Nursing

Assessment Nursing Diagnosis Analysis Objectives Rationale Evaluation

Intervention
Subjective:  Acute pain r/t  In labor, the (SMART)  Perform pain  To rule out After the nursing
"Aray-aray! Di ko labor and contraction of Within the shift of assessment worsening of interventions. The
na kaya, ang sakit! delivery. the uterus and nursing each time the underlying patient’s pain was
As verbalized by dilatation of the interventions, the pain occur condition/ relieved and
the patient. cervix cause the patient expresses using scale 1 - development of controlled.
discomfort or relief obtains from 10. complication.
Objective: pain. labor pain by the
Afebrile use of comfort  Observe non-  Observation
BP: 140/90 mmHg Maternal and measures given. verbal cues and may or may not
PR: 100 bpm Child Health pain behaviors. be congruent
RR: 44 cpm Nursing. 6th ed. with verbal
FHT: 140 bpm Piliteri. Pg. 363 reports
indicating need
Cervix is at 9cm  Difficulty of  Women tend to for further
dilated at 8am. breathing r/t breathe rapidly evaluation.
acute pain. in response to
BOW ruptured at labor pain.  Provide  To provide
6am. comfort non-
Maternal and measures. pharmacologic
Child Health al pain
Nursing. 6th ed. management.
Piliteri. Pg. 373

Members: NR22

Lapena, Stephanie
Lutab, Jovilyn
Galela, Mikojem
Mendoza, Nicole Andrea
Natividad, Bernadette Andrea
Padua, Mary Grace