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Nursing Care Plan: Davao Doctors College Nursing Program

This nursing care plan is for a patient admitted to the hospital in labor. [1] The patient is experiencing acute pain from uterine contractions. The nursing diagnosis is that the patient experiences acute pain related to the physical agents of labor. The goal is for the patient to understand and engage in non-pharmacological pain management techniques within 8 hours. The nursing interventions include encouraging the patient to use comfort measures like back rubbing and changing positions. The nurse also aims to provide a quiet environment with encouragement and information about labor progress. The rationales for the interventions are to promote relaxation, a non-distracting environment, and emotional support to reduce pain levels.

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Crissa Kaye
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349 views

Nursing Care Plan: Davao Doctors College Nursing Program

This nursing care plan is for a patient admitted to the hospital in labor. [1] The patient is experiencing acute pain from uterine contractions. The nursing diagnosis is that the patient experiences acute pain related to the physical agents of labor. The goal is for the patient to understand and engage in non-pharmacological pain management techniques within 8 hours. The nursing interventions include encouraging the patient to use comfort measures like back rubbing and changing positions. The nurse also aims to provide a quiet environment with encouragement and information about labor progress. The rationales for the interventions are to promote relaxation, a non-distracting environment, and emotional support to reduce pain levels.

Uploaded by

Crissa Kaye
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DAVAO DOCTORS COLLEGE

Gen. Malvar St., Davao City


Nursing Program GRADE:
NURSING CARE PLAN
Name of Patient: ___________ Date of Admission: Room: _______________________________
Age: ______Sex: _______ Civil Status: ___________ Chief Complaint: _________________________________
Religion: ______________ Attending Physician: _________________________
DATE &
TIME CUES NURSING DIAGNOSISGOAL & OBJECTIVES NURSING INTERVENTIONS RATIONALE EVALUATION
Subjective: After 8hrs. Of Engage client in non- After 8hrs. Of
nursing intervention, pharmacological pain nursing intervention,
“Sakit na kayo” as Acute pain r/t physical the patient will be management techniques: the goal is partially
verbalized by the able to understand met as evidence by
patient. agents such as laboring and engage non-  Encourage use of  To promote relaxation the patient is able to
pharmacological comfort measures and enhancing feeling of understand and
measures to reduce (back or leg rubs, well-being. engage non-
Objective: discomfort or pain. back rest, and pharmacological
repositioning). measures to reduce
 Uterine  Provide for a quiet  To promote non- discomfort or pain.
contraction environment. distracting environment to
 Scattered SCIENTIFIC BASIS provide optimal
movement opportunity for rest and
 Facial grimace relaxation between
 Pain Scale: contractions.
5/10  Offer  To provide emotional
encouragement, support, which can
provide information reduce fear, lower anxiety
about labor progress levels, and help minimize
. pain.

Reminder: Please provide references for your scientific basis discussion and every rationale. Follow APA 6th ed. Guidelines for in-text citations and writing references.
Name: _____________________________________ Clinical Instructor: ______________________________

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