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Nursing Care Plan for Episiotomy Pain

The patient reported acute pain from a surgical incision due to an episiotomy wound saying "Sakit akong tahi". Objectively, the patient had an episiotomy wound, irritability, and facial grimacing from pain. The plan was to monitor vital signs, assess the wound for infection, acknowledge the patient's pain, place them in a comfortable position, instruct deep breathing, and administer the pain medication Mefenamic acid as ordered.

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Kaye Cepriano
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322 views1 page

Nursing Care Plan for Episiotomy Pain

The patient reported acute pain from a surgical incision due to an episiotomy wound saying "Sakit akong tahi". Objectively, the patient had an episiotomy wound, irritability, and facial grimacing from pain. The plan was to monitor vital signs, assess the wound for infection, acknowledge the patient's pain, place them in a comfortable position, instruct deep breathing, and administer the pain medication Mefenamic acid as ordered.

Uploaded by

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

Cues Diagnosis Planning Interventions Rationale Evaluation

Subjective: Acute pain related to Short term: -monitor the -glimpse into -reports pain
“Sakit akong tahi” surgical incision -within 5 hours after patient’s vital overall wellbeing of is relieved
uttered by the secondary to the intervention, the signs. the patient.
patient. episiotomy wound. patient will -reports on
experience pain -assess the -to help identify pain scale
Objective: within tolerable episiotomy infection, thus below 10
-Presence of levels. wound for preventing further
episiotomy wound abnormal complications in -demonstrate
-Irritability -the patient will discharges and wound healing. use of
-Facial grimace or report the pain signs of relaxation and
frown infections. -to reduce the diversional
-Guarding behaviour - When the patient effect of pain on method like
like whimpering or moves, the patient -acknowledge patient function deep
groaning due to pain will no longer the patient’s and quality of life. breathing
grimace. pain experience
and convey -to relieve the -verbalize
-the patient will show acceptance of pressure on the sense of
evidence of comfort patient’s episiotomy site. comfort and
and ease. response. ease after
-to facilitate taking the
Long term: -place the calmness and medication
-patient will view the patient in a relaxation.
process of labor and comfortable
delivery as a joyful side-lying -to relieve mild to
and excruciating pain position. moderate pain.
experience but
positive. -instruct patient
to perform deep
breathing
exercises

-administer
Mefenamic acid
500mg/tb 1 tab
PO, then
250mg/tab 1 tab
q6 PO for 3 days
as ordered.

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episiotomy.html

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