sing Care plan (for patient Post op.

CS)
 Nursing Planning Intervention Rationale Evaluation
Diagnosis
Subjective: • Acute • After 8 hours Independent: • Provides After 8 hours of
• The patient pain of nursing • Assess pain information Nursing
verbalized, related to interventions, regularly about need interventions,
“Masakit ang disruption the patient noting for the
tahi sa akin”. of skin, pain will be characteristi effectivene patient pain
tissue, relieved or cs, location, ss of was relieved
Objective: and controlled. intensity (0- interventio or controlled.
• With the muscle 10 scale). ns.
classical cut integrity. • Recommend • Prevents
incision. early undue
• 2 days post- ambulation. strain on
op. • Inform operative
• Guarding patient the site.
abdominal importance • Promotes
incision. of sleep and return of
• Facial rest and normal
grimacing. Schedule function
• Rates pain at adequate and
‘8’ on scale of rest periods. enhances
0 -10. • Review feelings of
• Narrowed importance general
focus. of nutritious well being.
• V/S taken as diets and • Prevents
follows: adequate fatigue and
- T: 37.3 fluid intake. conserves
- P: 80 • Reposition as energy for
- R: 18 indicated. healing.
- Bp: 110/90 • Provide • Provides
additional elements
comfort necessary
measures for tissue
like back rub. regeneratio
• Encourage n.
use of • Improves
relaxation circulation,
technique reduces
like deep muscle
breathing tension and
exercises. anxiety
associated
Collaborative: with pain.
• Give the • Relieves
right diet to muscle and
patient. emotional
(Nutritionist) tension.