ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATIONSubjective:“Masakit yung tahiko” as verbalizedby patient.

Objective:Facial mask ofpain.Guardingbehavior.Narrowedfocus.

Acute painrelated todisruption ofskin, tissue,and muscleintegrity.

Caesareandelivery is thesurgicalremoval of theinfant from theuterus throughan incisionmade in theabdominal walland the uterus.Size andlocation of theincision vary,but abdominaland uterineincisions ofchoice are lowand horizontal.Verticalincisions maybe necessaryfor quickerprocedures, thepresence ofadhesions andothercomplications

After 8 hoursof nursinginterventions, the patientpain will berelieved orcontrolled

Independent:Evaluate painregularly notingcharacteristics,location, intensity(0-10 scale).

Identify specificactivitylimitations.

Recommendplanned orprogressiveexercise.

Scheduleadequate restperiods.

Reviewimportance ofnutritious dietsand adequatefluid intake.Reposition asindicated.

Providesinformationabout need foror effectivenessof interventions.

Prevents unduestrain onoperative site.

Promotesreturn of normalfunction andenhancesfeelings ofgeneral wellbeing.

Preventsfatigue andconservesenergy forhealing.

Provideselementsnecessary fortissueregeneration orhealing.May relieve

After 8hours ofnursinginterventions, thepatient painwas relievedorcontrolled

Provide additionalcomfortmeasures likeback rub.

Encourage use ofrelaxationtechnique likedeep breathingexercises.

Collaborative:Administeranalgesics or nonsteroidal antiinflammatorydrugs asprescribed.

pain andenhancecirculation.

Improvescirculation,reduces muscletension andanxietyassociated withpain.

Relievesmuscle andemotionaltension.

To relieve mildor moderatepain.