NURSING AN ORPHANANGE IN A CLIEN WITH DYSMENORREHEA

EXAMINATION
(1) data collection
(2) orderliness: (a) acute pain. (b) activity intolerance. (c) ansietas. (d) ignorance about the
process for dysmenorrhea
Nurse diagnosis: (1) acute b/d menstrual disorder. (2) intolerance of dysmenorrhea pain b/d
activity. (3) ansietas b/d adjective individual. (4) is ignorant of the process in which
dysmenore b/d is lacking information
PLANING
DIAGNOSIS 1
Purpose : after asls given for 1x24 hours it is expected that patients' pain will be
reduced to results : pain reduced/can be adapted, can identify activities that
increase/decrease pain, a scale of mild pain.
INTERVESION
1. Explain and assist the client with nonpharmacological and noninvasive pain reliever. R/ :
approaches by using relaxation and other nonpharmacology have shown effectiveness in
reducing pain.
2. Teach use of warm compresses. Abdominal cramps. The heat works with guidance
increasing vasodilatation and muscle relaxation, when the iskemic uterus declines.
3. Teach relaxation: techniques to lower the tension of the skeletal muscle, which can lower
the intensity of the pain as well as increase the sensation of masase. R/ : will release blood
circulation, so the o2 needs of the network will be met, thus reducing the pain.
4. Teach method of district during acute pain. R/ : divert the pain's attention to pleasant
things.
5. Do your back down massage. R/ : reducing pain by muscle relaxant vertebra DSN fortifies
blood supply. Many women get positive through yoga, biofeedback, meditation, and
relaxation therapy.
6. Allow bed rest when you feel painful and give a comfortable position; Like sleeping, the
back is fitted with a small pillow. R/ : rest will release all tissues so it will increase comfort
7. Recommend lowering sodium input over a week before menr / : reducing fluid retention
risk.
8. Increase your knowledge of: causes of pain, and relate how long pain will last. R/ :
perceived knowledge helps ease the pain. And may help develop client adherence to an
inspired plan.
9. Pain-level observation, and client's motor response, 30 minutes after administering
analgetic drugs to assess effectiveness. And every 1-2 hours after treatment ACTS for 1-2
days. R/ : an optimum study will provide an objective nurse data to prevent possible
complications and to intervene properly.

10. Collaboration with doctors, giving us painkillers. Collaborative treatment of such drugs as
prostaglandin (pgsi), ibuprofen (motrin), naproxen sodium (anaprox) and ibuprofen would be
at least 48 hours before menstruation. R/ : pain pain blocking a pain trajectory, which would
reduce the pain. A blow job may be given if the client wants a contraception as a pain taker.
Oc's preventing ovulation, lowering the amount of menstrual blood, which reduces the
number of prostaglandin and maru.

DIAGNOSIS 2:
Purpose : after the asse has been given for 1x24 hours, it is expected that the ps will
improve the tolerance of activities with the criteria that the patiens results can do so
INTERVESION :
1. Avoid frequent, sleuthing interventions that could be exhausting, giving them sufficient
rest. R/: adequate rest can lower stress and increase comfort.
2. Give enough rest and 8-10 hours of sleep each night. R/: rest enough and sleep enough to
reduce fatigue and increase resistance to infection.
3. Pain-level observation, and client's motor response, 30 minutes after administering
analgetic drugs to assess effectiveness. And every 1-2 hours after treatment ACTS for 1-2
days. R/ : an optimum study will provide an objective nurse data to prevent possible
complications and to intervene properly.

DIAGNOSIS 3 :
Purpose : after assent for 1x24 hours, anxiety is expected to drop by the criteria of calm
ps and be able to express feelings
INTERVETION :
1. Explain given procedures and repeat them often
R/ : information reduces fear and ignorance
2. Encourage the nearest person to participate in an upbringing
R/ : increase the feeling of sharing
3. Encourage and give patients the opportunity to ask questions and state problems
R/ : create an open feeling and cooperate
4. Get rid of excessive stimulus
R/ : to give a more relaxed environment
5. Teach relaxation techniques; Deep breath exercise, imaginations guided
R/: distraction during an asthma episode can reduce fear and anxiety
6. Inform about care, and treatment
R/: lowers fear and lose control of her
7. Explain to the client that the action is carried out to ensure security.
R/ : what knowledge is expected can diminish ansietas and develop client compliance with
an inspired plan.
8. Maintain calm behavior, helping the patient to control himself by using slower and deeper
breathing.
R/ : to help a client experience a physiological effect of hypoxia, which can be manifested as
fear.
9. Explain to the client the dysmenorrhea factor.
R/ : what knowledge one would expect can develop a client's compliance with an inspired
plan.

DIAGNOSIS 4
Purpose : after a 1x24 hour asp, it is expected that ps know, understand, and comply
with a therapeutic program with ps criteria understand his illness and what influences it.
INTERVETION:
1. Help the patient understand about short-term and long-term goals
R/ : prepare patients to overcome conditions and improve the quality of life
2. Teach the patient about her illness and her treatment.
R/ : teaching a patient about his condition is one of the most important aspects of his
treatment
3. Provide emotional support
R/ : make it easier for clients to be positive.
4. Involve the person nearest to the teaching program, provide written teaching material
R/ : help increase knowledge and provide additional resources for home care references