ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: • Acute pain • Caesarean • After 8 hours Independent: • After 8

“Masakit yung related to delivery is the of nursing • Evaluate pain • Provides hours of
tahi disruption of surgical interventions regularly noting information nursing
ko” as verbalized skin, tissue, , the patient characteristics, about need for intervention
removal of the
by patient. and muscle pain will be location, intensity or effectiveness s, the
infant from the
integrity. relieved or (0-10 scale). of interventions. patient pain
uterus through controlled was relieved
an incision or
• Identify specific • Prevents
made in the activity controlled
undue
abdominal wall limitations. strain on
Objective: and the uterus. operative site.
• Facial mask of Size and
pain. location of the • Recommend • Promotes
• Guarding incision vary, planned or return of normal
behavior. but abdominal progressive function and
• Narrowed and uterine exercise. enhances
focus. incisions of feelings of
choice are low general well
and horizontal. being.
Vertical
incisions may • Schedule • Prevents
be necessary adequate rest fatigue and
periods. conserves
for quicker
energy for
procedures, healing.
the
presence of • Provides
adhesions and • Review
importance of elements
other necessary for
nutritious diets
complications tissue
and adequate
fluid intake. regeneration or
healing.
• Reposition as • May relieve
indicated. pain and
enhance
circulation.

• Provide • Improves
additional circulation,
comfort reduces muscle
measures like tension and
back rub. anxiety
associated with
pain.

• Encourage use • Relieves

of muscle and
relaxation emotional
technique like tension.
deep breathing
exercises.

Collaborative:
• Administer • To relieve mild
analgesics or non or moderate
steroidal pain.
antiinflammatory
drugs as
prescribed.