What is included in postpartum care? Pt 24yo female 1 day postpartum. Baby is in NICU due to other complications but only the mother was my pt. I need five diagnoses total and I only have four. If there is any input on the four I have already that would be appreciated also. Due in 24hrs. #Postpartum Care Plan #Postpartum #Care Plans Ineffective Breastfeeding R/T situational crisis AEB pt verbalization of not being able to breastfeed while her baby is in the NICU. NOC: Pt will use breast pump effectively by the end of shift. NIC: Educate pt on the use of the pump. This will ensure correct use. Assist pt with use until the pt feels confident to use independently. Assisting the pt will ensure confidence when performing independently. Observe pt use breast pump independently. Observing will confirm correct use. Evaluation: Goal met; Pt demonstrated the correct use of the breast pump independently as 1130. Cont. POC Acute Pain R/T episiotomy AEB pt states... Quote "It hurts when I sit or walk. I would rate my pain at a 6 or 7. I really need something to make the pain better." NOC: Within 4 hours of interventions pt will experience a decrease in pain level by reporting a pain score of 2 or less. NIC: Administer analgesic medication as ordered as needed to promote comfort. Explain discomforts and reassure the pt that they are time-limited to assist in coping with pain, Administer stool softener to prevent straining with first bowel movement Evaluation: Goal met; Pt stated pain level at a 2 one hour after interventions. Cont POC Impaired Tissue Integrity R/T episiotomy AEB 3rd degree laceration in the perineal area NOC: The pt will remain free of infection throughout shift, without any signs and symptoms of infections, and exhibit evidence of progressive healing as demonstrated by clean, dry, absent edema, and intact episiotomy site. NIC: Monitor episiotomy sire for redness, edema, warmth or discharge to identify infection Instruct pt on use of sitz bath to promote healing, hygiene, and comfort. Encourage frequent perineal care and peripad changes to prevent infection Instruct pt on positioning to relieve pressure on perineal area Evaluation: Goal met; Pt showed signs of progressive healing as demonstrated by clean, dry, absent edema and intact episiotomy site. Risk For Ineffective Coping R/T mood alteration and pain NOC: The pt will cope with mood lacerations, by verbalization of positive statements about newborn and participation in newborn care NIC: Provide a supportive, nurturing environment and encourage the mother to vent her feelings and frustrations to relieve anxiety Encourage pt to travel up to the NICU to spend time with the newborn Offer praise and reinforcement of positive mother-infant interactions to enhance self-confidence in care Evaluation: Goal met Quote "Even though it hurts to walk I feel that it is worth it to go and see the baby." Cont POC 2 Likes About Allie0188 (New) 1 Article 4 Posts Share this post Link to post Share on other sites
uRNmyway, ASN, RN Specializes in Med-Surg. Feb 22, 2014 That all looks good to me. I might add some more interventions, I know my teachers wanted a lot more than what you listed. Do you have to write one more physical or psychosocial? Which way are you leaning? What do you see as a problem or potential issue? If you can give something to work with, it's easier to help you phrase it. 1 Likes
Allie0188 Feb 22, 2014 She needed to ambulate. But the only thing keeping her from that was pain. I was not sure if impaired physical mobility was appropriate. Also we only have to have three interventions minimum. 1 Likes
sadiemae1123 Has 16 years experience. Feb 22, 2014 With a 3rd degree tear she's at risk for constipation, you might add that. There's also risk for impaired parenting if the baby is in the NICU. 1 Likes
uRNmyway, ASN, RN Specializes in Med-Surg. Feb 22, 2014 I think you came close to this, but along with your skin integrity issues, you have risk for infection. That might be another way to go. I agree with the role problems (parenting). That's where my mind went right away. 1 Likes
Allie0188 Feb 22, 2014 What Would your interventions be for impaired parenting with the baby in the NICU 1 Likes
uRNmyway, ASN, RN Specializes in Med-Surg. Feb 22, 2014 Well, would kind of depend on whether the NICU is in the same hospital. Again, anything to offer? I'm glad to help, but don't want to do your homework for you! 1 Likes
Esme12, ASN, BSN, RN Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 41 years experience. Feb 22, 2014 Think....you just had a baby but it has to be in the ICU for babies....how will that affect how you care and bond with your baby? How does it change what you can do for your baby? What is "wrong" with the newborn that may impact the ongoing care of this infant when they get home?How can you as the nurse help the Mom? 1 Likes
Allie0188 Feb 22, 2014 Risk for impaired parenting r/t baby in the NICU AEB pt states " I just don't feel like a mom yet."NOC: pt will verbalize one positive statement about parenting by end of shift.NIC: 1) Explain to pt that babies time in the NICU is limited to encourage pts outlook2) Encourage pt to go and see baby as much as physically able to establish bonding3) ................... 1 Likes
RunBabyRN Specializes in L&D, infusion, urology. Has 2 years experience. Feb 22, 2014 How is she COPING with the baby in the NICU? It's not just that it interrupts the parenting process. How is she handling it emotionally, especially if she can't breastfeed? 1 Likes
Esme12, ASN, BSN, RN Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 41 years experience. Feb 23, 2014 Allie0188 said:Risk for impaired parenting r/t baby in the NICU AEB pt states " I just don't feel like a mom yet."NOC: pt will verbalize one positive statement about parenting by end of shift.NIC: 1) Explain to pt that babies time in the NICU is limited to encourage pts outlook2) Encourage pt to go and see baby as much as physically able to establish bonding3) ...................IMPAIRED PARENTINGRelated to: (Specify: unmet social and emotional maturation needs of parental figures, ineffective role modeling, lack of knowledge, situational crisis or incident.)Defining Characteristics: (Specify: lack of parental attachment behaviors, verbalization of resentment toward child and of role inadequacy, inattention to needs of child, noncompliance with health practices and medical care, inappropriate discipline practices, frequent accidents and illness of child, growth and development lag in child, history of child abuse or abandonment, multiple caretakers without regard for needs of child, evidenceof physical and psychological trauma, actual abandonment of child.)Goal: Parents will exhibit improved parenting skills by (date/time to evaluate).Outcome CriteriaDemonstration of appropriate parenting behaviors.Maintenance of safe environment for child.Establishment of positive relationship with child and realistic expectations for self and child.Acceptance of support for achievement of desirable parenting skills.How best would you help Mom what does NANDA say? 1 Likes
NicuGal, MSN, RN Specializes in NICU, PICU, PACU. Has 30 years experience. Feb 25, 2014 I would not put that the baby's time in NICU is limited, you don't know that. Impaired coping mechanism is a big one. Depending on the baby's problem, there can be a problem with bonding. Also, is she breastfeeding? That helps some moms cope as supplying MBM may be the only thing they feel they can do for their baby at that time. 1 Likes
Joe V Specializes in Programming / Strategist / Web Development. Has 25 years experience. May 22, 2018 Thanks for sharing! For all those that find this helpful ... Please consider sharing your complete care plan examples.Ask for feedback/review or just share so that others may learn from them. 0 Likes
