Domain 12. Comfort
Class 1. Physical comfort
Diagnostic Code: 00256
Nanda label: Labor paind
Diagnostic focus: Labor pain
Introduction to Nursing Diagnosis Labor Pain
Nursing diagnosis labor pain is a type of health care diagnosis developed by nurses through the use of evidence-based practice. This diagnosis helps nurses improve patient care and manage labor pain more effectively. It can involve both physical and psychological services, as well as relaxation and comfort measures to manage distress associated with labor pain. NANDA (North American Nursing Diagnosis Association) developed the nursing diagnosis labor pain to provide an evidence-based resource to support the delivery of high-quality care in tandem with the International Classification of Diseases.
NANDA Nursing Diagnosis Definition
The NANDA nursing diagnosis for labor pain is defined as “discomfort associated with labor and childbirth that can range from mild to severe.” It is further subdivided into two types of pain: intrapartum labor pain, which occurs during labor and delivery, and postpartum labor pain, which occurs after childbirth.
Defining Characteristics (subjectives and objectives)
The defining characteristics of nursing diagnosis labor pain include subjective and objective symptoms. Subjective symptoms include emotional expressions of distress or discomfort such as moaning, groaning, crying, and sighing. Fatigue, irritability, and restlessness are also commonly observed subjective symptoms.
Objective symptoms of labor pain include muscular tension, elevated heart rate, increased respiration rate, diaphoresis (sweating), contractions, cervix dilatation, and bleeding.
Related Factors
The factors related to nursing diagnosis labor pain include stress, anxiety, cultural beliefs, and social context. Stress and anxiety can increase the intensity of labor pain and its physical manifestations. Cultural beliefs and values may also affect the management of labor pain, as different cultures often assign different levels of importance to pain control during childbirth. Finally, the social context within which labor takes place can play a role in influencing overall labor pain experience.
At Risk Populations
Certain populations are more likely to experience increased levels of labor pain. These include women with a previous history of intense labor pain, those with psychiatric illnesses or medical conditions such as diabetes, and those who are multiparous (having given birth multiple times). Women who have had a previous Cesarean section are also at risk of experiencing higher levels of labor pain.
Associated Conditions
In addition to labor pain itself, certain associated conditions can also occur during labor. These can include nausea, vomiting, excessive uterine activity, pelvic floor muscle weakness, and depression. It is important for clinicians to be aware of any potential associated conditions in order to provide comprehensive and effective care for labor pain.
Suggestions of Use
Nursing diagnosis labor pain can be used to guide clinical care by enhancing a patient’s understanding of her labor pain experience and providing evidence-based interventions to reduce associated distress or discomfort. This diagnosis can also be used to identify and monitor patient risks and outcomes, as well as to create individualized plans of care to address any specific labor pain needs.
Suggested Alternative NANDA Nursing Diagnos
Other diagnoses utilized to evaluate labor pain include Acute Pain, Anxiety, Post-Traumatic Stress Disorder, Sleep Deprivation, Fatigue, Fear, and Dyspnea.
Usage Tips
When using NANDA nursing diagnosis labor pain as a guide for care, it is important for clinicians to be aware of any patient risk factors as well as any potential barriers to obtaining successful outcomes. Furthermore, clinicians should be aware of the unique needs of each patient, as well as the need for frequent monitoring and evaluation.
NOC Outcomes
The nurse-sensitive outcomes that can result from using NANDA nursing diagnosis labor pain include Comfort, Coping, Pain Management, Psychosocial Adjustment, Self-Care Management, Activity Tolerance, and Spiritual Well-Being. Each of these outcomes should be assessed, evaluated, and monitored to ensure successful outcomes.
Evaluation Objectives and Criteria
The evaluation objectives and criteria in the nursing diagnosis labor pain are designed to measure the patient’s ability to cope with labor pain and assess the effectiveness of interventions to reduce it. The criteria include severity, location, intensity and duration of the pain, as well as patient responses, coping strategies, and spiritual or emotional wellbeing.
NIC Interventions
The NIC (Nursing Interventions Classification) interventions used to address nursing diagnosis labor pain include Education, Self-Care Assistance, Management, Assessment, Planning, Monitoring, Coordination, and Evaluation. These interventions typically involve providing education about labor pain and involving the patient in decision-making about pain relief, using techniques to reduce labor pain, and offering psychological and spiritual support.
Nursing Activities
Nursing activities for labor pain management can include assessing the patient’s needs and comfort level; implementing patient teaching and education about options for pain relief; providing physical comfort measures, such as relaxation exercises and pelvic rocking; monitoring the patient’s response to interventions; creating safe and supportive environment; and evaluating the effectiveness of interventions.
Conclusion
Nursing diagnosis labor pain can help guide effective and evidence-based care of pregnant and laboring women. By utilizing the NANDA nursing diagnosis definition as well as evidence-based interventions, nurses can help improve the quality of care provided to patients and enhance overall patient outcomes.
5 FAQs
1. What is nursing diagnosis labor pain?
Nursing diagnosis labor pain is a type of health care diagnosis developed by nurses through the use of evidence-based practice. This diagnosis helps nurses improve patient care and manage labor pain more effectively.
2. What are the defining characteristics of nursing diagnosis labor pain?
The defining characteristics of nursing diagnosis labor pain include subjective and objective symptoms. Subjective symptoms include emotional expressions of distress or discomfort such as moaning, groaning, crying, and sighing. Objectives symptoms include muscular tension, elevated heart rate, increased respiration rate, diaphoresis (sweating), contractions, cervix dilatation, and bleeding.
3. What are the related factors of nursing diagnosis labor pain?
The factors related to nursing diagnosis labor pain include stress, anxiety, cultural beliefs, and social context. Stress and anxiety can increase the intensity of labor pain and its physical manifestations. Cultural beliefs and values may also affect the management of labor pain, as different cultures often assign different levels of importance to pain control during childbirth.
4. What are the at-risk populations for increased labor pain?
Certain populations are more likely to experience increased levels of labor pain. These include women with a previous history of intense labor pain, those with psychiatric illnesses or medical conditions such as diabetes, and those who are multiparous (having given birth multiple times). Women who have had a previous Cesarean section are also at risk of experiencing higher levels of labor pain.
5. What NIC interventions are used to address nursing diagnosis labor pain?
The NIC (Nursing Interventions Classification) interventions used to address nursing diagnosis labor pain include Education, Self-Care Assistance, Management, Assessment, Planning, Monitoring, Coordination, and Evaluation. These interventions typically involve providing education about labor pain and involving the patient in decision-making about pain relief, using techniques to reduce labor pain, and offering psychological and spiritual support.
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