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Student Nurses Community

NURSING CARE PLAN


ASSESSMENT
SUBJECTIVE:
Sumasakit ang
puson ko (My
abdomen hurts),
as verbalized by
the patient.
Nausea and
vomiting
Pain in the
abdomen and
lower back

DIAGNOSIS

INFERENCE

PLANNING

Acute pain related


to increased
uterine
contractility,
hypersensitivity

Ovulation

Estrogen and
progesterone hormone
levels decline; lining of
uterus becomes swollen
and sheds

Release of
prostaglandins
(compounds that cause
the uterine muscles to
contract)

Muscle contraction

Vasoconstriction in the
endometrium

Bloackage of delivery of
oxygen to tissue of
endometirum

Endometrium breaks

After 4 hours of
nursing
intervention,
patient will be able
to experience
reduced pain.

INTERVENTION
Independent:
1. Explain and
help clients with
pain relief
measures,
nonpharmacolo
gical and noninvasive
techniques.
2. Teach the use of
warm
compresses.
3. Teach the use of
Relaxation
techniques
(yoga,
biofeedback,
meditation, and
relaxation
therapy)

4. Perform
massage on
abdominal

RATIONALE
Approach using
relaxation and
other
nonpharmacologica
l techniques has
demonstrated
effectiveness in
reducing pain.
Heat increases
vasodilation and
muscle relaxation,
while decreasing
iskemic uterus,
thus relieves
abdominal cramps.
Relaxation
techniques reduce
skeletal muscle
tension, which can
reduce pain
intensity and
improve relaxation;

EVALUATION
After 4 hours of
nursing
intervention, goal
met. Patient was
able to feel less
pain as evidenced
by lower pain
scale.

Student Nurses Community


down and dies

Unterine contractions
squeeze old endometrial
tissue through cervix
and out of the body via
vagina

Elevation of leukotienes
(chemicals that play a
role in inflammatory
response)

Menstrual cramps
Reference:
http://www.medicinenet.
com/
menstrual_cramps/page
2.
htm#what_causes_men
strual_ cramps

areas that feel


pain
Dependent:
1. Administer
analgesics as
ordered

blood circulation is
improved and the
oxygen demands of
tissues are met,
resulting to
reduced pain.
Massage reduces
pain due to the
stimulus of
therapeutic touch
Analgesics block
the path of pain,
thus pain will be
reduced.

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