IMPLEMENTATION ASSESMENT NURSING DIAGNOSIS Pain related to tissue trauma Nasakit Ditoy nga banda as Verbalized by the patient

evidenced by arm pointing at epigastric region. secondary to (TAH) Total Abdominal Hysterectomy. PLANNING NURSING INTERVENTION Independent: Provide Comfort measures like helping patient assume position of comfort. Suggest use of relaxation Objective: Conscious and Coherent Weak in Appearance With intact and dry dressing over the incision site. Facial grimace when in pain With guarding behaviour With minimal vaginal discharges Encourage divertional activities like waching T.V. or reading books. Refocuses the attention that may help in coping processes. Encourage early ambulation Enhances coping abilities technique and deep breathing exercises. RATIONALE After 8 hours of nursing interventions Goal is completely met, pain is relived. EVALUATION

Subjective:

After 8 hours of nursing interventions the patients pain will be relieved.

Promoting relaxation enhances coping abilities.

 Able to perform ADL with assistance V/S taken as follows: T: 36.7 P: 70 R: 25 BP: 110/80 Assist client to learn breathing techniques Provide adequate rest periods Will help the client in the coping process. To assist in muscle and generalized relaxation

Collaborative: Provide for individualized physical therapy or exercise program that can be continued by the client after discharge. Promotes active, rather than passive, role and enhances sense of control.