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    NCP Severe Labor Pain

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    Paolo Espinosa
    Date: August 9, 2021 Nursing diagnosis: Acute pain related to effects of labor and delivery process as evidenced by patient's verbalization of severe abdominal pain rated 9/10. Planning: 1) Assess patient's knowledge of pain management. 2) Provide comfort measures like back rub and position of comfort. 3) Monitor vital signs every 15 minutes. Nursing intervention: Established rapport and provided comfort measures which relieved patient's pain from 9/10 to 3/10 as evidenced by her verbalization and behavior.

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    NCP Severe Labor Pain

    Uploaded by

    Paolo Espinosa
    325 views3 pages
    Date: August 9, 2021 Nursing diagnosis: Acute pain related to effects of labor and delivery process as evidenced by patient's verbalization of severe abdominal pain rated 9/10. Planning: 1) Assess patient's knowledge of pain management. 2) Provide comfort measures like back rub and position of comfort. 3) Monitor vital signs every 15 minutes. Nursing intervention: Established rapport and provided comfort measures which relieved patient's pain from 9/10 to 3/10 as evidenced by her verbalization and behavior.

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    Date: August 9, 2021 Nursing diagnosis: Acute pain related to effects of labor and delivery process as evidenced by patient's verbalization of severe abdominal pain rated 9/10. Planning: 1) Assess patient's knowledge of pain management. 2) Provide comfort measures like back rub and position of comfort. 3) Monitor vital signs every 15 minutes. Nursing intervention: Established rapport and provided comfort measures which relieved patient's pain from 9/10 to 3/10 as evidenced by her verbalization and behavior.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    325 views3 pages

    NCP Severe Labor Pain

    Uploaded by

    Paolo Espinosa
    Date: August 9, 2021 Nursing diagnosis: Acute pain related to effects of labor and delivery process as evidenced by patient's verbalization of severe abdominal pain rated 9/10. Planning: 1) Assess patient's knowledge of pain management. 2) Provide comfort measures like back rub and position of comfort. 3) Monitor vital signs every 15 minutes. Nursing intervention: Established rapport and provided comfort measures which relieved patient's pain from 9/10 to 3/10 as evidenced by her verbalization and behavior.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Date Assessment Needs Nursing diagnosis Planning Nursing Intervention Evaluation

    Augus Subjective: Acute pain related 1. Assess current 1. Establish GOAL MET
    t 9, “Sobrang sakit Coping effects of labor and knowledge of rapport
    2021 napo talaga ng / stress delivery process as obstetric pain After an
    tyan ko diko na toleran evidence by control Rationale: This will Hour of nursing
    12 am makaya” as ce verbalizations of measures. secure a healthy interventions the patient
    verbalized. the patient. helping relationship was relieved or controlled.
    2. Provide and enhances trust Goal was met patient
    Objective: Rationale: comfort verbalized pain decrease
     Guarding The contractions of measure like 2. Assess status of from scale of 9/10 to 3/10
    behavior the uterine back rub, the client and as evidence by
     Positioning muscles and the helping fetus. verbalization and behavior
    to avoid pressure on the position of of the patient.
    pain cervix create pain comfort. Rationale: assessment
     Expressive during childbirth. Suggest use of provides a baseline
    behavior Strong cramping, relaxation data for future
    (irritability) as well as an achy technique and comparison
     pain feeling, can be felt deep
    scale:9 in the belly, groin, breathing 3. Encourage bed
    and back. Some exercises. rest with
    women may get patient in side
    pain in their sides 3. Assess anxiety lying position.
    and thighs. level and
    Other reasons of implement Rationale: bed rest
    discomfort during measures to relieves pressure of the
    labor include the reduce fetus on the cervix.
    baby's head anxiety as
    pressing on the needed. 4. Monitor
    bladder and patient’s vital
    bowels, as well as 4. Provide signs every 15
    the birth canal comfort minute.
    stretching. measures (ice
    chips, petrole Rationale: maternal
    um jelly for pulse over 120bpm or
    dry lips, dry persistent tachycardia
    linens, etc.) or tachypnea.

    5. Instruct patient
    to report any
    feelings of
    difficulty of
    breathing or
    chest pain,
    dizziness.

    Rationale: early
    recognition of possible
    adverse effects allows
    for prompt
    intervention.

    6. Obtain
    diagnostic
    studies
    including
    complete
    blood count,
    hemoglobin
    and
    hematocrit,
    urine, vaginal
    and cervical
    cultures as
    ordered.

    Rationale: urine,
    vaginal, and cervical
    cultures help to rule
    out infection as
    causative factor for
    preterm labor.

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