Name: Erica P.

Manlunas
Year & Section: BSN 2-A
MASTITIS NCP
CASE SCENARIO:
A new mother is 1 week postpartum and has decided to breast feed her baby. She is visiting as an outpatient with you at the lactation
clinic. She verbalizes to you her baby is having difficulty at times latching on and sometimes does not empty the breast completely. She
states that within the pass day she has started to develop a red, painful area on her right breast and it is making it very difficult for her to
breastfeed and with painscale of 8/10. On assessment you note that the red breast is developing the early sign of Mastitis. Her right
breast has a hard, tender, red spot on the right outer area. The patient denies having any flu-like symptoms at this point.
Date/ Cues Nursing Goals & Objectives Interventions Rationale Evaluation
Time Diagnosis
04/14/ Subjective: Dx: After 8 hours span of - Assess the - To create 04/14/21
21 Her baby is having Acute pain care the patient will patient’s vital baseline set of 4:00 pm
8:00 am difficulty at times related to be able to: signs. Ask the observations for
latching on and inflammation of patient to rate the the patient. The “GOAL MET”
sometimes does breast tissue as pain from 0 to 10, 10 point pain
not empty the evidence by - Report decrease in and describe the scale is After 8 hours span
breast completely, patient reporting pain. pain she is recognized as of care the
as verbalized by pain in right experiencing. pain rating tool patient was able
the patient. breast. - Verbalize that is both to:
understanding related accurate and
Objective: Scientific Basis: to proper latching. effective. - Report
Hard, Tender, Red Mastitis is decreased in pain.
spot on the right inflammation of -Report increased -Administer -To provide pain With pain scale of
outer area of the the breast tissue. ability of newborn’s analgesics and relief to the 2/10.
patient’s breast. It is mainly latching ability. anti- inflammatory patient.
caused by medications as - Verbalized
plugged ducts or prescribed. understanding
milk stasis from related to proper
breastfeeding. It - Ask the patient to - To assess latching.
is very rare a re- rate her acute effectiveness of
non- pain 30 minutes to treatment. -Report increased
breastfeeding an hour after ability of
woman can administering newborn’s
experience analgesics. latching ability.
mastitis but it -Apply warm -To reduce
does happen. compress on the inflammation,
However, for this effected breast. relieve pain and
nursing care plan Advise patient to provide comfort
we are going to do this every 2-4 to the patient.
concentrate on hours. Breast This can also
the lactating massage while help to empty the
mother who may breastfeeding can milt ducts gently
experience also help. while
Mastitis during breastfeeding.
lactation.
-Observe the -To assess any
mother when latching problems
breast feeding and provide
infant. realistic solutions.

- Help the patient -To involve the

to create a plan for patient in making
proper latching plan to perform
methods in relation breastfeeding
to having mastitis. while battling the
symptoms of
mastitis.

-Provide proper -Incorrect

advice on positions can
breastfeeding, cause cracking of
such as: Empty skin and
breasts by regular inadequate
breastfeeding. emptying of the
Make sure that the breasts. Verifying
infant latches positions can
correctly when help infant to
breastfeeding. latch properly and
Verifying can aid the let-
breastfeeding down of milk.
position.