Nursing Process

harmonise Degree nurse political platform care for Process Paper Maslows demand and Assessment infixed Nursing Diagnosis Outcome Criteria/Goals Nursing Interventions/ Nursing principle prescribed Evaluation/ rule for Need info and documental info (Include the connect (Needs to be Orders Reference Actual Outcome (Designate Which) to reason) measureable) (Individualize to enduring/family) Gulanick p. 19 and mayonnaise brochures on breastfeeding 1. induce states she Deficient knowledge niggle im sliceing demonstrate 1. Provide information on local 1. Allows patient to interact with others whoOutcome partially met. Teaching require. does not belong to a breast-feeding, correct latching on breastfeeding support groups, have similar of necessity and a wealth of We had one effective support group for related to wish of technique by the end of such as LLLI by dismissal. information. statement session, but Maslow need forestallative breastfeedi ng moms. (s) experience and lack ofmy lean. bewilder needs more(prenominal) and security. exposure. 2. Demonstrate the proper 2. Incorrect latching on is the primary practice, more 2. puzzle states has only latching on technique during my reason for pain in breastfeeding, and lack ofself-confidence, and a Rationale observed pictures of shift, and have beget judge it information can lead to feelings of lot more relief 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 fear and 3. A lactation consultant has the most anxiety, both of which3. go states she 3.Arrange for a visit from a experience in breeding and answering may be present as a would similar to have a lactation consultant while at questions slightly breastfeeding and will be first-time mom visit from a lactation hospital. seen as a competent authority. attemporary workerts to consultant (s) breastfeed. 4. Encourage repetition of 4. Repetition assists in remembering and in 4. other states she is information/skill during schoolingconstruction confidence in new skills. overwhelmed and tired. session. (s) Associate Degree Nursing programme Nursing Process Paper Maslows Needs and Assessment Subjective Data Nursing Diagnosis Outcome Criteria/Goals Nursing Interventions/ Nursing OrdersRationale add-on 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 overprotects perineum and 1. Change pads often and teach 1. social function of correct cleaning technique and Outcome met. set out breed need. direct contact with a bloody related to the site of her perineal cleansing technique to rescinddry pads decreases the chances of spreadingdemonstrated favourable pad at all times. (o) disruption of tissueepisiotomy repair will infection during my shift. germs from anal area and deprives them of ahand-washing technique, Maslow need integrity of inhabit free of infection moist environment to reproduce in. bully peri interest during physiological 2. mother has been observed perineum secondary during my shift, and 2. Instruct mother on the importance bathroom 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. understanding of well as that of her muff during my technique reduces the spread of germs. plenty of fluids during This is a underlying need rationale for and shift. my shift. for survival. If 3. mother complains of pain demonstrate proper hand 3. It is primal for mother to be able to mother is fig hting an and swelling in perineum (s) washing technique and 3. Teach mother to recognize signs differentiate convening pain and swelling from infection, it will good peri care. and symptoms of infection during my signs of infection, and to know when to prevent her from 4. mother has been on sips shift. contact her physician. interacting with go bad and chips for past 36 hours and feel for for her new(o) 4. Encourage in retort of protein- and 4. Optimal nutrition will bucket along the healing family. calorie-rich foods during my shift process, and fluids agitate diluted urine and upgrade fluid intake of and frequent 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 disturbed 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 go bad she pattern related to the optimal amounts of sleepto avoid large fluid intake before void during the nighttime, as mother did up met. Complete had not been sleeping well. addition of a newborn toas evidenced by rested bedtime until the birth. evaluation of the Maslow need (s) the household. appearance, conclusion will not be Physiological verbalization of feeling2. During my shift, fabricate 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 possibl e will give her the strength she the behaviors extend Rationale setting, semi-private room, in sleep pattern.. rest. Dim lights, limit visitors, needs to care for sister and make good to the period when This is a basic need appears exhausted. o) take frustrate 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 wake 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. breed appears her for feedings at night. longer at a time in the evenings. well for an hour interacting with baby well-rested, is supportive, during my shift. and caring for her newand voices eagerness to help 4. Dur ing my shift, encourage father 4.Involving father will give him a sense family. with baby cares (o, s) to take baby for walks or to rock andof responsibility for the baby and for the trick 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 vitiate 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 appl y a covering for diadem of the head. Babys temperature cold stress related to 36. 4 37. degrees babys head, and explain 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 catch fire normal range during Physiological first bath yet and needs one (infant). loss effectuate is evaporation discase cools asmy stay and on my shift. (o) 2. keep baby dry and covered as much a result of peeing evaporation.Monitoring throughout bath and Rationale as possible during bath. manage 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 in addition 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 syndrome loss of warmth return to homeostasis involve uncovering baby. to cooler adjoin 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 otherwiseregulate babys body temperature. cuddle baby when awake during her Additionally, skin to skin contact stay at the hospital. facilitates bonding as an added benefit.