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    Tenerife, Krizia P.

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    Krizia Pandiño Tenerife
    The document provides an assessment, diagnosis, and plan for a patient experiencing labor pain rated at 9/10. The assessment notes the patient's statement of severe back pain, vital signs, and uterine contraction details. The diagnosis is labor pain related to uterine contractions. The short term plan includes reducing the pain to 5/10 within 3-5 hours with comfort measures. The implementation plan lists independent nursing actions like comfort measures, breathing assistance, and fetal heart rate monitoring. The short term evaluation is that after an hour the patient's pain reduced to 5/10 and she appeared relaxed between contractions.

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    Tenerife, Krizia P.

    Uploaded by

    Krizia Pandiño Tenerife
    26 views3 pages
    The document provides an assessment, diagnosis, and plan for a patient experiencing labor pain rated at 9/10. The assessment notes the patient's statement of severe back pain, vital signs, and uterine contraction details. The diagnosis is labor pain related to uterine contractions. The short term plan includes reducing the pain to 5/10 within 3-5 hours with comfort measures. The implementation plan lists independent nursing actions like comfort measures, breathing assistance, and fetal heart rate monitoring. The short term evaluation is that after an hour the patient's pain reduced to 5/10 and she appeared relaxed between contractions.

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    The document provides an assessment, diagnosis, and plan for a patient experiencing labor pain rated at 9/10. The assessment notes the patient's statement of severe back pain, vital signs, and uterine contraction details. The diagnosis is labor pain related to uterine contractions. The short term plan includes reducing the pain to 5/10 within 3-5 hours with comfort measures. The implementation plan lists independent nursing actions like comfort measures, breathing assistance, and fetal heart rate monitoring. The short term evaluation is that after an hour the patient's pain reduced to 5/10 and she appeared relaxed between contractions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    26 views3 pages

    Tenerife, Krizia P.

    Uploaded by

    Krizia Pandiño Tenerife
    The document provides an assessment, diagnosis, and plan for a patient experiencing labor pain rated at 9/10. The assessment notes the patient's statement of severe back pain, vital signs, and uterine contraction details. The diagnosis is labor pain related to uterine contractions. The short term plan includes reducing the pain to 5/10 within 3-5 hours with comfort measures. The implementation plan lists independent nursing actions like comfort measures, breathing assistance, and fetal heart rate monitoring. The short term evaluation is that after an hour the patient's pain reduced to 5/10 and she appeared relaxed between contractions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 3

    NCP AND

    PARTOGRAPH
    KRIZIA TENERIFE.
    ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION
    SUBJECTIVE CUES: Labor pain related to SHORT TERM: INDEPENDENT: SHORT TERM:
    As pt verbalized “Sobrang uterine contraction After 3-5 hrs patient should 1. Assist with comfort -After an hour of
    sakit ng likod ko” reduce the pain at least measures (e.g., back/leg monitoring patient
    Pain level: 9/10 5/10 rubs, sacral pressure, back verbalized the level of pain
    rest, mouth care, from 9/10 to 5/10
    repositioning, shower/hot - Client will appear
    tub use, perineal care, and relaxed/resting between
    OBJECTIVE CUES: linen changes). contractions
    G1 P0 2. Assist patient for
    Weight: 56kg breathing techniques help
    Temperature: 37.4 relax the woman’s
    Bp-124/80 abdomen during
    PR-94/min contractions.
    Uterine contraction 3. Time and record the
    2 cm frequency, intensity, and
    2 every 10 duration of uterine
    contractile pattern per
    protocol.
    4. Monitor FHR variability
    NAME: MNB
    G1P0
    OCTOBER 7, 2021

    2
    148
    37.4
    94
    124/80
    2

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