NCP

ASSESSMENT EXPLANATION OF PLANNING INTERVENTION RATIONALE EVALUATION

THE PROBLEM
SUBJECTIVE DATA: The patient SHORT TERM Dx: SHORT TERM
“wala talagang ineffective OBJECTIVE: - Assess the patient - notes progress on OBJECTIVE:
lumalabas na gatas “ production of Within 3 hours of vital signs every e the condition After 3 hours of
breastmilk may be nursing intervention, hours at 10am and nursing intervention,
OBJECTIVE DATA: due to the factors the patient will be 2pm within 7-3 shift the patient was able
without any physical such as; hydration able to verbalize to verbalize
abnormalities, consumption, minimal breastmilk improvement on
pinkish in color posture and breast production breastfeeding
stimulation, lack of
INITIAL VITAL SIGNS: knowledge regarding
T: 36.6C appropriate TX: LONG TERM
BP: 120/90 mmHg placement, what LONG TERM - Advise mother to - proper positioning OBJECTIVE:
PR: 85Bpm liquids she should OBJECTIVE: proper positioning during breastfeeding After 2 days of
RR:20bpm drink. All these Within 2 hours of when breastfeeding will help in producing nursing interventions
SPO2: 96% factors contribute to nursing intervention - advise mother to more milk the patient is now
insufficient milk the patient will be increase fluid intake - increase fluid able to breastfeed
production. able to verbalize -provide social intake will help in without any
NIRSING DIAGNOSIS: breastfeed without support system as producing milk complications
Ineffective any complications breastfeeding - support system
breastfeeding as happens helps on reducing
evidenced by stress and anxiety to
insufficient milk new mothers
production.
EDX:
- teach - skin to skin contact
mother/parents provide attachment
about skin to skin and bond of the
care mother and child
-instruct mother on - breastfeeding
safe breastmilk mothers can retain
handling techniques the high quality of
milk and the health
of their baby