ASSESSMENT NURSING SCIENTIFIC GOAL OF OUTCOME NURSING RATIONALE EVALUATION

DIAGNOSIS BASIS CARE CRITERIA INTERVENTION

Subjective: Acute pain Due to the Short term: Short term: Independent: Independent: Goal met if:
related to episiotomy,
Patient verbalized After an hour, The patient’s pain 1. Establish rapport 1. To establish a - The patient
episiotomy as there is an
“Di ko katarong the patient’s scale will good nurse-patient verbalized
evidenced by increased risk 2. Assess quality,
ug lingkod ug ihi pain will be reduced. relationship decreased
3/10 pain rating for being characteristics, and
kay sakit diri.” reduced by a intensity of pain
scale and invaded by Long term: severity of pain 2. To establish
rating of 0/10 from 3/10 to 0/10
grimaced face pathogenic baseline data for
instead of The patient will: 3. Provide the patient after an hour of
organisms. comparison in making
Objective: 3/10 comfortable nursing
Lacerations and - achieve timely evaluation
environment-change intervention
The patient broken skin Long term: wound healing
linen and provide air 3. A clean
pointed at her destroy the - The patient is
After 8 hours - continue to be by turning on the fan environment ensures
perineal area. body’s first line relived from pain
of nursing free of any comfort and helps to
of defense, the 4. Encourage and help with positive
The patient intervention: symptoms of decrease the anxiety
skin. the patient in position coping
complained and infection during of the patient and is
- The patient changes mechanisms
rated her pain postpartum likely to help
will show relief
with a 3/10 in a period. Dependent: decrease the pain - The patient did
from pain with
pain scale. not complain of
positive - Administer 4. For patient to find
any pain
coping analgesics as ordered a comfortable
mechanisms by the physician position
- The patient Dependent:
will not have
To relieve pain of
complaints of
patient
pain