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OB Nursing Care Plan Patient Tahbso CS Rodriguez

The patient continues to experience pain from a surgical incision on their abdomen. Their vital signs and physical exam show signs of pain and impaired mobility. They were diagnosed with acute pain secondary to a surgical operation, likely a cesarean section and total abdominal hysterectomy with bilateral salpingo-oophorectomy. The nurse's plan is to provide comfort measures like repositioning and back rubs, recommend rest and exercise, and give analgesics to reduce the patient's pain over the next day and allow improved mobility.

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Karen Valdez
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100% found this document useful (1 vote)
3K views2 pages

OB Nursing Care Plan Patient Tahbso CS Rodriguez

The patient continues to experience pain from a surgical incision on their abdomen. Their vital signs and physical exam show signs of pain and impaired mobility. They were diagnosed with acute pain secondary to a surgical operation, likely a cesarean section and total abdominal hysterectomy with bilateral salpingo-oophorectomy. The nurse's plan is to provide comfort measures like repositioning and back rubs, recommend rest and exercise, and give analgesics to reduce the patient's pain over the next day and allow improved mobility.

Uploaded by

Karen Valdez
Copyright
© Attribution Non-Commercial (BY-NC)
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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ASSESSMENT SUBJECTIVE Masakit pa rin yung sugat ko sa tiyan OBJECTIVE o Temperature 36.

5 C o PR: 69bpm o RR: 20cpm o BP: 110/70 mmHg o Rated pain 8 out of 10 o Impaired physical mobility o Pain increases when moves vigorously o Guarding behavior o alert, conscious, coherent o With dry and intact surgical dressing on hypogastric area of the abdomen

DIAGNOSIS Acute pain secondary to surgical operation

INFERENCE CS and TAHBSO

PLANNING

INTERVENTION Independent: o Identify specific activity limitations. o Recommend planned or progressive exercise. o Schedule adequate rest periods. o Review importance of nutritious diets and adequate fluid intake. o Reposition as indicated. o Provide additional comfort measures like back rub. Dependent o Medication such as antibiotics and analgesics Collaborative o High-fiber diet

RATIONALE

EVALUATION

After 1 day of nursing interventions, patients pain will diminish Abdominal and perform incision and Uterine incision activities like sitting, standing and Alterations of walking. the Skin

o Prevents undue strain on operative site. o Promotes return of normal function and enhances feelings of general wellbeing. o Prevents fatigue and conserves energy for healing. o Provides elements necessary for tissue regeneration or healing and to avoid hypovolemic shock o May relieve pain and enhance circulation. o Improves circulation, reduces muscle tension and anxiety associated with pain o To prevent postoperative wound complication and relieve pain o To avoid constipation

After 1 day of nursing interventions , the patient pain was relieved or controlled and patient is able to ambulate.

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