DAVAO DOCTORA COLLEGE

General Malvar St., Davao City

Nursing Program

NURSING CARE PLAN

Name of Patient: Analyn M. Tui Date of Admission: Room: HRU Age: 29 yrs. old Sex: Female

Civil Status: N/A Chief Complaint: Frequent contraction and Impaired comfortable Religion: N/A Attending Physician: Dr. Ong

PROBLEM SCIENTIFIC BASIS GOALS/OBJECTIVES NURSING RATIONALE EVALUATION

CRITERIA INTERVENTIONS

Subjective: Impaired comfort related At the end of 6 hours INDEPENDENT: - Building up trust helps September 05, 2022
“naay nigawas murag to labor and delivery AEB nursing interventions, the - Established rapport Nurse-patient interaction @1:20pm
tubig, pero dili ko sigurado uncontrollable pushing, patient will be: - Advice the patient to more effective.
kung ihi ba to” as the dilation of cervix, and find her most comfortable - As the patient finds a GOALS MET
patient verbalized
strong palpation - Patient will appear calm position during labor, as comfortable position, After 6 hour of nursing
Objective: contractions. and relaxed with vital this will greatly assist her it will also serve as a interventions, goal met.
- Presence of contractions signs within normal limits in relaxing. distraction technique
& tender abdomen Scientific basis: - The patient will learn to - Avoid disturbing the because it takes her - Patient was able to
Impaired comfort is a manage intense pain patient by asking mind off the pain she appear calm and relaxed
Vital signs: multidimensional during labor and delivery. unnecessary questions is experiencing. with vital signs within
BP- 90/60 mmHg diagnosis used to describe -The patient will while she is trying to shift - This method will allow normal limits.
HR- 101 bpm the physical, emotional, recognize and utilize her focus. the patient to focus - Patient was able to learn
RR- 17 cpm social, cultural, and methods to control labor - Teach the patient about on her concentration. how to manage intense
T: 37.6°C spiritual challenges a pain. different breathing Allow her to divert her pain during labor and
patient encounters. techniques. attention to relieve delivery.
Comfort levels vary - Offer back rubs the intense pain - Patient was able to
between patients and age massage, and other brought by labor. recognize and utilize
groups and are dynamic. diversional activites such - Breathing techniques method to control labor
It is recommended the as music, TV, etc. can help a woman’s pain.
 nurse assess for a specific abdomen relax during
cause of impaired DEPENDENT: contractions. It can
comfort as much as - Administer prescribed also be regarded as a
possible in order to best pain medication. distraction approach
intervene. because the patient
focuses on slowpaced
breathing rather than the
pain.
- It serves as non-
pharmacological methods
for reducing
pain/promoting comfort.

- It provides relief of
discomfort and keeps the
comfort.

REFERENCES:
Impaired Comfort
Nursing Diagnosis &
Care Plan. (2022,
October 6).
NurseTogether.
Retrieved October 9,
2022, from
https://www.nursetoget
her.co
m/impaired-comfort-
nursingdiagnosis-care-
plan/
BBN/DTS/2020
CENDRICK C. ABENOJA
NAME OF STUDENT