A.

NARRATIVE EVALUATION OF ACTUAL NURSING PROBLEMS

1. Impaired physical mobility related to pain secondary to episiotomy.
 The patient report pain due to episiotomy conducted. Verbalize understanding
of situation and individual treatment regimen and safety measures. The nurse
must demonstrate passive or active ROM exercises to all extremities to
enhance increased venous return, maintains muscle strength and stamina.
2. Readiness for enhanced breastfeeding
 The patient expresses desire to provide breast milk for child’s nutritional
needs. The nurse must demonstrate effective techniques for breastfeeding and
its benefits so that the patient will be able to understand and verbalized it.

B. DISCHARGE PLANNING INSTRUCTIONS:

Medication
After discharge on hospital, the patient must continue home medication as prescribed by
doctor
Exercise
Walk at least 30 minutes a day for relaxation of muscle in uterus and continue exercise to
strengthen bones and muscles.
Treatment
Low fat diets, increase intake of food rich in protein, calcium and vitamins especially
with nutrients for breast milk
Health Teachings
Follow prescribed medications, proper exercise, and proper diet for healthy body and
active breastfeeding for the baby.
Out Patient Department
Instruct the patient to return another one week for follow up checkup and consultation
Diet
The patient must eat a variety of foods, drink plenty of liquids, eat foods that have protein
such as milk, cheese, yogurt, meat, fish and beans. Eat fruits and vegetables, Lose weight
safely and take prenatal vitamins for healthy body