NANDA Nursing

Nursing Diagnosis and Interventions Pain for Cesarean Section

Nursing Diagnosis for Cesarean Section

Pain related to postoperative wound

Definition for Acute Pain :

Unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage (International Association for the Study of Pain); sudden or slow onset of any intensity from mild to severe with an anticipated or predictable end and a duration of less than 6 months

Subjective data: from patient usually Verbal report of pain
Objective data: Observed evidence of pain, protective gestures avoid pain, Change in muscle tone, Expressive; restlessness, moaning, crying, vigilance, irritability, sighing.

Definition for Chronic Pain :

NANDA Definition: Pain is whatever the experiencing person says it is, existing whenever the person says it does, an unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage; sudden or slow onset of any intensity from mild to severe, constant or recurring, without an anticipated or predictable end and a duration >6 months; a state in which an individual experiences pain that persists for a month beyond the usual course of an acute illness or a reasonable duration for an injury to heal, is associated with a chronic pathologic process, or recurs at intervals for months or years.

Subjective
Pain is always subjective and cannot be proved or disproved. The client’s report of pain is the most reliable indicator of pain. Clients with cognitive abilities who can speak or point should use a pain rating scale (eg 0 to 10) to identify their current level of pain intensity and determine a comfort/function goal .

Cesarean Section

A Cesarean section (C-section) is surgery to deliver a baby. The baby is taken out through the mother’s abdomen. In the United States, about one in four women have their babies this way. Most C-sections are done when unexpected problems happen during delivery. These include
Health problems in the mother
The position of the baby
Not enough room for the baby to go through the vagina
Signs of distress in the baby
C-sections are also more common among women carrying more than one baby.



Goal:
Clients can adapt to pain, reduced pain

Nursing Intervention and Rational Cesarean Section :

Assess the condition of pain experienced by the client
R: Measurement of pain threshold value can be done with the scales and descriptions.
Explain the pain suffered by the clients and their causes
R: Improving coping clients in guidance to overcome the pain.
Teach distraction techniques
R: Reduction of pain perception.
Collaboration of analgesics
R: Reducing the onset of pain may be performed by administering oral or systemic analgesics in a broad spectrum / specific.