LACERATION PAIN

ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS

Subjective Acute pain Within 4 hours Diagnostic: - They serve as There are no
Data: related to of nursing the baseline signs of
> “Mahapdi surgical interventions, Assess vital data. infections or
pero incision the patient will Signs. An increase in prolonged
kaya naman… secondary to experience the pulse rate, inflammation
mga 4/10, episiotomy lesser pain respiratory noted
medyo andabove a rate, and
nangangati, di tolerable level Assess the temperature, The healing
ako as manifested patient’s and a decrease process
komportable.” by:-pain scale perineal care in oxygen progresses
of at least 4/10 practices, saturation significantly
noting indicate
Objective Data: -no facial the type of infection. The patient
> 1st to 2nd grimace soap These also enumerates at
degree - non-irritable or other reflect the least
laceration, and most of cleansing effectiveness eight (8) foods
approximately the time is agents of that
3-4 calm and used, the interventions. she can eat for
cm on the cooperative. temperature of wound
perineum the water, and healing
> Redness with the frequency
an of Names ways
approximation perineum on how
of 1-2 cm cleansing to do perineal
around care and
the episiotomy relate them to
site Do a history- wound
> No purulent taking of the healing
drainage, patient’s
swelling, and medications Explains in her
tenderness own
noted Therapeutic : words when
and how
Independent It works by cold and hot
Offer ice pack constricting application is
or perineal ice the blood applied
pad for the vessels, and related
first reducing blood them in
24 hours with flow to a the healing
a particular area, process
duration of no which can Partially
more than 20 significantly
minutes, and reduce
intervals of 10 inflammatio
minutes n and swelling
that causes
pain. It
can also
temporarily
reduce nerve
activity,
which can also
relieve pain.
The
duration of at
most 20
minutes
will prevent
the rebound
effect
from occurring
and restriction
of

It works by
constricting
the blood
vessels,
reducing blood
flow to a
particular area,
which can
significantly
reduce
inflammatio
n and swelling
that causes
pain. It
can also
temporarily
reduce nerve
activity,
which can also
relieve pain.
The
duration of at
most 20
minutes
will prevent
the rebound
 effect
from occurring
and restriction
of