hi i need some help , i am trying to do a care plan for a patient, she is at 37 weeks and she had spontaneous rupture of membrane , she also has endometrosis , leep and she is positive for hbv . with her first child she had an episitomy . i came up with two nursing diagnosis
1. risk for infection related to spontaneous rupture of membrane as evidenced by vaginal examinations.
i am told to give contributing factors and clinical manifestations
i identified wbc elevated
spontaneous rupture of membrane
chronic pain related to inflammation and adhesion of endometrial tissue as evidenced by patient reporting pain as 7 on a scale of one to ten and requesting epidural
patient has endometriosi
i am trying to come up with short term and long term goals. i identify a long term goal for the second diagnosis as
upon discharge, the patient will lean to manage her pain effectively with the use of pharmacological and non-pharmacological pain relief strategies. some how i don't think this is right
short term goal
1. patient will verbalize understanding of the disease process, diagnosis. management, treatments and resources for endometrioses
2. the patient will be able to recite at least 2 ways of managing pain by the end of the day.
i am stuck i don't even know where to start for the other one .