BUBBLESHE ASSESSMENT

(EMOTION)
By: Reynoso, Lermalyn Leigh
2NUR-7 (RLE 7.1)
Dr. C. Tan - CI
 “I love you from the
ANATOMY bottom of my
hypothalamus!”
 Emotion is seen as a
function of an autonomic
system which pervades the
cerebrum as much as the
rest of the body. An
emotional centre, or organ
of mood, seems to exist in
the hypothalamus, at the
upper end of a reticular
core rising through the
brainstem, which initiates
and co-ordinates vital
impulses. 
THE PROCESS OF MATERNAL
ADAPTATION
 Rubin (1961) identified restorative phases that mothers
go through to replenish the energy lost during labor and
attain comfort in their new role.
THE PUERPERAL PHASES
Letti
ng
Go

Phas
e
Taking-Hold Phase

Taking-In Phase
TAKING-IN PHASE

 Mother is focused primarily on her own needs.

 Majortask of the mother: to integrate her birth

experience into reality.

 Lasted approximately 2 days after delivery.

TAKING-HOLD PHASE
 Mother becomes independent.

 Exhibit concern about managing her own body functions

and assume responsibility of her own care.

 Welcomes information about her own baby.

 May verbalize anxiety about her competence as a

mother.
LETTING GO PHASE

 Time of relinquishment for the mother and

father.

 Redefining roles.

 Gives up fantasize image of child and accepts

the real infant.
MATERNAL-INFANT BONDING
 Emotional connection
between mother and child

 Positive Attachment:
touching, kissing, holding,
cuddling, talking, etc.,

 Negative Attachment:
refusing to look at the infant,
refusing to touch or hold the
infant, etc.,
POSTPARTUM BLUES

 “baby blues”, normal part of postpartum experience, but

lasts only a few days.

 Manifested by tearfulness, irritability, insomnia

 Due hormonal fluctuations

SIGNS & SYMPTOMS

 Mood swings
 Anxiety

 Sadness

 Irritability

 Crying

 Decreased concentration

 Trouble sleeping
NURSING CARE PLAN
 Nurses should prepare women for the occurrence of
mild depressed or negative thoughts.

 Mother should be encouraged to rest, take time for

herself, and discuss her feelings.

 Reassurance should be given that such feelings are

normal and generally last less than 2 weeks.

 Nurses should teach the mother & family to call the

health care provider if depression becomes severe,
lasts longer than 2 weeks, or if she is unable to cope
with daily life.
POSTPARTUM DEPRESSION

 A serious & debilitating depression,

occurring within first 9 months after
delivery, often within the initial weeks or
months.
SIGNS & SYMPTOMS
 Loss of appetite
 Insomnia

 Intense irritability and anger

 Overwhelming fatigue

 Loss of interest in sex

 Lack of joy in life

 Feelings of shame, guilt or inadequacy

 Severe mood swings

 Difficulty bonding with the baby

 Withdrawal from family and friends

 Thoughts of harming self or the baby

NURSING CARE PLAN

 Responds best to a combination

of psychotherapy, social support,
and medication.

 Assist the woman to cope with

changes in her life.

 Partner and immediate family

must be included in counseling
sessions so they can develop an
understanding of what the
woman feels and needs.
POSTPARTUM PSYCHOSIS
 a rare condition that typically develops within
the first two weeks after delivery — the signs
and symptoms are even more severe. 

 A mental state in which a person’s ability to

recognize reality, communicate and relate to
others is impaired.
SIGNS & SYMPTOMS
 Confusion and disorientation

 Hallucinations and delusions

 Paranoia

 Attempts to harm self or the baby

NURSING CARE PLAN

 Assessment and management

of postpartum psychosis are
beyond the scope of maternity
nurses and mothers who
experience this condition
must be referred to a
specialist for comprehensive
therapy.