Download Case Study (NSD - Primi) PDF

TitleCase Study (NSD - Primi)
TagsVagina Pregnancy Uterus Childbirth Labia
File Size507.0 KB
Total Pages29
Document Text Contents
Page 29

Assessment Diagnosis Planning Nursing Intervention Rationale Evaluation

Subjective:
“Sumasakt yung tahi
paminsan minsan.” As
verbalized by the client.

Objective:

 Facial grimace

 Pain scale of 6

 Slowed

movement

V/S taken as follows:

 T: 37.3

 RR: 21

 PR: 96

 BP: 100/80

Acute vaginal pain
related to right medio
lateral episiotomy as
evidenced by facial
grimacing.

After 8 hours of nursing
care, the client will be
able to:

 Express
alleviation of
pain from scale
of 6 to 2

 To know
different
techniques in
alleviating pain

 Comfortably fall
asleep

 Provide rapport
with the patient

 Monitor vital
signs

 Provide a
therapeutic
environment

 Encourage
verbalization of
feelings

 Encourage to do
diversional
activities

 Encourage rest
and sleep

 To gain trust and
full cooperation
during the pain
alleviation
period

 Vital sings
altered during
acute pain

 To aid alleviation
of pain

 To assist in
evaluation

 To alleviate pain

 To assist in
alleviation of
pain



After 8 hour of nursing
care, the client:

 Expressed
alleviation of
pain from scale
of 6 to 3

 Knew different
techniques in
alleviating pain

 Comfortably feel
asleep

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