VISION MISSION

A premier university in historic
Cavite recognized for excellence in
the development of morally upright
and globally competitive individuals.
Republic of the Philippines
CAVITE STATE UNIVERSITY
Don Severino Delas Alas Campus
Indang, Cavite
Cavite State University shall provide excellent, equitable
and relevant educational opportunities in the arts, science
and technology through quality instruction and relevant
research and development activities. It shall produce
professional, skilled and morally upright individuals for
global competitiveness.

Initials of patient: _________________ Age: ______ Sex: ______ Hospital / Ward/ Room Number/Bed #: __________________ Shift:
_______________
ASSESSMENT NURSING GOALS AND NURSING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS OBJECTIVE
Subjective: Pain related to After 4 hours of 1. Promote perineal exercise and It decreases After 8 hours of nursing
“Ang sakit ng perineal suture nursing intervention comfortable sitting position discomfort intervention the patient
katawan ko lalo na as manifested the patient will such as: was able to experience
yung tahi ko, ang by pain scale of experience lesser - Kegel’s exercise lesser pain and above a
tolerable level as
hapdi” 6 out of 10, pain and above a - Sitting position
manifested by:
grimace and tolerable level as
- Pain scale of 3/10
Objective: irritability manifested by: - No facial grimace
 Facial grimace - Pain scale of noted
 Pain scale of 6 at least 3/10 2. Tell patient that the pain and So that the patient - Calm and
out of 10 - No facial discomforts usually last more may fix her mind cooperative
 Irritable grimace than 3 days frame about the - Verbalization of
 Discomfort - Slight pain, this in return the patient that
irritability and will lessen the the pain is
most of the perception of pain decreasing.
time is calm and her anxiety
Therefore the goal was
met.
3. Instruct patient to do breathing It facilitates
exercises. relaxation

4. Advice diversional activities So that the

such as: patient’s attention
o Listening to music will not be focused
o Reading magazines on the pain that
o Watching TV or she is feeling.
video clips

Submitted by: __________________________ Date of rotation: __________________ Clinical Instructor: ___________________________

 5. Advice good enough sleep. For relaxation

6. Advice to eat foods rich in For faster wound

vitamin C. healing.

7. Administer analgesic as To ease the pain

ordered by physician

Submitted by: __________________________ Date of rotation: __________________ Clinical Instructor: ___________________________

Submitted by: __________________________ Date of rotation: __________________ Clinical Instructor: ___________________________