Problem Nursing Diagnosis Background Goal and Objectives Nursing Intervention Rationale Evaluation

Knowledge

Pain Pain related to Oxytocin was After 4 hours of Independent: After 4 hours of nursing
uterine cramping released to contract nursing intervention 1. Promote perineal -decrease discomfort intervention the patient was
the patient will exercise and
S: and perineal the uterus to able to experience lesser
experience lesser pain comfortable sitting
“Sobrang suture as decrease bleeding pain and above a tolerable
and above a tolerable position such as:
sakit kasi manifested by and causes level as manifested by: - Kegel’s exercise - three or four times a day level as manifested by:
nung sa pain scale of 7/10 contraction of the - Pain scale of at with five times succession - Pain scale of 4/10
tiyan ko and grimace and uterus causes least 5/10 reduces discomforts and - RR of 18bpm
saka sa tahi irritability uterine cramps. - Stable RR or at improves circulation in the - No facial grimace
ko” as Under a great deal least below 20bpm area and decrease edema noted
verbalized of pressure during - No facial grimace - before sitting squeeze - Calm and
- Slight irritability - Sitting position
by the delivery, perineum buttocks together and sit with cooperative
and most of the
patient responds by the time is calm that position reduces physical Therefore the goal was met.
development of discomfort
O: edema and 2. Tell patient that the - so that the patient may fix her
• Pain scale generalized pain and discomforts mind frame about the pain, this
of 7/10 tenderness usually last more than in return will lessen the
3 days
• PR: 88 following delivery. perception of pain and her
• T: 37.5○C And the episiotomy anxiety
3. Instruct patient to do
• RR: 23 incisions - facilitates relaxation
breathing exercises
• Facial
grimace
• Irritable Dependent:
•dis- 1. Administer analgesic as -to relieve the pain
ordered by physician
comfort