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    Nursing Care Plan-Well Pregnant Client

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    Wallen Jey Velasco
    The nurse assessed a pregnant client complaining of lower back pain rated at 6/10. The nurse's care plan was to monitor vital signs, assess pain characteristics, encourage bed rest, advise on footwear and apply warm compresses. The goals were to reduce the client's pain scale to 3/10, allow her to move and rest comfortably, and control and experience relief from pain. After 5 days, the client met all goals by reporting a reduced pain scale, moving comfortably and controlling her pain.

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    Nursing Care Plan-Well Pregnant Client

    Uploaded by

    Wallen Jey Velasco
    15K views3 pages
    The nurse assessed a pregnant client complaining of lower back pain rated at 6/10. The nurse's care plan was to monitor vital signs, assess pain characteristics, encourage bed rest, advise on footwear and apply warm compresses. The goals were to reduce the client's pain scale to 3/10, allow her to move and rest comfortably, and control and experience relief from pain. After 5 days, the client met all goals by reporting a reduced pain scale, moving comfortably and controlling her pain.

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    GROUP-5-NCP-BACK PAIN.docx

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    The nurse assessed a pregnant client complaining of lower back pain rated at 6/10. The nurse's care plan was to monitor vital signs, assess pain characteristics, encourage bed rest, advise on footwear and apply warm compresses. The goals were to reduce the client's pain scale to 3/10, allow her to move and rest comfortably, and control and experience relief from pain. After 5 days, the client met all goals by reporting a reduced pain scale, moving comfortably and controlling her pain.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    15K views3 pages

    Nursing Care Plan-Well Pregnant Client

    Uploaded by

    Wallen Jey Velasco
    The nurse assessed a pregnant client complaining of lower back pain rated at 6/10. The nurse's care plan was to monitor vital signs, assess pain characteristics, encourage bed rest, advise on footwear and apply warm compresses. The goals were to reduce the client's pain scale to 3/10, allow her to move and rest comfortably, and control and experience relief from pain. After 5 days, the client met all goals by reporting a reduced pain scale, moving comfortably and controlling her pain.

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    The key takeaways are that the client is experiencing lower back pain rated at 6/10 during her pregnancy. The nurse assessed the client's pain and implemented interventions like applying a warm compress, encouraging bed rest and educating the client on pain relief measures.

    The client's chief complaint is that she experiences frequent lower back pain during her pregnancy but is unsure of the cause and does not have much knowledge about pregnancy.

    The nurse monitored vital signs, assessed the pain characteristics, encouraged bed rest, advised wearing flat shoes, applied a warm compress, provided positioning and relaxation techniques, advised assistance from a significant other, and educated the client on non-invasive pain relief techniques.

    NURSING CARE PLAN- WELL PREGNANT CLIENT

    ASSESSMENT NURSING DIAGNOSIS PLANNING NURSING INTERVENTION RATIONALE EVALUATION

    SUBJECTIVE DATA: Acute lower back pain After 5 days The nurse was able to: After the implementation
    related to pregnancy as implementation of nursing 1. Monitor the vital This serves as a baseline of nursing care, the client
    ‘’Madalas sumakit yung evidenced by a pain rating care, the client will be signs. on the client’s condition. was able to:
    likod ko ngayon, siguro of 6/10, grimacing, able to:
    dahil sa pagbubuntis ko, guarding behavior. 2. Assess the Assessing the pain can  Report pain scale from
    kaso hindi kasi ako  Report pain scale characteristics of the help to avoid any 6 out of 10 to 3 out of
    sigurado tsaka wala akong from 6 out of 10 to 3 pain, including the complications. Asking 10
    gaanong alam tungkol sa out of 10 location, duration, the patient to rate the GOAL WAS MET
    pagbubuntis.’’ as stated intensity. Ask the pain helps to
    by the client.  Move and rest client to rate the pain differentiate the  Move and rest
    comfortably from the scale of 1-10 previous and current comfortably
    OBJECTIVE DATA: and document the pain patterns. GOAL WAS MET
     Control and findings.
     G1 experience relief  Control and
     Pain scale of 6/10 of pain 3. Encourage the client To promote calmness and experience relief
     Height: 5’5” to have bed rest. comfort to the client and of pain
     Weight: 65 kg  Improve the reduces pain and anxiety. GOAL WAS MET
     Age: 20 client’s feeling and
     Face grimaced the pain will not 4. Advise the client to To reduce the risk of  Improve the client’s
     Guarding behavior occur frequently wear flat or shoes spinal curvature feeling and the pain
    with low heels. necessary to maintain an will not occur
    upright position. frequently
    GOAL WAS MET
    5. Apply warm compress Heat therapy works by
    on the area. relaxing the muscles
    increasing blood flow and
    easing pain.
    NURSING CARE PLAN- WELL PREGNANT CLIENT

    6. Provide helping To alleviate the pain by


    position of comfort promoting non-
    and suggest use of pharmacological pain
    relaxation technique management.
    and deep breathing
    exercise. Provide
    comfort such as
    repositioning or quiet
    environment.

    7. Advise the significant In order for the client to


    other to always assist move comfortably and not
    the client when to have any difficulty.
    walking or standing or
    leaning.

    8. Educate the client by Educating the client helps


    giving information them to do things
    about pain relief independently without
    measures without any going to the hospital.
    medication needed and
    non-invasive
    techniques.

    COLLABORATIVE:
    9. Refer the client to an To assess further
    Obstetrician- diagnosis.
    Gynecologist
    NURSING CARE PLAN- WELL PREGNANT CLIENT

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