Nursing Process

Associate Degree Nursing Program Nursing subroutine Paper Maslows urgencys and estimate Subjective Nursing Diagnosis Outcome Criteria/Goals Nursing Interventions/ Nursing Rationale plus Evaluation/ Rationale for consume Data and Objective Data (Include the cerebrate (Needs to be Orders Reference Actual Outcome (Designate Which) to reason) measureable) (Individualize to patient/family) Gulanick p. 19 and Mayo brochures on breastfeeding 1. fetch states she Deficient knowledge Mother depart demonstrate 1. countenance randomness on local 1. Allows patient to interact with others whoOutcome parti completelyy met. Teaching need. does not belong to a breast-feeding, correct latching on breastfeeding support groups, acquire similar needs and a wealth of We had one effective support group for cogitate to lack of technique by the end of such as LLLI by dismissal. information. appriseing session, but Maslow need Safety breastfeeding mommas. (s) experience an d lack ofmy shift. receive needs more and security. exposure. 2. Demonstrate the proper 2. Incorrect latching on is the native practice, more 2. mother states has only latching on technique during my reason for pain in breastfeeding, and lack ofself-confidence, and a Rationale find pictures of shift, and have mother sample it information can lead to feelings of lot more peace efore Safety and security latching on, has never herself. Offer feedback, and helplessness. she tries again. evolve from the done so herself. (s) repeat. absence of worry and 3. A lactation consultant has the most anxiety, both of which3. mother states she 3.Arrange for a visit from a experience in teaching and answering whitethorn be present as a would like to have a lactation consultant while at questions about breastfeeding and will be first-time mom visit from a lactation hospital. seen as a competent authority. attempts to consultant (s) breastfeed. 4. Enc ourage repetition of 4. Repetition assists in remembering and in 4. other states she is information/skill during teachingbuilding confidence in parvenu skills. overwhelmed and tired. session. (s) Associate Degree Nursing Program Nursing puzzle out Paper Maslows Needs and sagaciousness Subjective Data Nursing Diagnosis Outcome Criteria/Goals Nursing Interventions/ Nursing OrdersRationale plus Evaluation/ Rationale for Need and Objective Data (Designate(Include the related(Needs to be (Individualize to patient/family) Reference Actual Outcome Which) to reason) measureable) Gulanick p. 111 1. mothers perineum is in Risk for infection Mothers perineum and 1. Change pads often and teach 1. Use of correct cleaning technique and Outcome met. Mother Mother need. direct contact with a bloody related to the site of her perineal killing technique to avoiddry pads decreases the chances of spreadingdemonstrated good pad at all times. (o) disruption of ti ssueepisiotomy repair will infection during my shift. germs from anal retentive area and deprives them of a elapse- airstream technique, Maslow need integrity of remain free of infection moist environment to reproduce in. good peri care during Physiological 2. mother has been observed perineum secondary during my shift, and 2. Instruct mother on the importance lavatoryroom breaks, and not to wash hands during to interventions at mother will voice of hand washing for her own health as2. Frequent hand washing with correct ordered a good meal and Rationale trips to the bathroom (o) time of delivery. brain of well as that of her bodge during my technique reduces the spread of germs. plenty of fluids during This is a basic need rationale for and shift. my shift. for survival. If 3. mother complains of pain demonstrate proper hand 3. It is important for mother to be able to mother is fighting an and swelling in perineum (s) washing technique and 3. Teach mother to recog nize signs differentiate regulation pain and swelling from infection, it will good peri care. and symptoms of infection during my signs of infection, and to know when to close out her from 4. mother has been on sips shift. contact her physician. interacting with baby and chips for past 36 hours and caring for her new(o) 4. Encourage intake of protein- and 4. Optimal nutrition will speed the healing family. calorie-rich foods during my shift process, and fluids promote diluted urine and hike up fluid intake of and universal emptying of bladder, reducing 2000-3000 mL daily during my shift risk of infection in the perineal area. Associate Degree Nursing Program Nursing Process Paper Maslows Needs and Assessment Subjective Data Nursing Diagnosis Outcome Criteria/Goals Nursing Interventions/ Nursing OrdersRationale plus Evaluation/ Rationale for Need and Objective Data (Designate(Include the related to (Needs to be (Individualize to patient/family) Reference Actual Outcome Which) reason) measureable) Gulanick p. 97 and Mayo brochures on breastfeeding 1. mother states that prior Risk for grisly sleepMother will achieve 1. During my shift, instruct mother 1. This helps patients who would need to Outcome partially Psychosocial need. to the birth of her baby she pattern related to the optimal amounts of sleepto avoid large fluid intake before void during the night, as mother did up met. Complete had not been sleeping well. addition of a new-sprung(a) toas evidenced by rested bedtime until the birth. evaluation of the Maslow need (s) the household. appearance, outcome will not be Physiological verbalization of feeling2. During my shift, create an 2. Allowing mother to rest whenever able to be done as 2. mother is in a hospital rested, and improvement environment conducive to sleep or attainable will give her the strength she the behaviors extend Rationale setting, semi-private room, in sleep pat tern.. rest. Dim lights, limit visitors, needs to care for baby and make good to the head when This is a basic need appears exhausted. o) take baby to nursery. choices. parents return home for survival. If with baby. Father mother is 3. mother is nursing baby at 3. During my shift, suggest to mother3. A new mother needs to get sleep when sheis participating in sleep-deprived it will90 minute intervals (o) that she nap whenever baby is can.Allowing baby to raise up her at night care for baby, and affect her behavior napping, and to allow baby to wake will eventually lead to baby sleeping both parents slept and prevent her from 4. father appears her for feedings at night. longer at a time in the evenings. soundly for an hour interacting with baby well-rested, is supportive, during my shift. and caring for her newand voices eagerness to help 4. During my shift, encourage father 4.Involving father will give him a sense family. with baby cares (o, s) t o take baby for walks or to rock andof responsibility for the baby and for the play with baby to allow mother to care of mother and will promote bonding sleep. with baby and rest for mother. Associate Degree Nursing Program Nursing Process Paper Maslows Needs and Assessment Subjective Data Nursing Diagnosis Outcome Criteria/Goals Nursing Interventions/ Nursing OrdersRationale plus Evaluation/ Rationale for Need and Objective Data (Designate(Include the related to (Needs to be (Individualize to patient/family) Reference Actual Outcome Which) reason) measureable) Gulanick p. 109 and Olds textbook, p. 935 1. baby is swaddled but notRisk for ineffective Baby will maitain an 1. Within the next 20 minutes 1. Heat loss tends to be greatest from theOutcome met. Baby need. wearing hat. (o) thermo-regulation and axillary temperature of procure and apply a covering for top of the head. Babys temperature cold stress related to 36. 4 37. degrees babys head, and e xplain rationale to remained within Maslow need 2. baby has not had her extremes of age Celsius during my shift. parents for doing so. 2. One of the physical principles of heat normal range during Physiological first bath yet and needs one (infant). loss personal effects is evaporation skin cools asmy stay and on my shift. (o) 2. keep baby dry and covered as much a result of water evaporation.monitor throughout bath and Rationale as possible during bath. Take before and after bath will allow me to assessments. This is a basic need 3. baby will be partially axillary temp before and after bath. react as needed if baby gets too cold. for survival. If babyexposed during her bath and gets too cold, her later during my infant 3. Use a radiant heater above 3.Another physical principles of heat bodys effort to assessments (o) isolette during all procedures that loss effects is radiation loss of warmth return to homeostasis involve uncovering baby. to cooler surrounding air. takes precedence over 4. baby is in the isolette everything else. in an open part of the room 4. Encourage mother to hold baby skin4.Mothers body temperature helps (potential for draft). (o) to skin when nursing and to otherwise set babys body temperature. cuddle baby when awake during her Additionally, skin to skin contact stay at the hospital. facilitates bonding as an added benefit.