TEACHING CARE PLAN

Name of Client: Marien Vasquez Age: 27 y/o Sex: F Status: Single Ward: EUP Lying-in Clinic

Physician: Dr. Belinda D. Nadela Date Admitted: Aug. 1, 2019 Chief Complaint: “sakit kaayo akong nipples

pagmata nako”

ASSESSMENT DIAGNOSIS NEEDS GOALS OBJECTIVES CONTENT MATERIALS EVALUATION

Subjective: Acute pain C The client will After nursing -Pain scale -Time and

“sakit kaayo related to O be able to interventions, done. effort

akong nipples postpartum G release breast the patient will -Encourage -Human

pagmata nako” delivery N milk through verbalize a the mother to resources

as verbalized I constant decrease of monitor her -Actual

by the patient. Rationale: T breastfeeding. the pain scale body. sample or GOAL MET

An I from 10/10 to temperature. digital photo

Objectives: unpleasant V 9/10. -Teach the of purified

-Vital Signs: sensory and E mother how to lanolin

T – 35.9 emotional - properly

PR – 83 experience
RR – 18 associated P breastfeed

BP – 110/90 with actual or E the baby.

-Pain Scale: potential R -Explain to

10/10 tissue C the mother

-OLDCARTS damage, or E about the

O- pain was described in P mask of

felt as she terms of such T pregnancy.

woke up damage U -Advise the

L- located at (International A mother to

the right and Association L wash her

left nipples for the Study hands before

D- pain is of Pain); nursing or

experienced sudden or treating

for almost 30 slow onset of her sore

minutes any intensity nipples.

from mild to
C- pain felt like severe with P -Teach the

a burning an A mother to

sensation anticipated or T massage her

A- there is pain predictable T breasts for at

when the baby end. E least 2

sucks the R minutes

nipples Source: N before

R- pain is Doenges, M., breastfeeding.

relieved when Moorhouse, -Educate the

being pressed M., & Murr, mother to

or rubbed A. (2016). start nursing

T- pain is Nurse’s on the least

constant for 30 Pocket sore side first.

minutes after Guide: -Advise the

she slept Diagnoses, mother to

Prioritized change to
S- pain felt is Interventions, different

severe and comfortable

-uneasiness Rationales positions

-small red (14th ed.). when

bumps on both Philadelphia: breastfeeding.

nipples F.A. Davis -Advise the

-small red Company. mother to

spots on the apply a small

areola amount of

-engorged purified

breast lanolin to the

-BF q 2h nipples after

-improper breastfeeding

latching of the to maintain

baby the moisture

of the skin.