NCP Hydatidiform Mole PDF

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CUES NURSING SCIENTIFIC RATIONALES OBJECTIVES NURSING RATIONALE EVALUATION

DIAGNOSIS INTERVENTIONS
SUBJECTIVE: Acute Pain Hydatidiform mole, is an abnormal SHORT TERM: INDEPENDENT: STO:
• “Masakit related to growth of placental tissue in a After 6-8 hours of After 6-8 hours of
hin duro it abnormal woman's uterus. A uterus that is appropriate nursing 1. Perform a 1. Pain is a subjective nursing interventions,
akon may growth of larger than expected at a given interventions the client will comprehensive experience and must be the patient reported
pus-on placental point in the pregnancy. With this report pain relief with the assessment of pain. described by the client. pain relief from a
dapit” as tissue as larger uterus, abdominal and pelvic pain scale of 3 to 4 out of Provides baseline for scale of 8/10 to 3-4
verbalized evidenced by pressure and pain may occur. 10 from 8 out of 10 comparison to aid in /10
by the pain score of 8 determining effectiveness of
patient out of 10 and therapy, resolution or
verbalization progression of problem LTO:
of pelvic pain LONG TERM: After 3-5 days of
After 3-5 days of nursing nursing intervention,
OBJECTIVE: interventions, the client will 2. Elevate the head of 2. To increase the oxygen level the patient reported
• Pain rating demonstrate relief of pain the bed and position by allowing optimal lung total relief of pain
scale of as evidence by a pain the patient in semi- expansion.
8/10 score of 0 out of 10 and Fowler’s.
• Guarding absence of restlessness.
Reference: 3. Assist or instruct in 3. Helpful in decreasing
behavior
https://www.cancer.net/cancer-
• Restless relaxation techniques, perception of or response to
types/gestational-trophoblastic- such as deep, slow pain. Provides a sense of
• Facial
disease/symptoms-and-signs breathing and having some control over the
grimacing
https://www.livescience.com/55508- distraction. situation, increase in positive
molar-pregnancy.html attitude.

4. Assess the patient’s 4. To monitor effectiveness of


vital signs and medical treatment for the
characteristics of pain relief of pelvic pain.
at least 30 minutes
after administration of
medication

DEPENDENT:

1. Administer prescribed 1. To alleviate the symptoms of


pain medication acute pelvic pain.

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