Diagno Planning Intervention Rationale Evaluation

Dana Alyssa C. Shammas

sis
DR mon – tues section 16 CASE: Ectopic
Pregnancy,Unruptured
Subjective:
Group 62
“Masakit B tiyan ko”, - acute
ang 2-10 -pm shift
at the end of 2 Independent: Goal met as
as verbalized by the pain hours of nursing -monitor for - increase evidence by :
client. related care, the increase pain pain and Client report
Pain scale: 6 to patient will be and abdominal pain relief and
AOG: 6 weeks distenti able to: abdominal detention pain scale
on of distention and indicates reduce form 6
Objective: the • report pain rigidity rupture to 1.
- cold clammy fallopia relief and
- facial mask of pain n tube. possible
• report
- protective gestures intra
painscale
- vital signs as abdominal
of 6 will be
follows: - provide hemorrhag
1
temp: 37.8c comfort e
rr: 24 measures like
pr; 85 back rubs, - promotes
bp: 130/ 90 deep relaxation
breathing and may
Diagnostic instruct in enhance
procedure: relaxation or patient’s
visualization coping
Transvaginal exercise. abilities by
Ultrasound refocusing
Findings in Ectopic - Provide attention
Pregnancy diversional
Finding LR* activities - diversional
Ectopic > 100 activities
cardiac (diagn aids in
activity ostic) refocusing
attention
Ectopic 23 - perform an and
gestational assessmen enhancing
sac t of pain coping
Ectopic mass 9.9 that with