The nursing care plan assessed a client experiencing disturbed sleep patterns and pain related to an episioraphy after labor and delivery. The short term goal within 3 hours was for the client to report decreased discomfort, achieve 5-6 hours of continuous sleep, and show decreased yawning. Interventions included positioning, comfort measures, and assessing sleep patterns. The long term goal within 3 days was to reestablish normal sleep patterns of 7-8 hours per night, absence of yawning and body malaise, and further pain alleviation. Interventions included providing a peaceful environment, warm baths, perineal exposure, encouraging concerns, and prescribing sedatives as needed.
The nursing care plan assessed a client experiencing disturbed sleep patterns and pain related to an episioraphy after labor and delivery. The short term goal within 3 hours was for the client to report decreased discomfort, achieve 5-6 hours of continuous sleep, and show decreased yawning. Interventions included positioning, comfort measures, and assessing sleep patterns. The long term goal within 3 days was to reestablish normal sleep patterns of 7-8 hours per night, absence of yawning and body malaise, and further pain alleviation. Interventions included providing a peaceful environment, warm baths, perineal exposure, encouraging concerns, and prescribing sedatives as needed.
The nursing care plan assessed a client experiencing disturbed sleep patterns and pain related to an episioraphy after labor and delivery. The short term goal within 3 hours was for the client to report decreased discomfort, achieve 5-6 hours of continuous sleep, and show decreased yawning. Interventions included positioning, comfort measures, and assessing sleep patterns. The long term goal within 3 days was to reestablish normal sleep patterns of 7-8 hours per night, absence of yawning and body malaise, and further pain alleviation. Interventions included providing a peaceful environment, warm baths, perineal exposure, encouraging concerns, and prescribing sedatives as needed.
The nursing care plan assessed a client experiencing disturbed sleep patterns and pain related to an episioraphy after labor and delivery. The short term goal within 3 hours was for the client to report decreased discomfort, achieve 5-6 hours of continuous sleep, and show decreased yawning. Interventions included positioning, comfort measures, and assessing sleep patterns. The long term goal within 3 days was to reestablish normal sleep patterns of 7-8 hours per night, absence of yawning and body malaise, and further pain alleviation. Interventions included providing a peaceful environment, warm baths, perineal exposure, encouraging concerns, and prescribing sedatives as needed.
DIAGNOSIS RATIONALE Subjective: Disturbed sleeping Because of the pain at Short Term Independent Short Term : “di ako pattern related to the perineum r/t After 3 hours of nursing Position client in To alleviate After 3 hours of nursing makatulog pain and discomfort episioraphy, normal intervention, the client will: a comfortable discomfort intervention, the short kasi puro na on perineum body relaxation is report decreased position term goal was met as lang sakit sa secondary to labor hindered leading to feeling of discomfort evidenced by: katawan and delivery prolonged period of as manifested by Provide comfort To distract Reported pain yung time without sleep or verbalizing feeling of measures (touch, attention on pain, relief (5 out of nararamdam sleep deprivation comfort (5 out of 10) quiet reduce tension and 10) an ko” Achieve at least 5-6 environment, to promote Pt was able to hours of continuous dim light, light nonpharmacologic achieve 6 hours sleep per day music) al pain of continuous Objective: Show signs of management sleep that day 1hr of sleep decreased yawning at decreased per day PTA daytime To provide yawning at 30 mins of Report decreased body Assess sleep comparative daytime sleep per malaise pattern baseline reported day upon decreased overall admission Expected Outcome To help in body malaise frequent Provide a quiet providing better yawning at Long Term and peaceful sleep/rest daytime After 3 days of nursing environment during intervention the client will: during sleep Long Term assessment Be able to reestablish periods After 3 days of nursing and maintain normal Verbalizing intervention the short overall body sleep pattern Encourage the concerns may term goal has been fully malaise achieve 7-8 hours of client to express promote relaxation met as evidenced by: pain(8 out of continuous sleep per concerns when reported 10) day unable to sleep increased periods dark circles report absence of Vasodilation of the of sleep of 8 around the body malaise Provide a warm veins provide a continuous hours eyes report further bath before the sleepy, lazy effect, per day alleviation of pain (3 client goes to causing the client out of 10) sleep to fall right to absence of absence of frequent sleep frequent yawning yawning Expose To provide established sleep perineum on comfort pattern perilight bid for 15 mins reported pain scale of 3 out of 10
Dependent reported absence
Prescribe To induce sleep of body malaise sedatives as ordered References: Fundamentals of Nursing, 11th edition