Nursing care plan for acute pain related to uterine contractions

Introduction to Nursing Care Plan for Acute Pain Related to Uterine Contractions

A care plan for acute pain related to uterine contractions is an individualized plan of care prescribed to improve or maintain a patient's health. It is based on assessment data and evidence-based practice guidelines. This care plan includes assessment, nursing diagnosis, outcomes, interventions, rationales, evaluation, conclusion and frequently asked questions.

Assessment

The initial assessment should include history taking, physical examination and laboratory tests. History taking should include information about nature of the pain, intensity, quality, duration, onsets, factors that relieve or worsen the pain, current medications, clinical context, previous labor and delivery experiences. Physical examination should focus on evidence of tenderness, fetal presentation, location of the uterus, fetal heart rate variability, amniotic fluid volume and any other labor signs.

Nursing Diagnosis

The nurse should identify and recognize the pain in its element. Some common nursing diagnoses include: pain related to uterine contractions, high risk of fatigue related to prolonged labor, anxiety related to labor process and fear of unknown outcome.

Outcomes

• The patient will demonstrate reduced intensity of pain.
• The patient will remain comfortable.
• The patient will describe feelings of relief, control and safety.
• The family member/supportive person will demonstrate understanding of labor process.

Interventions

• Provide information about labor process.
• Provide a safe and calm environment.
• Encourage patient to use progressive relaxation techniques.
• Encourage upright and walking activities.
• Offer analgesic, tranquilizer or antispasmodic medications as needed.
• Promote complete labor, delivery and postpartum period.

Rationales

• Promote information about labor process to reduce anxiety and fear.
• To reduce stress and anxiety in patient.
• To reduce intensity of pain.
• To promote comfort and relief.
• To provide complete labor, delivery and postpartum process.

Evaluation

At the end of the care plan, the nurse should evaluate the patient's response to intervention, pain relief status, verbal description of experience and satisfaction with perceived support.

Conclusion

A care plan for acute pain related to uterine contractions can help reduce the intensity and duration of labor pain. Knowing what interventions are available and how to provide comfort and relief can facilitate labor and delivery and make the overall experience more positive for both the mother and her family members/supportive persons.

FAQs

1. What are the interventions to provide comfort and relief during labor?
   • Provide a safe and calm environment.
   • Encourage patient to use progressive relaxation techniques.
   • Encourage upright and walking activities.
   • Offer analgesic, tranquilizer or antispasmodic medications as needed.
2. What is the purpose of providing information about labor process?
   • To reduce anxiety and fear.
3. How to promote complete labor, delivery and postpartum period?
   • Promote complete labor, delivery and postpartum period.
4. What are the common nursing diagnosis for this care plan?
   • Pain related to uterine contractions, high risk of fatigue related to prolonged labor, anxiety related to labor process and fear of unknown outcome.
5. What are the expected outcomes of this care plan?
   • The patient will demonstrate reduced intensity of pain.
   • The patient will remain comfortable.
   • The patient will describe feelings of relief, control and safety.
   • The family member/supportive person will demonstrate understanding of labor process.