The patient was experiencing pain after having blood drawn from under the placenta during collection. The nursing goal was for the patient's pain to decrease to a tolerable level below 5/10 after 30 minutes of nursing intervention. The nursing interventions included promoting perineal exercises and comfortable sitting positions, instructing breathing exercises, and administering analgesics as ordered. After 30 minutes the patient's pain decreased to a 4/10, her respiratory rate was below 20 breaths per minute, and she no longer showed facial grimacing, indicating the goal was met through decreasing discomfort.
The patient was experiencing pain after having blood drawn from under the placenta during collection. The nursing goal was for the patient's pain to decrease to a tolerable level below 5/10 after 30 minutes of nursing intervention. The nursing interventions included promoting perineal exercises and comfortable sitting positions, instructing breathing exercises, and administering analgesics as ordered. After 30 minutes the patient's pain decreased to a 4/10, her respiratory rate was below 20 breaths per minute, and she no longer showed facial grimacing, indicating the goal was met through decreasing discomfort.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
The patient was experiencing pain after having blood drawn from under the placenta during collection. The nursing goal was for the patient's pain to decrease to a tolerable level below 5/10 after 30 minutes of nursing intervention. The nursing interventions included promoting perineal exercises and comfortable sitting positions, instructing breathing exercises, and administering analgesics as ordered. After 30 minutes the patient's pain decreased to a 4/10, her respiratory rate was below 20 breaths per minute, and she no longer showed facial grimacing, indicating the goal was met through decreasing discomfort.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
assesmen Nursing Goal and Objectives Nursing Intervention Rationale Evaluation
t Diagnosis
Pain Pain related to After 30 min of Independent: After 30 min of nursing
collection of nursing intervention 1. Promote perineal -decrease discomfort intervention the patient the patient will exercise and S: blood under the was able to experience experience lesser comfortable sitting “Sobrang placenta pain and above a position such as: lesser pain and above a sakit kasi tolerable level as - Kegel’s exercise - three or four times a day tolerable level as nung sa manifested by: with five times succession manifested by: tiyan” as - Pain scale of reduces discomforts and - Pain scale of 4/10 verbalized at least 5/10 improves circulation in the - RR of 18bpm by the - Stable RR or area and decrease edema - No facial grimace at least below patient - before sitting squeeze noted 20bpm - Sitting position - No facial buttocks together and sit - Calm and O: grimace with that position reduces cooperative • Pain - Show comfort physical discomfort Therefore the goal was scale of 2. Tell patient that the - so that the patient may fix met. 7/10 pain and discomforts her mind frame about the • PR: 88 usually last more pain, this in return will than 3 days • T: lessen the perception of 37.5○C pain and her anxiety • RR: 23 3. Instruct patient to - facilitates relaxation • Facial do breathing grimace exercises • Irritable •guardun -to relieve the pain Dependent: g 1. Administer behavior analgesic as ordered by physician