Total Abdominal Hysterectomy Actual NCP

ASSESMENT NURSING DIAGNOSIS

PLANNINGIMPLEMENTATION

EVALUATIONNURSING

INTERVENTIONRATIONALE

Subjective:

“Nasakit Ditoy nga banda” as

Verbalized by the patient

evidenced by arm pointing at

epigastric region.

Objective:

Conscious and Coherent

Weak in Appearance

With intact and dry

dressing over the incision

site.

Facial grimace when in

pain

With guarding behaviour

With minimal vaginal

discharges

Able to perform ADL with

assistance

V/S taken as follows:

T: 36.7

P: 70

R: 25

BP: 110/80

Pain related to

tissue trauma

secondary to

(TAH) Total

Abdominal

Hysterectomy.

After 8 hours

of nursing

interventions

the patient’s

pain will be

relieved.

Independent:

Provide Comfort

measures like

helping patient

assume position of

comfort. Suggest use

of relaxation

technique and deep

breathing exercises.

Encourage early

ambulation

Encourage

divertional activities

like waching T.V. or

reading books.

Provide adequate

rest periods

Assist client to

learn breathing

techniques

Promoting

relaxation

enhances coping

abilities.

Enhances

coping abilities

Refocuses the

attention that

may help in

coping

processes.

Will help the

client in the

coping process.

To assist in

muscle and

generalized

relaxation

After 8 hours of nursing

interventions Goal is

completely met, pain is relived.