TEACHING CARE PLAN

PAIN MANAGEMENT

Prepared by:
Loveranes, Mark Lawrence T.
Saint Louis University BSN-III C1

Prepared for:
Ma’am Jocelyn Macaraeg
Clinical Instructor
 A. Description of the Learner:
Patient Z, a 24 years old woman, single, Roman Catholic, born on June 3, 1992. She is currently residing at Aurora Hill, Baguio City. She can read and
write. She knows how to speak Filipino and English. G1P0 Pregnancy Uterine 39 weeks Age of Gestation. Her chief complaint was a sharp, shooting and
throbbing pain brought about by labor rated as 10/10. “araaaaay koooo! Sobrang sakit dito sa may baba!” as verbalized by the client. Uncomfortable as
manifested by irritability with persistent sweating and grimaces.

Subjective Cues:
 Name of client: Patient Z
 24 years old
 Single
 Claims that she can read and write
 Claims that she can speak Filipino, English and Ilokano
 Chief Complaint: Pain rated as 10/10 characterized as sharp, shooting and throbbing pain
 “araaaaay! Sobrang sakit dito sa may baba”

Objective Cues:
 Female
 Presence of Grimaces and persistent sweating
 Uncomfortable and Irritable

A. Learning Need: To know the possible non-pharmacologic methods for reducing the pain.

B. Learning Style: : The client can easily remember and learn new things when listening (during the absence of pain)

C. Learning Diagnosis: Knowledge Deficit: Nonpharmacological methods for Pain as manifested by client rated pain as 9/10 with loss of control.

D. Goal: The client will be able to correctly choose and apply one type of nonpharmacological methods to conform her status.
 TOPIC OUTLINE Sacral Pressure
Different Types Of Non-pharmacological Pain Management during Labor
 Breathing pattern
 Touch Relaxation
 Effleurage
 Sacral Pressure
 Positioning
 Diversion and distraction
 Hydrotherapy
 Use of Music/Television/Imagery

ADVANTAGES:
 Noninvasive Positioning
 Address emotional and spiritual aspects of birth
 Promote women’s sense of control over pain

Breathing pattern

Hydrotherapy

Effleurage
 Behavioral Learning Content Teaching Strategy Time Frame Materials Method of Evaluation
Objectives
A. Cognitive Domain:
After 5 minutes of
discussion about
Nonpharmacological
methods for reducing
the pain, the client
will be able to:
 Instant Oral
1. Summarize briefly  Advantages of  Teaching at  1 minute  Pamphlet: Feedback: The client
the effects of Nonpharmacolog bedside with Information about briefly explain the
proper choosing of ical methods for pamphlet advantages of using effects of the
nonpharmacologic reducing the pain nonpharmacological nonpharmacological
al method towards method for labor method for labor
pain pain pain.

B. Psychomotor Domain:
After 5 minutes of
discussion about
Nonpharmacological
methods for reducing
the pain, the client
will be able to:

1. Choose one  Different types  Teaching and  3 minutes  Pamphlet:  Return

possible method of demonstrating Different types of Demonstration:
appropriate for her nonpharmacologi at bedside with nonpharmacological Client will be able to
condition cal methods pamphlet methods choose at least 1
method and
correctly
demonstrated.
 C. Affective Domain:
After 5 minutes of
discussion about
Nonpharmacological
methods for reducing
the pain, the client
will be able to:
 Advantages of  Teaching at  1 minute  Pamphlet:  Instant Oral
1. Justify importance Nonpharmacolog bedside with Information about Feedback:
of ical methods for pamphlet advantages of using Client will be able to
nonpharmacologic reducing the pain nonpharmacological state at least 1-2
al method for method of pain importance of using
reducing the pain. Nonpharmacological
methods for
reducing the pain.

References:
Rakal, D. (2016). Learning Deep Breathing. Psych Central. Retrieved on May 28, 2017, from https://psychcentral.com/lib/learning-deep-breathing/
Pillitteri, A., & Pillitteri, A. (2010). Maternal & child health nursing: Care of the childbearing & childrearing family. Philadelphia: Wolters Kluwer Health/Lippincott Williams &
Wilkins