ASSESSMENT DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION

INTERVENTION
SUBJECTIVE:
“Paano ba ito wala pang
gatas na lumalabas sa dede
ko, at unang anak ko pa lang
ito.”
Ineffective breastfeeding STO: Dx: STO:
r/t inability to latch on >Within 8 hours of >Monitored for presence Certain conditions (e.g. certain After 8 hours of nursing interventions,
secondary to knowledge nursing interventions, or absence of related maternal drugs, maternal HIV-positive goal met:
deficit the patient will be able factors or conditions that status, infant galactosemia) may >Mother was able to verbalize able to
to: would preclude preclude breastfeeding in which case demonstrate proper feeding pattern as
breastfeeding. the infant needs to be started on a evidenced by unrestrictive, good sucking
>Verbalize or safe alternative method of feeding. reflex.
demonstrate
understanding of the >Determined feeding The changes may disrupt the feeding >Mother was able to verbalize physical
proper breastfeeding. pattern. synchrony in the infant's development. and psychological comfort in
breastfeeding practice and techniques.
>Express physical and Tx:
psychological comfort >Assisted the mother in Correct positioning and getting the
in breastfeeding proper positioning of the infant to latch on is critical for getting
practice and baby. breastfeeding off to a good start and
techniques. contributes to breastfeeding success.

>Assisted and informed Promotes timely feeding experience

LTO:
LTO: the mother about the for infant and mother.
After 8 hours of nursing interventions,
>Within 3 days of early infant feeding (e.g
goal met:
nursing interventions, rooting, lip smacking and
the patient will be able sucking fingers/hands) >Was able to display decreased anxiety
to: and aprehension.
Edx:
>Show decreased > Conduct health Help the client understand the proper >Was able to find a resource for
axiety and teaching about proper facilitation of care of the infant and to breastfeeding support. Infant was able to
apprehension. breastfeeding, breast provide satisfying feeding time for both manifests signs of adequate intake at the
care and care for the mother and baby. breast
>State at least one infant.
resource for
breastfeeding support
> Alternate the Every 15minutes for the first 24 hours;
breastfeeding from either but eventually, the best thing to do is
breast. to never break the good latch on; the
neonate doesn’t start to receive
fatand-protein rich hind milk after 15
minutes.