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    NCP NSD

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    shigemasamayumi
    After 8 hours of nursing care, the client will understand how to prevent the risk of uterine infection from her episiotomy. She will monitor her vital signs, practice proper perineal care, identify risk factors and prevention techniques, emphasize early ambulation and a healthy diet. The nurse will evaluate if the client can verbalize her understanding of preventing infection and demonstrating the appropriate techniques.

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    NCP NSD

    Uploaded by

    shigemasamayumi
    17K views3 pages
    After 8 hours of nursing care, the client will understand how to prevent the risk of uterine infection from her episiotomy. She will monitor her vital signs, practice proper perineal care, identify risk factors and prevention techniques, emphasize early ambulation and a healthy diet. The nurse will evaluate if the client can verbalize her understanding of preventing infection and demonstrating the appropriate techniques.

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    ncp nsd(2)

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    After 8 hours of nursing care, the client will understand how to prevent the risk of uterine infection from her episiotomy. She will monitor her vital signs, practice proper perineal care, identify risk factors and prevention techniques, emphasize early ambulation and a healthy diet. The nurse will evaluate if the client can verbalize her understanding of preventing infection and demonstrating the appropriate techniques.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    17K views3 pages

    NCP NSD

    Uploaded by

    shigemasamayumi
    After 8 hours of nursing care, the client will understand how to prevent the risk of uterine infection from her episiotomy. She will monitor her vital signs, practice proper perineal care, identify risk factors and prevention techniques, emphasize early ambulation and a healthy diet. The nurse will evaluate if the client can verbalize her understanding of preventing infection and demonstrating the appropriate techniques.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3
    At a glance
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    The key takeaways are proper perineal care and hygiene, early ambulation, nutrition, rest and sleep to aid in recovery from episiotomy and prevent infection.

    The nursing interventions planned for the client include monitoring vital signs, proper perineal care and hygiene, emphasized early ambulation and exercises, encouragement to eat foods rich in protein and vitamin C.

    The nursing diagnosis for the client's risk of uterine infection is 'Risk for uterine infection related to episiotomy'.

    ACTUAL NCP

    Cues Nursing Diagnosis Planning Nursing Rationale Evaluation


    Interventions
    Subjective: Acute vaginal pain After 8 hours of -Provide rapport -To gain trust and After 8 hours of
    “sumasakit yung related to right nursing care, the with the patient full cooperation nursing care, the
    tahi paminsan medio lateral client will be able during the pain client:
    minsan.” as episiotomy as to: alleviation periods
    verbalized by the evidenced by facial - expressed
    client. grimacing. -express alleviation -Monitor vital signs -Vital signs altered alleviation of pain
    of pain from scale during acute pain from scale of 6 to 3
    Objective: of 6 to 2
    -facial grimace -Provide a -To aid in -knew different
    -pain scale of 6 -to know different therapeutic alleviation of pain techniques in
    -slowed movement techniques in environment alleviating pain
    alleviating pain
    V/S taken as -Encourage -To assist in -comfortably fell
    follows: -comfortably fall verbalization of evaluation asleep
    Temp: 37.3 asleep feelings
    Rr: 21
    Pr: 81 -Encourage to do -To alleviate pain
    BP:120/70 diversional
    activities

    -Encourage rest and -To assess in


    sleep alleviation of pain
    POTENTIAL NCP

    Cues Nursing Diagnosis Planning Nursing Rationale Evaluation


    Interventions
    Objective: Risk for uterine After 8 hours of -Monitor vital signs -Alterations from After 8 hours of
    infection related to nursing care, the normal may be nursing care, the
    -NSD with episiotomy client will be able signs of infection client:
    episiotomy to:
    -Proper perineal -Appropriate self -verbalized
    -used single pad for -verbalize care and hygiene care of the perineum understanding of
    12 hours understanding of in postpartum risk factors
    risk factors patients reduces the
    -Temp. = 37 C risk of bacterial -identified
    -identify invasion interventions and
    interventions and demonstrate
    demonstrate -Emphasized early -Circulation of techniques to
    techniques to ambulation and blood is promoted prevent risk for
    prevent risk for beginning postpartal through regular infection
    infection exercises with movements thus it
    resumption of helps in the healing
    normal activities as process
    tolerated

    -Encourage to eat -Vit.C is known to


    foods that are rich prevent infection:
    in proteins and Protein is needed
    Vitamin C for tissue repair and
    regeneration
    -Encourage to have -This promotes
    enough rest and healing by reducing
    sleep basal metabolic rate
    and allowing
    oxygen and
    nutrients to be
    utilized for tissue
    growth, healing and
    regeneration

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