Name: Marlil Asis Reason for Admission: Fetal Heart Tone not appreciated, Hypogastric pain

Age: 27 Sex: F

PLANNING NURSING INTERVENTIONS

ASSESSMENT NURSING OUTCOME EVALUATION
CUES DIAGNOSIS IDENTIFICATION INTERVENTIONS RATIONALE
(with references)
Subjective: Acute pain related to After 8 hours of Nursing After 8 hours of Nursing
“Masakit man tak tiyan” perineal laceration. intervention the client 1. Use pain rating scale 1. Attitudes and intervention the client
will be able to: to assess the reactions to pain are was able to:
Objective:  Decrease the level patient’s perception individual and based  Decreased level of
 Pain Rating Scale of pain felt. of the pain severity. on past pain with Pain
6/10.  Appear relaxed. 2. Educate the client experiences, Rating Scale of
 Facial grimace.  Take the about the benefits of understanding of 4/10.
 Guarding behavior. medication; taking the physiological  The client appeared
Celecoxib as per medication changes, and relaxed after
order. Celecoxib cultural expectation. interventions.
3. Administer the Silbert-Flagg, J. et  The client had
medication, al, (2018) pp. 392 successfully taken
Celecoxib. 2. Will help the client the medication.
4. Instruct client to be aware of the  No unusualties
report any taken medication. noted.
unusualties such as; 3. Will help decrease Goal met.
abdominal pain, level of pain.
nausea and 4. Will help preventing
vomiting. further
5. Taking of vital signs complications.
to validate effective 5. To see whether
interventions. intervention was
effective.

Nursing Care Plan