NURSING CARE PLAN: EFFECTIVE BREASTFEEDING

Name of Patient: Nokia SamsungAge: 31years oldChief Complaint: Labor painDiagnosis: Pregnancy Uterine 39-40 weeks AOG, transverse lie G4P3

CUESNURSING

DIAGNOSISANALYSIS/HEALTH

IMPLICATIONGOAL AND

OBJECTIVESNURSING

INTERVENTIONSRATIONALE EVALUATION

INTERACTION:The client verbalized, “Oo naman, alam ko naman ung mga basics ng breastfeeding. Nakakatulong iyon sa akin at sa aking anak.”“Kasi di ba may nagtuturo dito tungkolsa breastfeeding.”

OBSERVATION:Infant is content after feedingsMother able to position infant at breast to promote successful latchon response

Effective breastfeeding related to maternal confidence

IMMEDIATE CAUSE:Maternal confidence

INTERMEDIATE CAUSEBasic breastfeeding knowledge

ROOT CAUSE:Health teaching

HEALTH IMPLICATION:There are two aspects why breastfeeding is important for the mother as well as for the child. One is the nutritional aspect while the other is the psychological aspect. While the nutritional aspect is no doubt very important, that which some think can be substituted, the

GOAL:After 8 hours of shift, the client will be able to demonstrate effective techniques for breastfeeding

OBJECTIVES:The client will be able to:

(1) Verbalize understanding of breastfeeding techniques

(2) Promote effective breastfeeding behaviors

Assess mother’s knowledge and previous experience with breastfeeding

Observe mother’s return demonstration

Establish baseline and direction for teaching/planning(Nurse Pocket Guide by Doenges, Moorhouse, Geissler-Murr, 9th edition, page 51)

May require several instruction session(Nurse Pocket Guide by Doenges, Moorhouse, Geissler-Murr, 9th edition, page 52)

EFFECTIVENESS1. Was the client able to verbalize understanding of breastfeeding techniques?_yes __no why?

2. Was the client able to promote effective breastfeeding behaviors?_yes __no why?

3. Was the client able to promote wellness?_yes __no why?

EFFICIENCYWas the interventions done within the time frame?_yes __no why?

APPROPRIATENESSWere the interventions suitable to the client?_ yes __no why?

CUESNURSING

DIAGNOSISANALYSIS/HEALTH

IMPLICATIONGOAL AND

OBJECTIVESNURSING

INTERVENTIONSRATIONALE EVALUATION

psychological bonding which develops between the child and the mother is unparalleled and does not have any alternative.(www.medindia.net)

(3) Promote wellness

Keep infant with mother

Encourage mother to drink at least 2000 ml of fluid per day

Provide information needed

Provide follow-up

For unrestricted breastfeeding duration and frequency(Nurse Pocket Guide by Doenges, Moorhouse, Geissler-Murr, 9th edition, page 51)

Adequate hydration(Fundamentals of Nursing by Kozier, 7th edition page 1327)

Provide different methods for accessing/reinforcing information and enhances opportunity for learning/ understanding(Nurse Pocket Guide by Doenges, Moorhouse, Geissler-Murr, 9th edition, page 51)

To provide support and assists with problem solving, if needed(Nurse Pocket Guide by Doenges, Moorhouse, Geissler-Murr, 9th edition, page 109)

ACCESSIBILITYWere the interventions acceptable to the client?_yes __no why?

ADEQUACYWere the interventions adequate to meet the client’s needs?_yes __no why?

CUESNURSING

DIAGNOSISANALYSIS/HEALTH

IMPLICATIONGOAL AND

OBJECTIVESNURSING

INTERVENTIONSRATIONALE EVALUATION

Review techniques for expression and storage of breast milk

To help sustain breastfeeding activity(Nurse Pocket Guide by Doenges, Moorhouse, Geissler-Murr, 9th edition, page 109)