Assessment Nursing Diagnosis Planning Intervention Evaluation
Assessment Nursing Diagnosis Planning Intervention Evaluation
Assessment Nursing Diagnosis Planning Intervention Evaluation
Subjective: Acute pain related to After 2 hours of nursing Independent: After 2 hours of nursing
Complaint of tissue contusion intervention, the patient Asses the pain, location intervention, the patient
hunger and secondary to NSVD. should feel the pain is of pain, pain scale, felt the pain is
having the urge alleviated. frequency and onset. alleviated.
to urinate, she Note for non-verbal
voided After 4 hours of cues. After 4 hours of
approximately comprehensive nursing comprehensive nursing
150 ml. intervention, patient Assess patient comfort. intervention, the patient
Patient sates of must verbalize the relief Perform palliative verbalized the relief
severe from pain. measurements such as from pain.
postpartum pain. back massage and
She complaint of repositioning. Patient pain will be
moderate pain reduced from a scale of
on both breasts. Encourage verbalization 8 to 0-1.
Objective: of pain and feelings as it
develops. Patient demonstrate use
28-year-old
of relaxation and
mother, G3P3.
Collaborative: diversion activities.
Delivered a
Administer pain reliver
healthy female
such as mefenamic acid
baby via NSVD.
to relief of moderate
APGAR score of
pain as authorized by
9.
the physician.
VS:
Temp: 36.5 °C
BP: 120/70
mmHg
PR: 90 bpm
RR: cpm
Pain scale of 8.
Facial grimace is
visible.
Breast are soft,
nipples are
intact.
Uterus is well
contracted firm.
Moderate lochia
rubra.
DRUG STUDY
NAME OF MECHANISM DOSAGE INDICATION CONTRA- ADVERSE NURSING
DRUGS OF ACTION INDICATION EFFECT RESPONSIBILITIES
Generic name: Readily Approximately Superficial ocular No disease Allergic reactions. Wash hand before
oxytetracycline absorbed protein 1cm. infection. contradiction. administering the
binding. 4-6 times drugs.
HCI daily.
a. polymyxin Excreted: Discard the first drop
b. sulfate Urine and feces. of the ointment.