Date/ Cues Nee Nursing Patient Nursing Implementa

Time d Diagnosis Outcome Interventio tion Evaluati

ns on

May Subjecti P Acute pain Short Term Assess the Support the Goal
1,2023 ve: H related to Goal: client’s client in her met.
Y stimulation pain level ability to The
“Masaki S of both After 2 hrs of by verbal, manage pain patient
t po I parasympath nursing pain scale, until her was able
talaga C etic and intervention the and epidural can to
ang A sympathetic patient will be nonverbal be given. identify
tiyan ko L nerve able to: indicators. and use
sobra’ endings Use a 1 to techniqu
as N distraction • The client will 10 scale es to
verbaliz E behaviors identify/use and control
ed by E and techniques to evaluate pain and
the D verbalization control response discomf
patient. S . pain/discomfort to ort and
. techniques report
• The client will used. discomf
Objectiv report ort is
e: discomfort is minimiz
minimized. Engage Systemic ed.
T-36.7 client in toxic
RR-23 Long Term Goal: conversati responses
cpm on to with altered
O2sat:9 After 6 hrs of assess sensorium
8% nursing sensorium; occur if
intervention the monitor medication
patient will be breathing is absorbed
able to: patterns into the
and pulse. vascular
• The client will system.
appear
relaxed/resting
between
contractions Position
• The client will Elevate changes
be free of head promote
untoward side approximat comfort and
effects if ely 30 help the
analgesia/anest degrees, fetus adapt
hetic agents are alternate to the size
administered. position by and shape of
turning the client’s
side to pelvis
side, and
use of hip
roll.

Regional
Institute block
safety anesthesia
measures. produces
vasomotor
paralysis so
that sudden
movement
may
precipitate
hypotension.

One of the
Assist with most
comfort effective
measures. non-
pharmacolog
ical methods
to reduce
pain is
massage

Breathing
Teach and and
assist in relaxation
using techniques
appropriat may block
e breathing pain
and impulses
relaxation within the
techniques cerebral
and cortex
abdominal through
lifting. conditioned
responses
and
cutaneous
stimulation

Even though
 the client
Review conscientiou
proper sly practiced
breathing breathing or
techniques focusing in a
with the relaxed
client. setting of an
antepartum
class, the
discomfort
and stress of
labor may
make it easy
for her to
forget what
she learned.