Need Help with a Maternal Care Plan

bjones4 · Mar 1, 2008

I had a diagnosis of Knowledge deficit: breastfeeding and the process of lactation RT client being a first time mother AEB client stating she does not know the process of lactation or how to breastfeed...I think that's similar, or at least you could kinda go off some of my interventions. Anyway, here are the interventions:

1. Teach breastfeeding preparation

A. Infant's readiness to feed: awake, sucking on hands, smacking lips, and slight fussiness

B. Teach mother to apply heat to entire breast or to take a hot shower prior to feeding.

C. Provide pillows or blankets to use as support.

2. Teach mother breastfeeding techniques

A. Demonstrate to mother how to hold infant

B. Teach mother correct latch on techniques.

3. Teach mother helpful tips for after breastfeeding

A. Teach the mother to start breastfeeding 10-15 minutes on each breast 8-12 times a day.

B. Teach mother to place cold packs on immediately following feedings.

Hope this helps and hope it's not too late. I have a whole lot of maternal/newborn care plans, so let me know if you need help! Good luck!!

Daytonite, BSN, RN · Mar 1, 2008

i'm sorry, but i don't understand what it is that you are asking. any nursing diagnosis that you choose should be based upon the symptoms your patient is having. you should also be using some sort of nursing diagnosis reference the has the nanda taxonomy so you are classifying the diagnosis correctly.

since risk for ineffective breastfeeding is not a nanda approved diagnosis you will have to be careful how you are going to use this. the definition of ineffective breastfeeding is dissatisfaction or difficulty a mother, infant or child experiences with the breastfeeding process [page 24, nanda-i nursing diagnoses: definitions & classification 2007-2008]. so, i don't have to type out the symptoms (defining characteristics) of this diagnosis, you can read the list of them on this webpage: [color=#3366ff]ineffective breastfeeding. so, in essence, to use risk for ineffective breastfeeding you are anticipating or trying to prevent any of those symptoms listed under ineffective breastfeeding from occurring. your nursing interventions will be to monitor for some of those specific symptoms (you know this patient best and what you expect she might do) and/or head them off at the pass. your outcomes/goals will be the anticipated results of your nursing interventions for this diagnosis.

hope that helps and gives you some direction. remember, it's all about the potential symptoms.

Notime123 · Mar 3, 2008

Thank you both for your responce. Bjones4- I used those interventions already in the care plan, but good to know I am heading in the right direction!

Daytonite: For our school we do LD careplans Prior to pt care. So that if a pt begins to exhibit any of the s/s we have a careplan made up to treat the pt. with. So we need to explore all possible assess, do, teaches. But because it is not an official NANDA diagnosis, I was having difficulty finding any textbook information on it (like you stated). Thank you for the website link- it was very helpful!