Chapter 3: Prioritization
Nursing Diagnosis Rank
Acute Pain related to
frequent muscle cramps
secondary to physiologic
need for sleep and rest
during pregnancy
Deficient knowledge
related lack of info of
physical changes,
physiological changes as
evidenced by questions
and statement concern
Risk for activity
intolerance related as
evidenced by
Risk for individual
family coping related to
personal suffering as
evidenced by lack of
interaction to her
husband.
Health seeking behavior
related to concern about
the current health status
Supporting Data Justification
1 Presence of leg cramps It is the highest prioritized
problem because based on
Maslow’s Hierarchy of Needs,
the client’s health is greatly
affected and must need an
immediate action.
2 Lack of knowledge It is the second prioritized
about the current problem because based on the
condition Maslow’s Hierarchy of Needs;
the client is experiencing
different changes in
physiological or psychological
that she doesn’t know because
of lack of information.
3 Due to leg cramps the It is the third place because
client’s health and according to Types of Nursing
activities may not be Diagnosis the client’s health is
able to perform. at risk may likely happened
Due to her personal It is in the fourth prioritized
4 concerns she might tell problem based on Types of
it to her husband Nursing Diagnosis the client’s
because she wants it to family coping is at risk and
furtive it. may likely happen.
Go nearest health center It is the least prioritized
5 for check-up. because based on the Types of
Nursing Diagnosis the client is
suffering is seeking for a help
and it is in the wellness state.
Chapter 4: Nursing Care Plan

Assessment Nursing Diagnosis Scientific Rationale Planning Interventions Rationale Evaluation

Acute Pain related to Pain is perceived Long Term: Independent: Long Term:
Subjective: frequent muscle depends o the
“Masakit lang naman cramps secondary to interaction between the After two days of  Monitor Vital  To have a baseline After two days of
sa may bandang hita”, physiologic need for body’s analgesia interventions the client Signs data interventions the client
as verbalized by the sleep and rest during system and CNS will be able to reduce was able to reduced or
client pregnancy transmission in the or eliminate pain  Demonstrate non-  To consider non- eliminate pain
minds interpretation therapeutic pharmalogical
and stimuli and its regimen therapies for pain
Objectives: meaning. Short Term: relief Short Term:

 Pain Scale: 6/10 After two hours of  Advice the client  To promote healing After two hours of
 grimace -Fundamentals of interventions the client to apply heating of injured tissues interventions the client
 tenderness on lower Nursing by Kozier will be able to: pad or warm bath was able to:
extremities page 1190
 Demonstrate the  Elevate the lower  To promote blood  Demonstrate the
relaxation extremities circulation relaxation
technique technique
 Advice the client  To reduce
 Verbalized 3/10 or to lower the milk phosphorus level  Verbalized 3/10 or
0/10 pain scale intake to only a 0/10 pain scale
pint daily and
 Verbalized four supplementing  Verbalized four
remedies for le this with calcium. remedies for le
cramps to decrease cramps to decrease
pain Collaborative pain

 Administer  To pain controlled

analgesic as throughout the day
prescribed by the
mother
 INSTRUCTIONAL PLAN

TOPIC: Discomfort and Remedies During Pregnancy VENUE AND DATE: Sta. Cruz, Sto. Thomas Batangas, 1/19-20/09

THEME: TARGET GROUP: OB Patients

Learning Objectives Content Methodology Time Frame Resources Person Involve Evaluation
After 45 minutes of These are The discussion The things that we After 45 minutes of
health teachings the discomfort of the  Discussion will approximately will use are the Students of M3 health teachings the
client will be able to: client that are  Role Playing end at 30-45 following:  Morales, Suzanne client was able to:
usually minutes.  Visual aids Marie S.
1. Acquire encountered: Intermission  Hard copy of  Paddit, Casssandra 1. Acquire knowledge
knowledge about First Trimester: Number: health Ahsaki about the importance
the importance of  Nausea and teachings  Ranada, Rina Joy of knowing the
knowing the Vomiting  Sing and Dance  Tokens and P. common discomforts
common  Constipation Certificate  Siriban, Jessa May and respective
discomforts and  Varicosities  Leaflets R. remedies throughout
respective  Muscle Cramps  Man Power pregnancy.
remedies  Palmar  Research
throughout Erythema OB Patients 2. Attain attitude to
pregnancy.  Fatigue  Ronalyn Castillo; adapt some changes
and physiologic,
 Breast
2. Attain attitude to  others psychological and
Tenderness
adapt some physical changes
changes
Second Trimester
physiologic, 3. Gain skills in
 Backache
psychological and applying different
physical changes  Headache method on how to
have a complete
3. Gain skills in Third Trimester self-care.
applying different  Ankle Edema
method on how to  Dyspnea
have a complete
self-care.