NURSING CARE PLAN

Nursing Diagnosis: ineffective Breastfeeding secondary to Knowledge Deficit

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Subjective cues: Short term objective: Assess patients level To determine Short term:
sakit na lang akong of understanding deficiency of
totoy wala gihapoy Within 8 hours of knowledge r/t patients Outcome met. Patient
gatas ni gawas as rendering care, patient will condition verbalized and
verbalized by patient. verbalize and demonstrate Develop therapeutic Promotes trust demonstrated
understanding of correct nurse-client understanding of correct
Objective cues: breastfeeding techniques relationship breastfeeding techniques
Patient bottle fed the Provide support To reinforce
newborn with water. systems negotiated behaviour
V/S Instruct patient to Soap will contribute to
T-36.2 clean breast with drying and cracking on
HR-68bpm water and cotton, breast and nipple
RR-24cpm dont use soap
BP-140/90mmhg Demonstrate the To be able to
proper way of breastfeed properly
breastfeeding and and for the safety of
holding of the the newborn
newborn
Encourage/allow her To decrease anxiety
to express concerns,
fears regarding
breastfeeding or other
issues.
Encourage adequate To implement proper
fluid intake. diet for the benefit of
patients condition
 NURSING CARE PLAN

Nursing Diagnosis: Acute Pain related to progress of labor

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Subjective cues: Short term objective: Develop therapeutic Promotes trust Short term:
usahay na mugahi ug nurse-client
sakit kayo as Within 8 hours of relationship Outcome met. Patient
verbalized by patient. rendering care, patient will Assess patients To determine reported relieve of pain.
be able to report relieve of attitude towards pain deficiency of Pain score from 6 to 4.
Objective cues: pain knowledge r/t patients
Facial grimace condition
Pain score of 6 Monitor vital signs Vital signs altered
V/S during acute pain
T-36.2 Provide therapeutic To aid alleviation of
HR-78bpm environment pain
RR-24cpm Encourage To assist in evaluation
BP-120/70mmhg verbalization of
feelings
Encourage to do To alleviate pain
divisional activities
and deep breathing
exercise