NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Independent:
Subjective: • Acute pain • Caesarean • After 8 hours • Evaluate pain • Provides • After 8
related to delivery is the of nursing regularly noting information hours of
“Masaki yung tahi disruption of interventions characteristics, about need for nursing
surgical
ko” as verbalized skin, tissue, , the patient location, intensity or effectiveness intervention
by patient. and muscle
removal of the pain will be (0-10 scale). of interventions. s, the
integrity. infant from the relieved or • Identify specific • Prevents undue patient pain
Objective: uterus through controlled. activity strain on was relieved
an incision limitations. operative site. or
• Facial mask of made in the • Recommend • Promotes controlled.
pain. abdominal wall planned or return of normal
and the uterus. progressive function and
• Guarding Size and exercise. enhances
behavior. location of the feelings of
incision vary, general well
• Narrowed but abdominal being.
focus. and uterine • Schedule • Prevents
adequate rest fatigue and
incisions of
• V/S taken as periods. conserves
follows:
choice are low energy for
and horizontal. healing.
T: 37.3 Vertical • Review • Provides
P: 80 incisions may importance of elements
R: 18 be necessary nutritious diets necessary for
Bp: 110/90 for quicker and adequate tissue
procedures, the fluid intake. regeneration or
presence of healing.
adhesions and • Reposition as • May relieve
other indicated. pain and
complications. enhance
circulation.
• Provide additional • Improves
comfort circulation,
measures like reduces muscle
back rub. tension and
anxiety
associated with
pain.
• Encourage use of • Relieves
relaxation muscle and
technique like emotional
deep breathing tension.
exercises.

Collaborative:
• Administer • To relieve mild
analgesics or non or moderate
steroidal anti- pain.
inflammatory
drugs as
prescribed.