ASSESSMENT Subjective: Masakit ang Tahi ko as verbalized by patient. Objective: Facial mask of pain. Guarding behavior.

r. Pain scale of 6/10 V/S taken as follows: T: 36.6 celcius P: 84 bpm R: 28 Bp: 110/70mmhg

DIAGNOSIS Alteration in comfort, post operative pain related to lessening effect of anesthesia as evidence by facial grimace.

PLANNING After 8 hours of nursing interventions , the patient feeling of pain will be relieved or controlled.

INTERVENTION -Monitor vital signs.

-Monitor for Intensity and progression of pain and abdominal status

-Provide comfort measure like deep breathing exercises and instructing relaxation techniques -Provide diversional activities.

-Administer analgesics as indicated. -Providing comfortable environment

RATIONALE -To determine presence of hypotension tachycardia and fever -Increased pain and abdominal distention indicates presence of infection and further post operative complications -Promotes relaxation and may enhance patients coping abilities -Diversional activities aids in refocusing attention and enhancing coping with limitations. -To maintain acceptable level of pain. -To reach optimum level of resting periods.

EVALUATION After 8 hours of nursing intervention s, pain was relieved and controlled with pain scale of 2/10 from 6/10.

ASSESSMENT DIAGNOSIS Subjective: Hindi ko alam kung mabubuntis pa ako uli as verbalized by the patient. Objective: -asking questions about her condition -anxious Anxiety related to the effect of the surgical procedure on future pregnancies as evidenced by verbal reports of the patient.

PLANNING After 8 hours of Nursing intervention the patient s level of anxiety will decrease as she verbalizes adequate knowledge regarding her condition.

INTERVENTION Provided information relevant only to her situation. Listened to clients perception of need. Relate information to clients personal desires/needs and values/beliefs. Begun with information the client already knows and move to what the client does not know, progressing from simple to complex.

RATIONALE To prevent overload.

EVALUATION Goal met. After 8 hours of nursing interventions the patient verbalizes understanding of her condition hindi muna ko pwedeng magbuntis kasi delikado sa aking kondisyon, maari ko itong ikapahamak.

So that client feels secured and respected.

Can arouse interest/limit sense of being overwhelmed.

ASSESSMENT Subjective: Nalulungkot ako kasi hindi natuloy ang pagbubuntis ko as verbalized by the client Objective: Sad

DIAGNOSIS Grieving related to loss of pregnancy as evidence by sad facial expression

PLANNING After 8 hrs of nursing intervention the patient will be able to accept loss of pregnancy

INTERVENTION -provide a quiet, peaceful environment

RATIONALE -for the patient to be able to think for the better -through a trusting relationship, you can get adequate information to the client that will help to the plan of care -to get edequate information for the plan of care -to give the client information about what could be expected when pregnancy loss occurs -family support is vry important specially in grieving process -if necessary especially if grieving turns into a bereavement wherein the ADL of the client is being altered

EVALUATION Goal met. After 8hrs of nursing intervention the client verbalizes hope and acceptance of the loss. malungkot pero meron pa naman akong isang anak e, sya na lang ang pagtutuunan ko ng pansin.

-establish trusting relationship

-promote free discussion of feelings and concerns

-provide accurate information about pregnancy loss

-encourage family to assist client to deal with the situation

-refer for counseling

ASSESSMENT DIAGNOSIS Subjective: nahihilo ako as verbalized by the client. Objective: Pale looking Weak in appearance CBC with results of Hgb 9.3 gm/dL Dizziness related to anemia as evidenced by CBC Hgb results of 9.3 gm/dL

PLANNING After 12 hrs of nursing intervention, the client is not dizzy and post BT CBC result will increase.

INTERVENTION -Monitor V/S

RATIONALE

EVALUATION Goal met. The client is not dizzy and with CBC result of Hgb 11.3

-To monitor BP abnormalities, RR and PR changes -Monitor CBC result -To assess Hgb level -transfuse FWB as -to replace blood loss ordered and to increase Hgb - Provide security -To prevent fall and to and comfort provide adequate rest

ASSESSMENT DIAGNOSIS Subjective: Hindi ko kayang bumangon as verbalized by the client. Objective: Lying on bed Refuse to get up with help Activity intolerance related to generalized weakness

PLANNING After 8 hours of nursing intervention, the client will be able to demonstrate and identify the techniques to enhance activity tolerance such as sitting and walking with balancing rest periods and progressively increasing activity level

INTERVENTION -Monitor vital signsregularly -Check patency of IV -note clients report of weakness -assess emotional factors affecting the situation

RATIONALE -To provide baseline data -To prevent complications -to determine the effect of the activity -to determine current status and needs associated with participation in needed acitivity

EVALUATION Gaol met. The client is ambulatory for needs.