NURSING CARE PLAN

Name: Marilou Labajos Date Admitted:

Age: 30 Chief Complaints: Pain in Episiotomy
Sex: Female Diagnosis:
Civil Status: Married Attending Physician: Dr. Mary Jean O. Aguilar
Address: Loboc, Bohol Ward/Area: OB 2

ASSESSMENT NURSING BACKGROUND PLANNING IMPLEMENTATION RATIONALE EVALUATION

DIAGNOSIS KNOWLEDGE

Subjective Cues: Acute pain Episiotomy cuts ● After 8 hrs Independent: "Dili na kaayo
related to are usually of nursing siya sakit sakit"
"Labad gamay akong o episiotomy repaired within an care, the ● Assess and ● To give
unya sakit akong wound as hour of your pain of the monitor the us a As verbalized by
tinahi" evidenced by baby's birth. The patient will vital sign of glimpse the patient
a pain scale cut may bleed lessen and the patient. into our
rating of 4 quite a lot at first, the overall ● Episiotom
As verbalized by the out of 10, but this should dizziness well- y wound
patient guarded and stop with pressure will be being. from pain
limited and stitches. gone. scale of
Episiotomy pain with a movements Stitches should ● Assess the ● to better 4/10 to
pain scale of 4/10 characterized heal within 1 ● Episiotom patient its understan 0/10
by slow short month of birth. y wound pain scale d certain
steps. Talk to your from a from 0 to 10 aspects of ● Relief and
Objective Cues:
midwife or pain scale a person's comfort is
obstetrician about of 4/10 to pain. visible.
T - 36°C
which activities 0/10.
you should avoid ● Communicate ● Having ● Patient
PR - 72 bpm
during the healing ● Vital signs with the communi was able to
period. should be patient nicely. cation take her
RR - 18 bpm
maintained help the medication
Source: normally. patient to as ordered.
BP - 120/85 mmHg
Episiotomy and be more
perineal tears - ● The patient cooperati
HT - 152 cm
NHS will be ve.
 NURSING CARE PLAN
able to
WT - 62 kg https:// take her ● Educate the ● For them
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pregnancy-and- wound.
baby/
episiotomy/ ● Let the ● to
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live
healthier,
NURSING CARE PLAN
longer
and more
fulfilling
lives.