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ACTUAL NCP Cues Subjective: "sumasakit yung tahi paminsan" as verbalized by the patient. Nursing Diagnosis Acute vaginal pain related to right medio lateral episiotomy as evidenced by facial grimace, pain scale of 6 out of 10 and slowed movement. Planning After 8 hours of nursing care, the client will be able to: -express alleviation of pain from scale
ACTUAL NCP Cues Subjective: "sumasakit yung tahi paminsan" as verbalized by the patient. Nursing Diagnosis Acute vaginal pain related to right medio lateral episiotomy as evidenced by facial grimace, pain scale of 6 out of 10 and slowed movement. Planning After 8 hours of nursing care, the client will be able to: -express alleviation of pain from scale
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ACTUAL NCP Cues Subjective: "sumasakit yung tahi paminsan" as verbalized by the patient. Nursing Diagnosis Acute vaginal pain related to right medio lateral episiotomy as evidenced by facial grimace, pain scale of 6 out of 10 and slowed movement. Planning After 8 hours of nursing care, the client will be able to: -express alleviation of pain from scale
Copyright:
Attribution Non-Commercial (BY-NC)
Verfügbare Formate
Als DOC, PDF, TXT herunterladen oder online auf Scribd lesen
Interventions Subjective: Acute vaginal pain After 8 hours of -Provide rapport -To gain trust and After 8 hours of “sumasakit yung related to right nursing care, the with the patient full cooperation nursing care, the tahi paminsan medio lateral client will be able during the pain client: minsan.” as episiotomy as to: alleviation periods verbalized by the evidenced by facial - expressed patient. grimace, pain scale -express alleviation -Monitor vital signs -Vital signs altered alleviation of pain of 6 out of 10 and of pain from scale during acute pain from scale of 6 to 3 Objective: slowed movement. of 6 to 2 -facial grimace -Provide a -To aid in -knew different -pain scale of 6 -to know different therapeutic alleviation of pain techniques in -slowed movement techniques in environment alleviating pain alleviating pain V/S taken as -Encourage -To assist in -comfortably fell follows: -comfortably fall verbalization of evaluation asleep Temp: 37.3 asleep feelings Rr: 21 Pr: 81 -Encourage to do -To alleviate pain BP:120/70 diversional activities
Interventions Objective: Risk for uterine After 8 hours of -Monitor vital signs -Alterations from After 8 hours of infection related to nursing care, the normal may be nursing care, the -NSD with episiotomy client will be able signs of infection client: episiotomy to: -Proper perineal -Appropriate self -verbalized -used single pad for -verbalize care and hygiene care of the perineum understanding of 12 hours understanding of in postpartum risk factors risk factors patients reduces the -Temp. = 37 C risk of bacterial -identified -identify invasion interventions and interventions and demonstrate demonstrate -Emphasized early -Circulation of techniques to techniques to ambulation and blood is promoted prevent risk for prevent risk for beginning postpartal through regular infection infection exercises with movements thus it resumption of helps in the healing normal activities as process tolerated
-Encourage to eat -Vit.C is known to
foods that are rich prevent infection: in proteins and Protein is needed Vitamin C for tissue repair and regeneration -Encourage to have -This promotes enough rest and healing by reducing sleep basal metabolic rate and allowing oxygen and nutrients to be utilized for tissue growth, healing and regeneration