She works part time at a church and baby-sits occasionally, while attending college classes as a full time student. Clients Readiness and Ability to Learn:Mother is a high school graduate and also attended technical school where she learned to be a surgical technician. She is currently enrolled in more college classes and is hoping to further her education and become a Registered Nurse. Physical status is good, but mother is a little exhausted. Emotional status is that she is very ready for baby and excited about its arrival.
Is ready for pregnancy to be over. Nursing Diagnosis1. Risk for ineffective breastfeeding related to anxiety and inexperience with breast feeding as evidenced by client showing signs of anxiety and stating that she is unsure about herself and her capability to performthe necessary tasks that are needed to be successful in breast feeding. Planning1. Learning ObjectivesA.
Client will learn benefits of breast feeding as compared to bottle feeding. B. Client will learn different positions for breast feeding that may make the process easier for her. C.
Client will learn proper methods for successful breast feeding. D. Client will be more sure of herself and be able to make the decisionof whether or not to breast feed, based on newly learned information. 2.
Outline of Learning Content:1. Assess clients exposure to and knowledge about breast feeding, including any misinformation she may have previously acquired. Allow time for question and answer session about any concerns she may have. 2. Demonstrate to client various breast feeding positions and allow her to practice and try them using a life-like doll.
Assist her, possibly withthe use of pillows, and help her to accomplish the individual positions. Continue with this until she is comfortable in performing all of thepositions, and has found at least one that she thinks will work well for her and is confident in executing. 3. Show client how to initiate her babys rooting reflex. Also show her the proper way for her baby to grasp her nipple and nurse successfully. inform the client of the consequences if this is not done successfully (ex.
breast pain and insufficient amount of milk to the infant). 4. Advise client of feeding schedule for the new baby that is most beneficial for both the child and the mother. 5.
Demonstrate for client the proper way to remove infant from the breast and advise her that this will prevent any pain or trauma to the nipple. 6. Tell client process of beginning feeding on next beast once first one isemptied. Instruct client to begin the next feeding on the breast that is opposite of the one she used to finish the last feeding. (This one should now be full and noticeably firmer than the other breast. )7.
Provide instructions about proper nipple care (no soap, lanolin to prevent drying and cracking). 8. Instruct client importance of wearing a well fitting bra at all times as this may prevent a lot of pain and discomfort, and therefore probableunsuccessful breast feeding. Teaching Methods:1. Lecture2. Hands on learning using the doll3.
Instructive and illustrated pamphlets about the importance of and processof breast feeding. Method of Evaluation to be Used:1. Return demonstration from client demonstrating various positions and techniques. 2. Client will be able to verbally express the importance and benefits of breast feeding.
3. Client will be able to make a knowledgeable decision of whether or not tobreast feed. Implementing1. Teaching will occur in the privacy of the clients own home, as she has notyet went into labor. This is where the client states that she is most comfortable. 2.
This teaching will take approximately one to one and a half hours to complete. Only one teaching session will be necessary. 3. The clients sister will be present to assist the client and provide support. The sister previously breast fed her children and