Patient’s Name: Manylin C.

Sy Gender: Female
Occupation: Housewife Religion: Roman Catholic
 Assessment Diagnosis Scientific Basis Planning Intervention Rationale Evaluation
Subjective: Acute pain related >Cesarean section Goal: Independent: Independent: Goal met.
Patient verbalized, to tissue injury is the incision of the
After 4 hours of > Determine > Client may not After 4 hours of
abdominal wall and Civil
“Sakit ang akong secondary to nurse-patient characteristics verbally report nurse-patient
the uterus to deliver Status:
tinahian.” surgical interaction the and location of pain and interaction patient
a baby. This type of Married
intervention. patient will be discomfort. discomfort was able to
childbirth is
Objective: practiced in cases
able to verbalize > Provide directly. verbalize
T°= 36.4C° where delivery by lessening of level information and Comparing lessening of level
PR= 91 bpm the birth passage of pain. Patient anticipatory specific of pain. Patient
RR= 23 cpm presents difficultieswould also appear guidance characteristics of also appeared
BP= 110/60 or complications- as relaxed, and able regarding causes pain aids in relaxed, and was
mmHg in placenta has to sleep/ rest of discomfort and differentiating able to sleep/ rest
> Profused attached itself appropriately. proper postoperative pain appropriately.
sweating. directly over the interventions. from developing
> Dry, cracked cervix, or in cases of Planned Actions: > Monitor vital complications.
lips. premature > Maintain left signs. > Promotes
separation of the
> Grimacing of side-lying position. > Reposition problem solving,
placenta from the
the face upon uterine wall. In > Promote patient, reduce helps reduce pain
moving. cases where the scheduled bed noxious stimuli, associated with
> Skin is dry. mother’s pelvic rest. and offer comfort anxiety and fear of
> Patient looks passage is too > Promote early measures. the unknown, and
exhausted. narrow to allow for ambulation to the Encourage use of provides sense of
> Tenderness on safe delivery of the patient. breathing and control.
the abdomen baby, for instance, > Administer relaxation > In many
noted. subsequent births wound dressing as techniques and patients pain may
> Facial mask of will probably also be prescribed by the distraction. cause restlessness
pain was noted. by cesarean section. physician. > Encourage early and an increase in
In theory, there is
> Instruct patient ambulation, use of BP and pulse.
no limit to the
Medical number of on pain relieving rocking chair or > Relaxes
Diagnosis: cesareans that a methods. left side-lying muscles, and
> Preganancy woman can have; > Ensure the position, as redirects attention
uterine 34 weeks many have prevention of appropriate. away from painful
AOG, oxtauted a delivered four or complications Recommend sensations.
live male neonate five babies this way. such as infections avoidance of gas- Promotes comfort,
AS 7.9 BW 3.300 However, much of the wound. forming foods or and reduces
grams then repeat depends on > Administer pain fluids. unpleasant
LTCS. Breech individual relievers distractions,
circumstances.
presentation prescribed by the Dependent: enhancing sense
Some women have
secondary to has an initial
doctor. > Administer of well-being.
transverse uterus. cesarean section analgesics every 3 > Decreases gas
later deliver their Outcome to 4 hours. formation and
babies vaginally. In Criteria: > Assist with bolus promotes
cesarean operation, > Patient will be dose of morphine peristalsis to