Student Nurses’ Community

NURSING CARE PLAN – Dilatation and Curettage

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Knowledge After 8 hours of • Review effects of • Provides After 8 hours of

deficient Dilatation and nursing surgical procedure knowledge base nursing
“Dalawang araw regarding curettage, also interventions, the and future from which patient interventions, the
na ako dinudugo, condition, called as D&C, is patient will expectations. can make patient was able to
hindi ko alam prognosis, a common identify informed choices. identify
ang gagawin ko” treatment, self – surgical procedure relationship of relationship of
(I am bleeding for care, and done on women signs and • Discuss • Client can expect signs and
the past two days, discharge to scrape and symptoms related symptoms related
what should I do?)
resumption of to feel tired when
needs related to collect the tissue to surgical activity. Encourage she goes home to surgical
as verbalized by unfamiliarity procedure and procedure and
from inside the light activities and needs to plan
the patient. with information actions to deal actions to deal with
uterus. The initially, with a gradual
resources. cervical passage with them. frequent rest resumption of them.
OBJECTIVE:
in a women leads periods and activities.
to the uterus. increasing
♦ Confusion ‘Dilatation’ is a activities or
♦ Request for widening of the exercise as
information. cervical passage. tolerated.
♦ Fear This is done using
♦ V/S taken as smoothly conical • Identify individual • Strenuous activity
follows: and tapered, restriction like intensifies fatigue
graduated metal avoiding heavy and may delay
T: 37.4 rods of various lifting and healing.
P: 75 sizes and these strenuous
R: 22 are appropriately activities.
BP: 100/70 called the dilators.
The gradually • Identify dietary • Facilitates healing
large metal needs like high or tissue
dilators lead to protein and regeneration and
widening of the additional iron. helps anemia if
tight cervical present.
passage slowly.
• Review incisional • Facilitate
Curettage ("C") is
care when competent self-
the second part of
appropriate. care, promoting
the procedure and
independence.
is done to scrape
Student Nurses’ Community

• Stress the • Provides

the inside importance of opportunity to ask
contents of the follow up care. questions, clear
uterus. For this, a up
sharp spoon-like misunderstanding
instrument called s, and detect
curette is used. developing
The procedure is complications.
usually performed
under general or • Identify sign and • Early recognition
regional symptoms and treatment of
anaesthesia. requiring medical developing
evaluation. complications
such as infection
or hemorrhage
may prevent life
threatening
situations.