NCP For Myomectomy

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ASSESSMENT NURSING PLANNIN NURSING RATIONALE EVALUATIO

DIAGNOSI G INTERVENTIONS N
S
Subjective: Acute Pain At the 1. Maintain 1. Relieves pain and After 8 hours
Patient r/t Post- end of 8 immobilization prevents bone of nursing
Verbalized operative hours of of affected part displacement intervention
2. Elevate and 2. Promotes
Sakit akong surgery nursing patient
support injured venous return,
incition (Myomecto interventi demonstrate
extremity. decreases
site/Tahi. my) on patient d use of
3. Encourage edema, and
will relaxation
patient to may reduce
Objective: demonstr skills and
discuss pain.
Facial ate use of diversion
problems 3. Helps alleviate
Mask relaxation activities .
related to injury. anxiety.
of Pain skills and 4. to participate
Pains diversion 4. Explain
procedures in controlling
cale of activities
before level of
6 out as
beginning discomfort.
of 10 indicated 5. Improves
Guarding for them.
5. Provide general
behavi individual
alternative circulation
or situation. 6. Refocuses
comfort
attention,
measures
6. Provide promotes
emotional sense of
support and control
7. Prevents
encourage use
boredom,
of stress
reduces muscle
management
techniques tension,
7. Identify 8. Reduces
diversional edema and
activities hematoma
appropriate for formation,
patient age decreases pain
8. Apply cold or sensation.
ice pack first 9. Given to
2472 hr and as reduce pain or
necessary. muscle
9. Administer spasms.
medications as 10. Routinely
indicated administered
10. Maintain and or PCA
monitor IV maintains
patient- adequate blood
controlled level of
analgesia analgesia

Submitted to: Ms. Ma. Elsie S. Callueng, RN, MAN

Clinical Instructor

Submitted by: Israel G. Delmindo, St. N

BSN - 3

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