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    NCP Postpartum

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    glocel
    This nursing care plan summarizes the care for a client experiencing sleep deprivation related to pain and discomfort from labor and delivery. The plan includes: 1) Assessment of the client reporting inability to sleep due to pain and an objective assessment finding only 1 hour of sleep per day. 2) The nursing diagnosis of sleep deprivation related to pain and discomfort from labor and delivery. 3) Short term goals of decreased pain and discomfort and 6 hours of continuous sleep within 3 hours and long term goals of a normal sleep pattern of 7-8 hours per night and decreased pain within 3 days. 4) Planned nursing interventions like positioning, comfort measures, pain assessment, encouraging expression of concerns and sedative medication

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    NCP Postpartum

    Uploaded by

    glocel
    21K views3 pages
    This nursing care plan summarizes the care for a client experiencing sleep deprivation related to pain and discomfort from labor and delivery. The plan includes: 1) Assessment of the client reporting inability to sleep due to pain and an objective assessment finding only 1 hour of sleep per day. 2) The nursing diagnosis of sleep deprivation related to pain and discomfort from labor and delivery. 3) Short term goals of decreased pain and discomfort and 6 hours of continuous sleep within 3 hours and long term goals of a normal sleep pattern of 7-8 hours per night and decreased pain within 3 days. 4) Planned nursing interventions like positioning, comfort measures, pain assessment, encouraging expression of concerns and sedative medication

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    Ncp Postpartum

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    This nursing care plan summarizes the care for a client experiencing sleep deprivation related to pain and discomfort from labor and delivery. The plan includes: 1) Assessment of the client reporting inability to sleep due to pain and an objective assessment finding only 1 hour of sleep per day. 2) The nursing diagnosis of sleep deprivation related to pain and discomfort from labor and delivery. 3) Short term goals of decreased pain and discomfort and 6 hours of continuous sleep within 3 hours and long term goals of a normal sleep pattern of 7-8 hours per night and decreased pain within 3 days. 4) Planned nursing interventions like positioning, comfort measures, pain assessment, encouraging expression of concerns and sedative medication

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    21K views3 pages

    NCP Postpartum

    Uploaded by

    glocel
    This nursing care plan summarizes the care for a client experiencing sleep deprivation related to pain and discomfort from labor and delivery. The plan includes: 1) Assessment of the client reporting inability to sleep due to pain and an objective assessment finding only 1 hour of sleep per day. 2) The nursing diagnosis of sleep deprivation related to pain and discomfort from labor and delivery. 3) Short term goals of decreased pain and discomfort and 6 hours of continuous sleep within 3 hours and long term goals of a normal sleep pattern of 7-8 hours per night and decreased pain within 3 days. 4) Planned nursing interventions like positioning, comfort measures, pain assessment, encouraging expression of concerns and sedative medication

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
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    The client experienced sleep deprivation due to pain and discomfort after labor and delivery. The nursing care plan focused on alleviating pain and promoting sleep through non-pharmacological and pharmacological interventions.

    The client reported only sleeping 1 hour per day and frequent yawning due to pain (rated 8/10) and overall body malaise upon admission.

    The short term goal was to achieve 5-6 hours of continuous sleep and report decreased pain (5/10) within 3 hours. The long term goal was to establish a normal sleep pattern of 7-8 hours and report further decreased pain (3/10) within 3 days.

    Kristine Rielly L.

    Bancure BSN3A

    Nursing Care Plan

    Assessment Nursing Analysis Goals Interventions Rationale Evaluation


    Diagnosis
    Subjective: Sleep Prolonged periods Short Term Independent Short Term :
    “di ako Deprivation of time without After 3 hours of • Identify • To identify After 3 hours of
    makatulog kasi related to pain sleep. nursing intervention, presence of causative/ nursing
    puro na lang and discomfort the client will: related factors contributing intervention, the
    sakit sa on perineum (NANDA, 11th edition • report decreased that can factors. short term goal was
    katawan yung secondary to , pp. 630) feeling of discomfort contribute to met as evidenced
    nararamdaman labor and as manifested by sleep deprivation. by:
    ko” delivery verbalizing feeling of • Reported pain
    comfort (5 out of 10) • Position client • To alleviate relief (5 out of
    Objective: • Achieve at least 5-6 in a discomfort 10)
    • 1hr of sleep hours of continuous comfortable • Pt was able to
    per day PTA sleep per day position achieve 6
    • 30 mins of • Show signs of • To distract hours of
    sleep per decreased yawning at • Provide attention on continuous
    day upon daytime comfort pain, reduce sleep that
    admission • Report decreased measures tension and to day
    • frequent body malaise (touch, quiet promote non • decreased
    yawning at environment, pharmacologic yawning at
    daytime Long Term dim light, light al pain daytime
    during After 3 days of nursing music) management • reported
    assessment intervention the client decreased
    • overall body will: • To provide overall body
    malaise • Be able to comparative malaise
    • pain(8 out reestablish and baseline
    of 10) maintain normal • Assess sleep
    • dark circles sleep pattern pattern • To help in
    around the • achieve 7-8 providing better Long Term
    Kristine Rielly L. Bancure BSN3A

    eyes hours of continuous • Provide a sleep/rest After 3 days of


    sleep per day quiet and nursing intervention
    • report absence peaceful the short term goal
    of body malaise environment has been fully met
    T: 37.4 • report further during sleep • Verbalizing as evidenced by:
    P: 86 beats/min. alleviation of pain (3 periods concerns may • reported
    R: 20 cycles per out of 10) promote increased
    BP: 110/70 mmHg • absence of • Encourage the relaxation periods of sleep
    frequent yawning client to of 8 continuous
    express hours per day
    concerns when • Vasodilation of
    unable to sleep the veins provide • absence of
    a sleepy, lazy frequent
    • Provide a effect, causing yawning
    warm bath the client to fall
    before the right to sleep • established
    client goes to sleep pattern
    sleep • To provide
    comfort • reported pain
    scale of 3 out of
    • Expose 10
    perineum on
    perilight bid for • reported
    15 mins absence of body
    malaise
    • To induce sleep

    Dependent
    • Prescribe
    sedatives
    (Valium) as
    ordered
    Kristine Rielly L. Bancure BSN3A

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