CUES/NEEDS NURSING GOALS AND INTERVETIONS RATIONALE EVALUATION

DIAGNOSIS OBJECTIVES
Subjective Data: Ineffective After 1 week of Independent: After 1 week of nursing
“Hindi ako marunong magpadede breastfeedin nursing interventions • Inform mother about • Early recognition intervention, the client
dahil first time ko pa lang” as g related to the patient will be early infant feeding cues of infant hunger partially achieved the
verbalized by the patient. inability to able to: versus late cues of promotes goal and was able to:
latch on 1. Have knowledge crying. timely/more A. “Pinapadede ko
Objective Data: secondary to about the proper rewarding feeding po siya kahit
- Nonsustained/insufficient knowledge techniques and experience for hirap siya at
opportunity for suckling at deficit position of infant and mother. para maging
the breast breastfeeding. • Provide emotional • To assist with malusog siya” as
- Infant inability to latch onto 2. support to mother. induced lactation verbalized by
maternal breast correctly Verbalize/demonstrat techniques. the paitent.
e understanding of the • Identify maternal • Infant’s father and
proper breastfeeding. supports systems; maternal
presence and response grandmother are
of SO(s), extended important factors
family, friends. that contribute to
successful
Dependent: breastfeeding.
• Note incorrect • Who are more
myths/misunderstandin likely to have
g especially teenage limited knowledge
mothers. and more concerns
about body image
Collaborative: issues.
• Schedule follow-up • For evaluation of
visit with the healthcare milk
provider 72 hours after intake/breastfeedin
hospital discharge and 2 g process.
weeks after birth.
 CUES/NEEDS NURSING DIAGNOSIS GOALS AND INTERVENTIONS RATIONALE EVALUATION
OBJECTIVES
Subjective Data: Impaired physical After
“Hindi ako makalagaw mobility related to
ng maayos dahil pain/discomfort.
masakit ang tahi ko” as
verbalized by the
patient.

Objective data:
- Limited range
of motion
- Limited ability
to perform
gross/fine
motor skills
- Difficulty
turning
- Slowed
movement
- Grimacing of
face