CUES NURSING SCIENTIFIC BASIS GOALS AND NURSING RATIONALE EVALUATION
DIAGN OUTCOME ACTIONS AND OF NURSING OSIS CRITERIA NURSING ORDERS ORDERS Subjective Alteration in An occurrence of pain After 8 hours of NURSING ACTION: After 8 hours of cues: comfort in the uterine fundus rendering Perform nursing care rendering “Sakit pa related to pain lasting for a few nursing and procedures to nursing lage ako secondary to minutes is aggravated Interventions alleviate pain. interventions tyan dae labor by movements and is client will be client will be oi” contraction. relieved by able to relieve NURSING able the client comfortably lying from pain. ORDERS: will be able to Objective down. Normally Independent: verbalie a relief cues: contractions of OUTCOME: 1. Assess pain noting of pain with a 1. Rates involuntary muscles location, pain scale 0/10 pain with such as the heart, characteristics, where 0 is to o an stomach, and intestine intensity from 0-10 1Helps evaluate pain and 10 is to intensity does not cause pain. 1. Patient will scale. degree of worst possible of 8/10 on This concept makes verbalize that discomfort and pain. a pain uterine contractions pain is relieved effectiveness of scale, 0 is unique because they do or contolled. analgesia or may no pain cause it. Several 2. Monitor vital reveal developing and 10 is explanations exist for signs. complications. the worst why this 2. Vital signs are pain. happen.During alterd during 2. contractions blood acute pain or Guarding vessels 2.Patient will discomfort.. behavior constrict,reducing the diplay relief of 3. Encourage use of noted by blood supply to uterine pain and able to relaxation placing and cervical cells, sleep or rest techniquese.g.,guided 3. Helps patient her hand resulting in anoxia to appropriately. imagery,visualization rest more in the muscle fibers. This and provide effectively and fundal anoxia can cause pain 3. Patient will diversional activities. refocuses ares every in the same way that demonstrate the attention, thereby time lockage of cardiac use of 4. Provide comfort during pain or shemoves arteries causes the pain relaxation skills measures,e.g.,mouth discomfort. or get up. of a heart and general care, back rub 3.Noted a attack.Aslabor comfot repositioning(use facial progresses and measures as proper measures as grimaced contractions become indicated for needed).Assure 4.Prevents drying when the longer and harder to individual patient that position mucosa and time she ischemia t cell situation. change will not injure associated changes increases, and the pain stoma. discomfort. her intensifies. Pain also Reduce muscle position probably results from Dependent: tension,promotes
The Effect of Peer Pressure To The Grade 10 Students of Colegio San Agustin Makati 2018-2019 That Will Be Choosing Their Respective Strands in The Year 2019-2020
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