DAVAO DOCTORS COLLEGE

General Malvar St., Davao City

Nursing Program

NURSING CARE PLAN

Name of Patient: VILLA, MYRAGIE Date of Admission: AUGUST 8, 2023, 1:55 AM__ Room: OB WARD__ Age: 29 YRS. OLD___ Sex: Sex: F Civil Status:
MARRIED_Chief Complaint: Consistent labor pain with 30-70 seconds duration and 5 to 10 minutes frequency. Religion: N/A Attending Physician: DR. GIO
VILLANUEVA
PROBLEM NURSING DIAGNOSIS GOALS/OBJECTIVES NURSING RATIONALE EVALUATION
CRITERIA INTERVENTIONS

Date: August 8. 2023 Risk for fatigue related to By the end of the 8 1. Assess the patient’s Accurate assessment can August 8, 2023; 9:55 AM
Time: 1:55 AM labor contraction as hours of intervention, level of fatigue using help guide interventions
evidenced consistent labor the patient should: the Fatigueand determine the GOAL MET
Subjective: pain with 30-70 second Assessment Scale (FAS) appropriate care of level.
- Patient felt pain in duration and 5 to 10 - Demonstrate or similar scale The patient was able to
the abdomen and minutes frequency improved energy demonstrate improved
increased fetal levels and 2. Assess current level of To determine the energy levels and reduced
movement Scientific basis: reduced fatigue, activity as it compares difference in patient’s fatigue. She also adopted
Fatigue is an overwhelming as evidenced by to patient’s normal current energy level and healthy lifestyle behaviors
Objective: sustained sense of reporting baseline activity. how the fatigue is currently and self-care strategies to
- Patient cried out exhaustion and decreased increased ability impacting patient. manage fatigue.
loud due to uterine capacity for physical and to engage in daily
contraction mental work at the usual activities without 3. Address any Addressing physical needs
Cervical Dilation: 7 cm level. It is a common excessive immediate physical can help reduce fatigue and
Cervical Effacement: 80- problem that occurs at all tiredness. needs, such as pain improve overall well-being.
90% periods of childbearing. management or
Pregnancy and labor are - Adopt healthy hydration, that may be
recognized as a normal lifestyle contributing to fatigue.
physiological process, and behaviors and
fatigue, a common self-care 4. Use therapeutic Therapeutic
symptom that occurs strategies to communication communication can help
frequently throughout the manage fatigue, techniques such as build a therapeutic
childbearing experience, as evidenced by active listening, relationship and reduce
has the potential to practicing empathy, and positive anxiety.
negatively affect the adequate sleep reinforcement to help
woman’s prenatal and birth hygiene, the patient feel
experience. engaging in understood and
regular physical supported.
activity, and
implementing 5. Collaborate with the A collaborative approach
stress reduction interdisciplinary team, can help address the
techniques. including obstetricians patient's anxiety from
and anesthesiologists, multiple angles and provide
to ensure that the a comprehensive care plan.
patient's care plan is
tailored to her specific
needs and concerns.

6. Accept the reality of Acknowledging the

client reports of patient's fears and
fatigue and do not concerns can help build
underestimate effect trust and rapport, and
on client’s quality of reduce anxiety
life

7. Evaluate the patient’s Organization and

outlook for fatigue management of time can
relief, eagerness to assist the patient to save
participate in energy and avoiding
strategies to reduce fatigue.
fatigue, and level of
family and social
support.

8. Assist with self-care

 needs; keep the bed in To extend active time and
a low position and conserve energy for other
keep travel ways clear task
of furniture; assist with
ambulation, as
indicated.

9. Teach and encourage Techniques such as slow-

deep breathing and paced breathing or guided
relaxation exercises to imagery can be helpful.
help the woman
manage pain and
reduce tension, which
can contribute to
fatigue.

10. Encourage brief To enhance patient’s

periods of rest and comfort which could
relaxation between reduce their fatigue and
contractions, protect their integrity
especially during the
early stages of labor.
Dim the lights, create a
calming atmosphere,
and provide a
comfortable
environment to
facilitate rest.

11. Offer emotional Positive reinforcement and

support and reassurance from the
encouragement nursing staff can boost the
throughout labor.
 woman's morale and
energy levels.

REFERENCES:

Chaisitsanguan, K.,
Kongwattananon, P., &
Hawthrone, D. (2023).
Managing maternal
fatigue during childbirth:
A systematic review.
Current Women’s Health
Reviews, 19(4).
https://doi.org/10.2174/1
57340481966622080416
3125

Doenges, M. E.,
Moorhouse, M. F., &
Murr, A. C. (2022).
Nurse's pocket guide:
Diagnoses, prioritized
interventions and
rationales (16th ed.). F.A.
Davis.
BBN/DTS/2020 Angelica Claire B. Barecuatro
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NAME OF STUDENT