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Scenario: Nursing Care Plan Assessment Diagnosis Planning Intervention Rationale Evaluation - Short Term Goal
Scenario: Nursing Care Plan Assessment Diagnosis Planning Intervention Rationale Evaluation - Short Term Goal
SCENARIO
Mrs. Panganiban a 32-year-old woman is admitted at 37 weeks of gestation. The patient complains of having severe painful contraction, Mrs.
Panganiban experiencing discomfort, Dra. Magat is requesting for ultrasound to check the baby, Dra. Magat see on the ultrasound the baby is in
breech presentation. Mrs. Panganiban pelvis may not be large enough for the head to be delivered also so Dra. Magat is decided to deliver the
baby via emergency cesarian section.
Long Term Goal: - Provide back rubs to -Promotes relaxation Long Term Goal:
P/S: 8/10 After 6 hours of the patient as a and enhances feeling After 6 hours of
nursing intervention comfort measure. of well-being. nursing intervention
the patient will be the goal was met, the
V/S: able to deliver the -Offer -Provides emotional patient delivered the
BP – 90/60 baby via cesarian encouragement to support which baby via cesarian
RR – 20 section. the patient by reduces fear and section.
PR – 112 updating her anxiety levels and
SPO2 – 98% regarding her labor help minimize pain.
progress and provide
positive
reinforcement.