Nursing Care Plan by: TADEO, Richelle J.

Intrauterine Pregnancy

ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION

BACKGROUND
Subjective: Altered Pain is an uncomfortable feeling Short Term Goal: Encourage deep - To facilitate - After 2 hours of
-“nakariing nak di alas comfort that tells you something may be - After 2 hours of breathing exercises. expansion of nursing intervention,
diyes ta agsakit ti tiyan related to wrong. It can be steady, nursing intervention, abdomen and to the client was able to
ko nurse nga mairaman abdominal and throbbing, stabbing, aching, the client will be decrease pain. tolerate felt pain and
toy likod ko; nagkaro ti low back pain pinching, or described in many able to tolerate felt Give health teachings was verbalized a
sakit na nurse, nakarkaro other ways. Sometimes, it's just pain and will on: decrease in rated felt
pay nu ajay agmemens a nuisance, like a mild verbalized a  Deep breathing - Deep pain from 10 to 3 or 4
nak nurse” As verbalized headache. Other times it can be decrease in rated felt exercises breathing in the 0-10 pain scale.
by the patient. debilitating. Sometimes you pain from 10 to 3 or exercises can
may get pelvic pain even when 4 in the 0-10 pain help lessen the
-“agkakapsotak pay you do not have your period. scale. pain.
nurse ken nagdaras nak Some periods may cause little 0 – No pain felt - Diversional
mabanbannog” as or no discomfort, while others 1-3 – mild pain  Diversional activities will
verbalized by the may be more painful. 4-7 – moderate activities such as help the pt.
patient. pain reading a book, focus on other
8-10 – highest watching TV or things rather
Objective: pain/ most painful. playing board than the pain
- Pain scale of 10/10 as games. felt.
the most painful.
- To make the
T = 37oC  Energy pt. feel rested.
PR = 81 bpm conservation
RR = 20 cpm techniques such
BP = 110/70 mmHg as resting
FHT =132 bpm whenever
possible.