Nursing Diagnosis and Nursing Intervention

Showing posts with label Cesarean Section. Show all posts
Showing posts with label Cesarean Section. Show all posts

Acute Pain related to Cesarean Section - Nursing Interventions

Acute Pain related to Cesarean Section - Nursing Interventions
Nursing Interventions Acute Pain related to Cesarean Section

Acute Pain related to Cesarean Section

Nursing Diagnosis for Cesarean Section: Acute Pain related to physical injury (incision surgery)

NOC: patients are able to:
Control the pain with the indicators:
  • Know the factors causing pain
  • Know the onset of pain
  • Relief act of non-analgesics
  • Use of analgesics
  • Report symptoms to the health care team
  • Pain control

Description:
1 = not done
2 = rarely done
3 = sometimes done
4 = often done
5 = always done

Shows the level of pain
Indicators:
  • Reports of pain
  • Reported frequency of pain
  • Reported duration of pain episodes
  • Expressing pain: facial
  • Indicates the position of protecting the body
  • Anxiety
  • Changes in respiration rate
  • Changes in Heart Rate
  • Changes in blood pressure
  • Changes in pupil size
  • Perspiration
  • Loss of appetite

Description:
1: Weight
2: A bit heavy
3: Moderate
4: Slightly
5: No

Nursing Interventions for Acute Pain related to Cesarean Section :

Cesarean Section Pain Management

Cesarean Section Pain Management

Cesarean Section Pain Management
Nursing Care Plan for Cesarean Section

Cesarean Section Pain Management

Pain Management
  • Assess comprehensively about pain, including: location, characteristics and the onset, duration, frequency, quality, intensity / severity of pain, and precipitation factors.
  • Observation of non-verbal cues of discomfort, especially in the inability to communicate effectively.
  • Give analgesics in accordance with the recommendation.
  • Use therapeutic communication so that patients can express pain.
  • Assess the patient's cultural background.
  • Determine the impact of the expression of pain on quality of life: sleep patterns, appetite, activity of cognition, mood, relationships, jobs, role responsibility
  • Assess the individual's experience of pain, a family with chronic pain
  • Evaluation of the effectiveness of the actions that have been used to control pain.
  • Provide support to patients and families.
  • Provide information about pain, such as: the causes, how long the case, and precautions.
  • Control of environmental factors that may affect patient response to discomfort (such as room temperature, irradiation, etc.).
  • Instruct patient to monitor his own pain.
  • Teach the use of non-pharmacological techniques (such as relaxation, guided imagery, music therapy, distraction, application of heat and cold, massase).
  • Evaluate the effectiveness of measures to control the pain.
  • Modification of pain control measures based on patient response.
  • Increase the sleep / rest.
  • Instruct the patient to discuss precisely the experience of pain.
  • Tell your doctor if action is not successful or event of a complaint.
  • Inform other healthcare team / family members as non-pharmacological measures carried out, for a preventive approach.
  • Monitor patients for pain management convenience.

Provision of Analgesic
  • Determine the location of pain, characteristics, quality, and severity before treatment.
  • Give the right medicine to the principle 5.
  • Check the history of drug allergy.
  • Involve the patient in the electoral analgesics to be used.
  • Select the appropriate analgesic / analgesic combination of more than one if it has been prescribed.
  • Make a selection of analgesics based on the type and severity of pain.
  • Monitor vital signs before and after administration of analgesics.
  • Monitor adverse drug reactions and medication.
  • Document the response after the administration of analgesics and their side effects.
  • Perform actions to reduce analgesic effects (constipation / stomach irritation).
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