Problem Nursing Diagnosis Background Goal and Objectives Nursing Intervention Rationale Evaluation

Knowledge

Pain Pain related to Oxytocin was After 4 hours of Independent:

uterine cramping released to contract nursing intervention 1. Promote perineal -decrease discomfort
the patient will exercise and
S: and perineal the uterus to
experience lesser pain comfortable sitting
“Sobrang suture as decrease bleeding and above a tolerable position such as: - three or four times a day
sakit kasi manifested by and causes level as manifested by: - Kegel’s exercise with five times succession
nung sa pain scale of 7/10 contraction of the - Pain scale of at
reduces discomforts and
tiyan ko and grimace and uterus causes least 5/10
improves circulation in the
saka sa tahi irritability uterine cramps. - Stable RR or at
least below 20bpm area and decrease edema
ko” as Under a great deal
- No facial grimace - before sitting squeeze
verbalized of pressure during
- Slight irritability - Sitting position buttocks together and sit with
by the delivery, perineum
and most of the that position reduces physical
patient responds by the time is calm discomfort
development of
- so that the patient may fix her
O: edema and 2. Tell patient that the
mind frame about the pain, this
• Pain scale generalized pain and discomforts
usually last more than in return will lessen the
of 7/10 tenderness
3 days perception of pain and her
• PR: 88 following delivery.
anxiety
• T: 37.5○C And the episiotomy
3. Instruct patient to do - facilitates relaxation
• RR: 23 incisions breathing exercises
• Facial
grimace
• Irritable Dependent:
1. Administer analgesic as -to relieve the pain
•dis-
ordered by physician
comfort
Patient: Ma. Cristina Nazareno
Age: 28