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    NCP Acute Pain OB Ward PDF

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    ambiit25
    The nursing diagnosis was acute pain related to tissue trauma from spontaneous delivery. The client reported a pain level of 6 out of 10. Nursing interventions included assessing and monitoring the client's pain level, observing nonverbal pain behaviors, and providing comfort measures like repositioning and a quiet environment. The goals were for the client's pain to be relieved and controlled within 8 hours through nonpharmacological interventions like breathing exercises, relaxation techniques, and diversional activities to allow the client to rest.

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    NCP Acute Pain OB Ward PDF

    Uploaded by

    ambiit25
    264 views2 pages
    The nursing diagnosis was acute pain related to tissue trauma from spontaneous delivery. The client reported a pain level of 6 out of 10. Nursing interventions included assessing and monitoring the client's pain level, observing nonverbal pain behaviors, and providing comfort measures like repositioning and a quiet environment. The goals were for the client's pain to be relieved and controlled within 8 hours through nonpharmacological interventions like breathing exercises, relaxation techniques, and diversional activities to allow the client to rest.

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    164095082-NCP-Acute-Pain-OB-Ward.pdf

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    The nursing diagnosis was acute pain related to tissue trauma from spontaneous delivery. The client reported a pain level of 6 out of 10. Nursing interventions included assessing and monitoring the client's pain level, observing nonverbal pain behaviors, and providing comfort measures like repositioning and a quiet environment. The goals were for the client's pain to be relieved and controlled within 8 hours through nonpharmacological interventions like breathing exercises, relaxation techniques, and diversional activities to allow the client to rest.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    264 views2 pages

    NCP Acute Pain OB Ward PDF

    Uploaded by

    ambiit25
    The nursing diagnosis was acute pain related to tissue trauma from spontaneous delivery. The client reported a pain level of 6 out of 10. Nursing interventions included assessing and monitoring the client's pain level, observing nonverbal pain behaviors, and providing comfort measures like repositioning and a quiet environment. The goals were for the client's pain to be relieved and controlled within 8 hours through nonpharmacological interventions like breathing exercises, relaxation techniques, and diversional activities to allow the client to rest.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 2

    Diagnosis: G2P1 (1011) Pregnancy Uterine 40-41 weeks cephalic in labor

    Nursing Diagnosis Analysis Goal and Intervention Rationale Evaluatio


    Objectives s n
    Acute Pain R/T Immediate Goal: After The
    tissue trauma cause: an 8 hour client’s
    Acute Pain shift of pain was
    Subjective: nursing relieved
     Pain Scale: Intermediat intervention and
    6 out of 10 e cause: s, the controlle
    (10 being tissue client’s pain d.
    the highest, trauma is relieved
    1 being the and
    lowest) Root controlled.
    Cause:
    Objective: Normal Objectives: 1. Obtain 1. To rule out
     Guarding Spontaneo After client’s worsening of
    behavior us Delivery nursing assessment underlying
     Positioning intervention of pain to condition/
    to avoid Scientific s,: include development of
    pain Implication: 1. the client location, complications.
     Facial Labor in will be able characteristi (NANDA 11th ed.,
    grimace NSD is a to report the c, onset, p. 500)
     Expressive physiologic characteristi frequency,
    behavior process c of pain. quality,
    (irritability) during intensity, 2. Observations
     Slowed which the and may or may not
    movement products of precipitating be congruent with
     VS as conception factors. verbal reports or
    follows: (ie, the Reassess may be only
    T= 36.5 fetus, each time indicator present
    PR= 86 membranes pain is when client is
    RR= 24 , umbilical reported. unable to
    BP=100/70 cord, and 2. Observe verbalize.
    placenta) nonverbal (NANDA 11th ed.,
    are cues/ pain p. 500
    expelled behaviors. 3. These are
    outside of usually altered in
    the uterus. acute pain
    Labor is (NANDA 11th ed.,
    achieved p. 501)
    with 4.To promote
    changes in nonpharmacologi
    the cal pain
    biochemical 3. Monitor management.
    connective 2. the client skin and (NANDA 11th ed.,
    tissue and will be able color p.501)
    with to perform temperature 5. To promote
    gradual pain and vital nonpharmacologi
    effacement managemen signs. cal pain
    and t. management.
    dilatation of 4. (NANDA 11th ed.,
    the uterine Demonstrat p.501)
    cervix as a e and
    result of encourage 6. To distract
    rhythmic deep attention and
    uterine breathing reduce tension.
    contraction exercises. (NANDA 11th ed.,
    s of p. 501)
    sufficient 5. Provide 7. To distract
    frequency, comfort attention and
    intensity, measure reduce tension.
    and (touch, (NANDA 11th ed.,
    duration. repositionin p. 501)
    g every 2 8. To prevent
    hours), quiet fatigue. (NANDA
    environment 11th ed., p. 502)
    , and calm
    activities.
    6.
    3. the client Encourage
    will be able use of
    to rest and relaxation
    sleep techniques
    continuously such as
    . focused
    breathing,
    CDs/tapes.
    7.
    Encourage
    diversional
    activities
    (TV, radio)

    8.
    Encourage
    adequate
    rest periods.

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