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.