DAVAO DOCTORS COLLEGE

Gen. Malvar St., Davao City

Nursing Program GRADE:
NURSING CARE PLAN
Name of Patient: ___________ Date of Admission: Room: _______________________________
Age: ______Sex: _______ Civil Status: ___________ Chief Complaint: _________________________________
Religion: ______________ Attending Physician: _________________________
DATE &
TIME CUES NURSING DIAGNOSISGOAL & OBJECTIVES NURSING INTERVENTIONS RATIONALE EVALUATION
Subjective: After 8hrs. Of Engage client in non- After 8hrs. Of
nursing intervention, pharmacological pain nursing intervention,
“Sakit na kayo” as Acute pain r/t physical the patient will be management techniques: the goal is partially
verbalized by the able to understand met as evidence by
patient. agents such as laboring and engage non-  Encourage use of  To promote relaxation the patient is able to
pharmacological comfort measures and enhancing feeling of understand and
measures to reduce (back or leg rubs, well-being. engage non-
Objective: discomfort or pain. back rest, and pharmacological
repositioning). measures to reduce
 Uterine  Provide for a quiet  To promote non- discomfort or pain.
contraction environment. distracting environment to
 Scattered SCIENTIFIC BASIS provide optimal
movement opportunity for rest and
 Facial grimace relaxation between
 Pain Scale: contractions.
5/10  Offer  To provide emotional
encouragement, support, which can
provide information reduce fear, lower anxiety
about labor progress levels, and help minimize
. pain.

Reminder: Please provide references for your scientific basis discussion and every rationale. Follow APA 6th ed. Guidelines for in-text citations and writing references.
Name: _____________________________________ Clinical Instructor: ______________________________