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Assessment Nursing Diagnosis Inference Outcome Identification Intervention Rationale Evaluation
Assessment Nursing Diagnosis Inference Outcome Identification Intervention Rationale Evaluation
Assessment Nursing Diagnosis Inference Outcome Identification Intervention Rationale Evaluation
DIAGNOSIS IDENTIFICATION
Subjective Data: Pain related to The cut into After 15-30 minutes Dependent: Dependent: Goal completely met.
Verbalization RMLE with the perineal of rendering nursing Administer Inhibits Pain felt by the patient
of “nasakit toy repair tissue which interventions, pain mefenamic prostaglandin is relieved with a pain
dait ko” secondary to was brought felt by the patient acid 500mg synthesis that scale of 1/10. Absence
Objective Data: fetal delivery by the delivery will be relieved as 1 capsule blocks the of grimacing face and
Grimacing as manifested of the fetus as manifested by PO TID as transmission guarding behaviour,
face by grimacing the stimuli, it absence of grimacing prescribed. of painful and verbalization of
Guarding face, guarding stimulates face and protective stimuli into “haan agsaksakit toy
behaviour behaviour, primary behavior, pain scale the brain dait kon”
RMLE pain scale of afferent fiber of 1/10, and Independent: Independent:
Pain scale of 7/10, and (small verbalization of Monitor To determine
7/10 verbalization diameter “haan agsaksakit toy Vital Signs systemic
of “nasakit toy sensory fiber) dait kon” changes of the
dait ko” and travel to patient
the brain via Encourage To promote
transmission use of relaxation and
cells. comfort enhance
Increasing measures feeling of
activity of the (hot sitz well-being
transmission bath)
cells result in Assess and To monitor
increased clean the and prevent
perceived episiotomy infection
pain. site
Encourage To prevent
the patient complications
to maintain
proper
hygiene
Advise not To avoid
to engage stretching the
in sutured site
strenuous
activities