NURSING CARE PLAN

Name of Patient: _________________________________ Patient’s Health Profile: ________________________________________________________________Age: _______ Sex: _________ ____________________________________________________________________________________Occupation: _____________________________________ Initial Complaint:______________________________________________________________________Date of Admission: ________________________________ Diagnosis: ___________________________________________________________________________Status: _____________ Religion: _____________________

Needs/Nsg Dx/ Cues Scientific Analysis Objectives Nursing Interventions Rationale Evaluation

I. Physiologic need

II. Ineffective breastfeeding r/t flat nipples

s-“wa pa lagi nakatotoy akong anak. Flat mn gud ang ako nipple wala siyay masupsupan” as verbalized by the patient.

o- nipple is flat. A big syringe, w/o the hub (serves as breast pump), was used to protrude or erect the nipple but still it will collapse. -baby has not been breastfeed.

Ineffective breastfeeding is the state in which a mother, infant, or child experiences or at risk on experiencing dissatisfaction or difficulty with breast feeding process.

flat nipple is a nipple that cannot be compressed outward, does not protrude or become erect when stimulated or cold. That’s why it becomes a problem when breastfeeding because the baby cannot latch-on and obtain milk.

Lynda Juall Carpenito-Moyet, Nuring Diagnosis : application to clinical practice, United States of America, J.B. Lippincott Company, Twelfth Edition, 2007,pages 99-102

http://www.storknet.com/cubbies/pregnancy/glossary.htm

After 6 hours of nurse-client intervention the patient will be able to:

a. The flat nipple will protrude.b. Patient can breastfeed her baby

properly.c. Knows the different latch-on

technique and ways on holding her baby. Determine that the baby needs/ready to be feed.

d. Report confidence in establishing satisfying, effective breastfeeding

1. Teach and help the patient, with her husband, on drawing out her flat nipple with the use of breast pump.

2. Teach mother breastfeeding techniquesA. Demonstrate to mother how to hold infantB. Teach mother correct latch on techniques.C. discuss to the mother and father the baby cues that shows readiness to feed (the baby).

3. Discuss the advantages of breastfeeding for the baby and mother.

Using breast pump can facilitate in erection of the nipple.

Different feeding positions will prepare the client on breastfeeding.

Proper holding of the baby reduces accidents and injuries.

Correct positioning and technique for latching on can prevent nipple soreness and allow the baby to obtain enough milkalertKnowledge on advantages of breastfeeding encourages the patient to breast feed her

baby, to provide him with best nutrition; reducing the risk of cot death, infections, etc.