NCP Gestational Hypertension

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Assessment Diagnosis Inference Planning Implementation Rationale Evaluation

Subjective Data: Acute Pain related to Unpleasant sensory Short term goal: Independent: After 2-3 days of
“Masakit ang aking surgical Incision as and emotional 1.Note location of 1.as this can nursing intervention
tahi” as verbalized by manifested by facial experience arising After 3-4 hours of surgical procedure influence the amount patient had no more
the patient. mask of pain, from actual or nursing intervention, of postoperative pain pain
restlessness , potential tissue pain will decreased experienced
Pain Scale of 5 out of irritability damage; sudden or from 5 to 3. Goal met.
10 And pain scale of 5 slow onset of any 2.obtain client’s 2.to rule out
out of 10. intensity from mild to assessment of pain worsening of
severe with an including location, underlying condition
Objective Data: anticipated or Long term goal: characteristic, or development of
predictable end and onset/duration, complications
 Facial Mask of a duration of less After 2-3 days of frequency, quality
Pain than 6 months nursing intervention, and intensity
 Restlessness patient will be free
 Irritability from pain 3.Provide comfort
 Presence of measures such as 4.to promote
guarding repositioning the nonpharmacological
behavior client, use of cold pain management
packs. And quite
environment

4 Encourage patient 4.to prevent


to do DBE and lasceration
coughing exercises
with splinting

5.Encourage 5.to distract the


Diversional activities attention and
such as watching tv reduces tension
and music therapy
Dependent:

Administer To maintain
analgesics as “acceptable” level of
prescribed pain.

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