Corral, Thandie Ann C.

Name of Patient: Doloquin, Gelyn Tenasos

Cc: Labor Pain
Dx: G8P5 Pregnancy Uterine Preterm (33 weeks) breech to a live BB boy PTLCS
CUES BACKGROUND NURSING GOALS INTERVENTIONS RATIONALE EVALUATION
KNOWLEDGE DIAGNOSIS
Subjective: One-fifth of Acute Pain After 24  Perform  Always rate the After 24 hours
“Nararamdaman women who related to hours of pain client’s pain using a of nursing
ko yung sakit ng undergo increased nursing assessment rating scale and interventions,
tahi ko lalo na cesarean muscle interventions, every time identify its the patient
sa gabi” as delivery will contractions the patient the client characteristics verbalized
verbalized by experience as will verbalize reports (frequency, duration, reduced
the patient. severe pain in evidenced reduce pain. severity, intervals). discomfort or
the acute by reports of discomfort or  Monitor the  Note for signs of pain and she
Objective: postoperative pain and pain and she client’s vital tachycardia, appeared
-Facial mask of period, increased of will appear signs hypertension, and relaxed, can
pain increasing their blood relax, can increased rest or sleep,
-V/S taken as risk of pressure. rest or sleep, respirations. and
follows: developing and Changes in these participated
T: 36 °C chronic pain. participates vital signs often appropriately.
PR: 92 appropriately indicate acute pain
RR:20 . and discomfort.
BP:130/90  Encourage
 Allow the client to
the client to
verbalize her
verbalize
perceptions about
feelings
pain and
about pain.
acknowledge the
pain experience.
Pain is a subjective
experience and
cannot be felt by
others. Convey
acceptance of the
client’s response to
 pain.
 Encourage  The period after
adequate cesarean birth
rest periods includes recovery
after from surgery and
cesarean adapting to
birth. motherhood. The
client needs to rest
adequately to
prevent fatigue and
recover appropriately
before assuming the
new role of being a
 Discuss mother.
with family  Emotional and
ways to psychological
assist the support provided by
client and the family can help in
reduce the recovery and reduce
pain. postpartum pain.
 If indicated,
administer  Promotes comfort by
celecoxib blocking pain
for pain. impulses.