Risk Factor For Cesarean Delivery Following Labor Induction.pptx
Nursing Care Plan Cesarean Delivery
3
ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION Subjective: “Masakit yung tahi ko” as verbalized by patient. Objective: Facial mask of pain. Guarding behavior. Narrowed focus. Acute pain related to disruption of skin, tissue, and muscle integrity. Caesarean delivery is the surgical removal of the infant from the uterus through an incision made in the abdominal wall and the uterus. Size and location of the incision vary, but abdominal and uterine incisions After 8 hours of nursing intervention s , the patient pain will be relieved or controlled Independent: Evaluate pain regularly noting characteristi cs, location, intensity (0-10 scale). Identify specific activity limitations. Recommend planned or progressive exercise. Schedule adequate rest periods. Provides information about need for or effectivenes s of intervention s. Prevents undue strain on operative site. Promotes return of normal function and enhances feelings of general well being. Prevents After 8 hours of nursing intervention s, the patient pain was relieved or controlled
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Transcript of Nursing Care Plan Cesarean Delivery
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.
