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NURSING CARE PLAN: EFFECTIVE BREASTFEEDING

Name of Patient: Nokia Samsung


Age: 31years old
Chief Complaint: Labor pain
Diagnosis: Pregnancy Uterine 39-40 weeks AOG, transverse lie G4P3

NURSING ANALYSIS/HEALTH GOAL AND NURSING


CUES RATIONALE EVALUATION
DIAGNOSIS IMPLICATION OBJECTIVES INTERVENTIONS

INTERACTION: Effective IMMEDIATE GOAL: EFFECTIVENESS


The client breastfeeding CAUSE: After 8 hours of 1. Was the client able
verbalized, “Oo related to Maternal confidence shift, the client will to verbalize
naman, alam ko maternal be able to understanding of
naman ung mga confidence INTERMEDIATE demonstrate breastfeeding
basics ng CAUSE effective techniques?
breastfeeding. Basic breastfeeding techniques for _yes __no why?
Nakakatulong iyon knowledge breastfeeding
sa akin at sa aking 2. Was the client able
anak.” ROOT CAUSE: OBJECTIVES: to promote effective
“Kasi di ba may Health teaching The client will be breastfeeding
nagtuturo dito able to: behaviors?
tungkolsa HEALTH _yes __no why?
breastfeeding.” IMPLICATION: (1) Verbalize Assess mother’s Establish baseline
There are two understanding of knowledge and and direction for 3. Was the client able
OBSERVATION: aspects why breastfeeding previous teaching/planning to promote wellness?
Infant is content breastfeeding is techniques experience with (Nurse Pocket Guide _yes __no why?
after feedings important for the breastfeeding by Doenges,
Mother able to mother as well as for Moorhouse, EFFICIENCY
position infant at the child. One is the Geissler-Murr, 9th Was the interventions
breast to promote nutritional aspect edition, page 51) done within the time
successful latchon while the other is the frame?
response psychological (2) Promote Observe mother’s May require several _yes __no why?
aspect. While the effective return instruction session
nutritional aspect is breastfeeding demonstration (Nurse Pocket Guide APPROPRIATENESS
no doubt very behaviors by Doenges, Were the interventions
important, that which Moorhouse, suitable to the client?
some think can be Geissler-Murr, 9th _ yes __no why?
substituted, the edition, page 52)
psychological ACCESSIBILITY
NURSING ANALYSIS/HEALTH GOAL AND NURSING
CUES RATIONALE EVALUATION
DIAGNOSIS IMPLICATION OBJECTIVES INTERVENTIONS
bonding which Keep infant with For unrestricted Were the interventions
develops between mother breastfeeding acceptable to the
the child and the duration and client?
mother is frequency _yes __no why?
unparalleled and (Nurse Pocket Guide
does not have any by Doenges, ADEQUACY
alternative. Moorhouse, Were the interventions
(www.medindia.net) Geissler-Murr, 9th adequate to meet the
edition, page 51) client’s needs?
_yes __no why?
Encourage mother Adequate hydration
to drink at least (Fundamentals of
2000 ml of fluid per Nursing by Kozier,
day 7th edition page
1327)

Provide information Provide different


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

(3) Promote Provide follow-up To provide support


wellness and assists with
problem solving, if
needed
(Nurse Pocket Guide
by Doenges,
Moorhouse,
Geissler-Murr, 9th
edition, page 109)
NURSING ANALYSIS/HEALTH GOAL AND NURSING
CUES RATIONALE EVALUATION
DIAGNOSIS IMPLICATION OBJECTIVES INTERVENTIONS
Review techniques To help sustain
for expression and breastfeeding activity
storage of breast (Nurse Pocket Guide
milk by Doenges,
Moorhouse,
Geissler-Murr, 9th
edition, page 109)