Patient education for postpartum patients

[aprilbalagosa]

Hi!

I need suggestions on what discharge health teaching is applicable for the below situation:

Case Study:

D.R is a 24 y.o primigravida who delivered a baby girl 24 hours ago, after 20 hours of labour. The baby was born at 40 weeks gestation and weighed 8 pounds, 14 ounces. D.R's Vital signs have been stable for the past 12 hours. She is Rh negative and has not received RhoGam. D.R is breastfeeding. Her milk has not come in yet. Her breasts are soft. She is complaining that her nipples are a bit sore. Her fundus is 2 fingerbreadths below the umbilicus. Her perineum is intact. She has no difficulty in voiding. She has a small amount of lochia rubra in her pad.

Baby R had Apgar score of 8 and 10 at birth. Her stools are transitional. Her vital signs are WNL. At 24 hrs her skin is pink with no signs of jaundice. She is being fed "on demand" by her mother. She is often sleepy when eating. Baby R's cord is still attached.

D spends a lot of time holding and looking at her baby and talking to her. Baby R is rooming in. She asks a lot of questions and wants to do as much for the baby as she can. She observed a bath demo that morning. She is becoming more comfortable with breastfeeding but is still apprehensive.

D's husband has been visiting frequently. He is becoming more comfortable picking up the baby and holding her. He is very encouraging and supportive of his wife.

D and her husband just moved to the city a few months ago. They are of Italian descent and both their families live in another province. D is planning on a year's maternity leave from her job as a computer analyst. Her husband is a pharmacist.

Teaching Plan for: D.R

Assessment:

Learning Needs:

Learning Outcome:

Implementation:

Evaluation:

[labordude, BSN, RN]

LMGTFY

[hppygr8ful, ASN, RN, EMT-I]

As this appears to be homework why don't you tell us what teaching you think is appropriate and we can comment on it?

Hppy

[meanmaryjean, DNP, RN]

You have to do more than copy and paste the homework assignment.

Is your instructor aware of this approach to homework? Just curious

[hppygr8ful, ASN, RN, EMT-I]

I also would caution anyone from using their actual name as their user name on this or any forum. This forum is the largest, most read form for nurses and nursing students I know of and you never know whose reading. Your instructor may well read your post and that could lead to action against you especially if you chose to cut and paste our answers and present the work as your own.

I remind you that we are most happy to help you - but you need to show us your work so we can guide you. This is how you learn to critically think (a key element of nursing). Finding ways to get out of doing the work is no way to start a career in nursing.

Hppy