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    NCP Final

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    Joeven Hilario
    The patient reported pain from their surgical incision, with a pain level of 10. Their vital signs were stable. The nursing diagnosis was pain related to the surgical incision. The plan was for the patient to report relief or tolerable pain level after nursing interventions. Interventions included using a pain scale, administering analgesia while supplementing with comfort measures, checking for abdominal distention which could indicate gas pain, and urging the patient to continue adequate analgesia after discharge while avoiding aspirin which can interfere with healing.

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    NCP Final

    Uploaded by

    Joeven Hilario
    94 views2 pages
    The patient reported pain from their surgical incision, with a pain level of 10. Their vital signs were stable. The nursing diagnosis was pain related to the surgical incision. The plan was for the patient to report relief or tolerable pain level after nursing interventions. Interventions included using a pain scale, administering analgesia while supplementing with comfort measures, checking for abdominal distention which could indicate gas pain, and urging the patient to continue adequate analgesia after discharge while avoiding aspirin which can interfere with healing.

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    NCP final

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    The patient reported pain from their surgical incision, with a pain level of 10. Their vital signs were stable. The nursing diagnosis was pain related to the surgical incision. The plan was for the patient to report relief or tolerable pain level after nursing interventions. Interventions included using a pain scale, administering analgesia while supplementing with comfort measures, checking for abdominal distention which could indicate gas pain, and urging the patient to continue adequate analgesia after discharge while avoiding aspirin which can interfere with healing.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    94 views2 pages

    NCP Final

    Uploaded by

    Joeven Hilario
    The patient reported pain from their surgical incision, with a pain level of 10. Their vital signs were stable. The nursing diagnosis was pain related to the surgical incision. The plan was for the patient to report relief or tolerable pain level after nursing interventions. Interventions included using a pain scale, administering analgesia while supplementing with comfort measures, checking for abdominal distention which could indicate gas pain, and urging the patient to continue adequate analgesia after discharge while avoiding aspirin which can interfere with healing.

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    Assessment

    Objective "Masakit ang tahi ko," as verbalized by the patient. Subjective: -with intact wound dressing - no further bleeding noted - with facial grimace connoting pain -BP: 110/70 -PR: 96 -RR: 21 -Temp: 37.3

    Nursing Diagnosis
    Pain related to surgical incision

    Planning
    After a series of nursing interventions, the patient will state relief of pain or that level of pain is tolerable.

    Interventions

    Rationale

    Evaluation
    After a series of nursing interventions, the patient will state relief of pain or that level of pain is tolerable.

    Use a pain rating scale Without the use of a to allow the woman to specific tool, assessment rate her pain. can be unreliable because a woman's overall excitement at having a new child may interfere the accuracy of the assessment. Be certain that a woman understands that her infant has survived the surgical birth well or what the steps are being taken to make the infant well. A woman who is concerned about her infant may experience more pain than a woman who feels confident that her infant is doing well.

    Administer analgesia. To provide comfort Be sure to supplement measures and relieve pain. them with other comfort measures such as change of position or straightening of bed linen. Always ask a woman what type of pain she is experiencing before administering a new dose of analgesia. To be certain that she is describing incisional or uterine pain and not pain in a leg or some other body part that would suggest a complication of surgery.

    Check for abdominal distention.

    Abdominal pain suggests the pain may be caused by intestinal gas rather than incision pain. If so, ambulation is often the most effective method to relieve this type of pain. So she is not so distressed that she cannot nurse her infant.

    Urge the woman to continue to take adequate analgesia to effectively manage her pain after she returns home. Be certain she understands not to use acetylsalicyclic acid or aspirin.

    Because this can interfere with blood clotting and healing.

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