Search This Blog

Loading...

Nursing Diagnosis for Caesarean Section and Nursing Interventions for Caesarean Section

Nursing Diagnosis for Caesarean Section (Postoperative)

  1. Impaired sense of comfort : pain related to postoperative wound
  2. High risk of infection related to bleeding, postoperative wound

Nursing Interventions for Caesarean Section (Postoperative)
  1. Impaired sense of comfort : pain related to postoperative wound

    Goal :
    Pain is reduced / no pain

    Nursing Intervention :
    • Assess the condition of pain experienced by the client.
      R / Measurement of the level of pain can be performed with pain scales.
    • Tell the client suffered pain and its causes.
      R / Improving coping clients, in dealing with pain.
    • Teach relaxation techniques.
      R / Reduced perception of pain.
    • Collaboration of analgesics.
      R / Reduced pain can be done by giving oral or systemic analgesics, in a broad spectrum / specific.

  2. High risk of infection related to bleeding, postoperative wound

    Goal :
    There were no infections, bleeding and wounds, after surgery.

    Nursing Intervention :
    • Assess the condition of output / dischart out; number, color, and odor from the operation wound.
      R / recording the changes in output. The existence of a darker color with a bad smell may be a sign of infection.
    • Tell the client the importance of wound care during the postoperative period.
      R / Infection can arise from lack of cleanliness of the wound.
    • Have a general culture in the output.
      R / Various bacteria can be identified through the output.
    • Perform wound care.
      R / Incubation germs in the wound area can cause infection.
    • Tell the client how to identify signs of infection.
      R / Various clinical manifestations can be nonspecific sign of infection, fever and increased pain may be symptoms of infection.

 
 
 

Nanda Books

Label

Label

Labels