ASSESSMENT NURSING INTERVENTION RATIONALE FOR EVALUATION
DIAGNOSIS EACH
INTERVENTION
INDEPENDENT DEPENDENT
Subjective: Within 8 1.Establish .Regulate IVF to 1.To promote Throughout
P: “Warm compress hours of rapport. its prescribed cooperation. labor, the
and slowly changing nursing care, 2.Investigate rate. patient
my positions help the patient reports of 2.Helpful in determined
ease the pain but will be able pain. Note .Provide assessing need the possible
when I do sudden to identify changes in comfort for intervention causes of
and fast movements, and use degree (use measures, such and may infection and
the pain escalates” methods in scale of 0 to as massage, indicate understood its
Q: “I feel sharp and controlling 10) and site. cool packs, and developing effects, and
stabbing pains” pain. 3.Monitor psychological complications demonstrated
R: “There is a strong vital signs and support, techniques
cramping in my Long term note including that prevent
abdomen, groins, objectives: nonverbal encouragement infection.
andmy back” Within 3 cues, such as and presence,
days of muscle as appropriate.
S: “The severity of nursing care, tension and
the pain I am feeling the patient’s restlessness. .Review and
is around 8 out of vital signs 4.Provide a promote
10” willremain in quiet patient’s own
●T: “The pain I felt the normal environment comfort
lasted for about 7 range, the and reduce interventions—
hours contractions patient will stressful position and
lasting for 40 seconds have stimuli: noise, physical activity
every 30 minutes” as decreased lighting, and or inactivity.
verbalized by the levels of constant
patient. pain, the interruptions. .Evaluate and
patient will 5.Place in a support
Objective:●Facial be able to comfortable patient’s
grimacing, sobs of perform position, and coping
pain, difficultyin body activities of support joints mechanisms.
movements noted daily life and
●The cervix is dilated without extremities .Encourage use
●FHR 140, problems of with pillows of stress
pain and the and other management
patient will padding. techniques,
feel signs of 6.Reposition such as deep-
minimized periodically breathing
discomfort and provideor exercises,
and displays assist with guided
improved gentle range- imagery,
mood. of-motion visualization,
(ROM) and
exercises. therapeutic
touch.
Activity Assess Monitor Influences Patients
intolerance patients laboratory choice of reveals an
related to ability to studies. Hb or interventions or increase in
imbalance perform Hct and RBC needed activity
between normal task count, arterial assistance tolerance,
oxygen activities of blood gases demonstrating
supply and daily living Enhances rest to a reduction in
demand lower bodys physiological
Note changes oxygen signs of
in balance/ requirements, intolerance
