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Assessment

Objective "Masakit ang tahi ko," as verbalized by the patient. Subjective: -with intact wound dressing - no further bleeding noted - with facial grimace connoting pain -BP: 110/70 -PR: 96 -RR: 21 -Temp: 37.3

Nursing Diagnosis
Pain related to surgical incision

Planning
After a series of nursing interventions, the patient will state relief of pain or that level of pain is tolerable.

Interventions

Rationale

Evaluation
After a series of nursing interventions, the patient will state relief of pain or that level of pain is tolerable.

Use a pain rating scale Without the use of a to allow the woman to specific tool, assessment rate her pain. can be unreliable because a woman's overall excitement at having a new child may interfere the accuracy of the assessment. Be certain that a woman understands that her infant has survived the surgical birth well or what the steps are being taken to make the infant well. A woman who is concerned about her infant may experience more pain than a woman who feels confident that her infant is doing well.

Administer analgesia. To provide comfort Be sure to supplement measures and relieve pain. them with other comfort measures such as change of position or straightening of bed linen. Always ask a woman what type of pain she is experiencing before administering a new dose of analgesia. To be certain that she is describing incisional or uterine pain and not pain in a leg or some other body part that would suggest a complication of surgery.

Check for abdominal distention.

Abdominal pain suggests the pain may be caused by intestinal gas rather than incision pain. If so, ambulation is often the most effective method to relieve this type of pain. So she is not so distressed that she cannot nurse her infant.

Urge the woman to continue to take adequate analgesia to effectively manage her pain after she returns home. Be certain she understands not to use acetylsalicyclic acid or aspirin.

Because this can interfere with blood clotting and healing.