, PR 88, RR 24. The diagnosis was acute pain related to her C-section. The plan was for her pain to be relieved and controlled to a level of 3/10 within 8 hours with nursing interventions including pain evaluation, comfort measures, exercises, repositioning, distraction, and wound dressing. After 8 hours the patient's pain had decreased from 8/10 to 3/10 as evidenced by less facial grimacing and guarding behavior, meeting the goal.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    VII.

    NURSING CARE PLAN LABOR PAIN

    ASSESSMENT
    Subjective: Masakit yung tahi ko as verbalized by the client. Objective: Facial mask of pain Guarding behavior Narrowed focus V/S taken as follows: BP: 100/70mmhg PR:88BPM RR:24CPM

    DIAGNOSIS
    Acute pain related to disruption of skin, tissue, and muscle integrity secondary to Cesarean section.

    PLANNING
    After 8 hours of nursing intervention the patient pain will be relieved and controlled. Decrease intensity of pain from 8/10 to 3/10.

    INTERVENTION
    Evaluate pain regularly noting characteristics, Lactation, intensity (0-10 scale). Provide additional comfort Measures like back rub. Recommended Planned or progressive Exercise. Reposition as indicated. Encourage patient technique like deep breathing and coughing exercise. Provided diversionary activities. Dress wound as indicated

    EVALUATION
    After 8 hours of nursing intervention the patient was relieved or controlled. Goal was met. Patient verbalized pain decrease from a scale of 8/10 to 3/20 as evidence by: (-) facial grimace (-) guarding behavior

    Frequent small talks with significant others.

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