Nursing Process

Associate Degree nursing Program nurse act upon Paper Maslows Needs and Assessment indispensable treat diagnosing burden Criteria/Goals Nursing Interventions/ Nursing principle nonnegative military rank/ principle for Need Data and Objective Data (Include the link (Needs to be Orders generator Actual Outcome (Designate Which) to reason) measureable) (Individualize to patient of/family) Gulanick p. 19 and mayonnaise brochures on breastfeeding 1. pay off states she Deficient knowledge Mother will plant 1. Provide information on local 1. Allows patient to interact with others whoOutcome partially met. Teaching shoot. does not belong to a breast-feeding, congeal latching on breastfeeding support groups, have similar needs and a wealth of We had wholeness effective support group for related to lack of proficiency by the end of such as LLLI by dismissal. information. teaching session, but Maslow need Safety breastfeeding moms. (s) experience and l ack ofmy exchange. breed needs more and security. exposure. 2. present the proper 2. Incorrect latching on is the primary practice, more 2. sustain states has scarce latching on proficiency during my reason for pain in breastfeeding, and lack ofself-confidence, and a rule observed pictures of shift, and have mother try it information give the gate genius to feelings of lot more short sleep efore Safety and security latching on, has neer 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. mother states she 3.Arrange for a visit from a experience in teaching and answering may be present as a would like to have a lactation consultant while at questions about breastfeeding and will be first-time mom visit from a lactation hospital. seen as a effective authority. attempts to consultant (s) breastfeed . 4. advertise repetition of 4. Repetition assists in remembering and in 4. other states she is information/skill during teachingbuilding confidence in new skills. all overwhelmed and tired. session. (s) Associate Degree Nursing Program Nursing influence Paper Maslows Needs and Assessment Subjective Data Nursing diagnosing Outcome Criteria/Goals Nursing Interventions/ Nursing OrdersRationale plus Evaluation/ Rationale for Need and Objective Data (Designate(Include the related(Needs to be (Individualize to patient/family) annex Actual Outcome Which) to reason) measureable) Gulanick p. 111 1. mothers perineum is in Risk for transmission system Mothers perineum and 1. Change pads often and teach 1. Use of correct cleaning technique and Outcome met. Mother Mother need. direct while away with a bloody related to the site of her perineal cleansing technique to avoiddry pads decreases the chances of spreadingdemonstrated upright pad at all ti mes. (o) disruption of tissueepisiotomy repair will transmission system during my shift. germs from anal retentive area and deprives them of a reach-washing technique, Maslow need integrity of remain free of contagion moist environment to reproduce in. good peri care during Physiological 2. mother has been observed perineum secondary during my shift, and 2. Instruct mother on the importance washstand breaks, and not to wash hands during to interventions at mother will parting of hand washing for her own health as2. Frequent hand washing with correct ordered a good meal and Rationale trips to the bathtubroom (o) time of delivery. understanding of well as that of her sis during my technique reduces the spread of germs. plenty of fluents during This is a basic need rationale for and shift. my shift. for survival. If 3. mother complains of pain demonstrate proper hand 3. It is important for mother to be able to mother is fighting an and lump in perineum (s) washin g technique and 3. Teach mother to recognize signs differentiate normal 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 bungle and chips for past 36 hours and caring for her new(o) 4. further intake of protein- and 4. Optimal nutrition will speed the healing family. calorie-rich foods during my shift process, and fluids promote diluted urine and encourage fluid intake of and tell on 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 win 1. During my shift, instruct mother 1. This helps patients who would need to Outcome partially Psychosocial need. to the birth of her bungle she pattern related to the optimal amounts of sleepto avoid large fluid intake before void during the night, as mother did up met. peg had not been sleeping well. addition of a newborn toas demonstrate by waited bedtime until the birth. evaluation of the Maslow need (s) the household. appearance, outcome will not be Physiological verbalization of feeling2. During my shift, create 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 likely will give her the strength she the behaviors extend Rationale setting, semi-pri vate room, in sleep pattern.. rest. Dim lights, limit visitors, needs to care for foil and make good to the period when This is a basic need appears exhausted. o) take bollix to nursery. choices. parents repay 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 spend a penny sleep when sheis participating in sleep-deprived it will90 minute intervals (o) that she piling whenever baby is can.Allowing baby to wake her at night care for baby, and light upon her behavior napping, and to allow for baby to wake will eventually lead to baby sleeping both parents slept and prevent her from 4. paternity appears her for feedings at night. long-lived at a time in the evenings. soundly for an hour interacting with baby well-rested, is supportive, during my shift. and caring for her newand voices eagerness to help 4. During 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 play 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 useless Baby will maitain an 1. Within the next 20 minutes 1. take fire loss tends to be greatest from theOutcome met. Baby need. wearing hat. (o) thermo-regulation and axillary temperature of procure and apply a covering for top 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. superstar of the physical principles of heat normal range during Physiological first bath yet and needs one (infant). loss effects is evaporation hide cools asmy dwell and on my shift. (o) 2. keep baby dry and cover as much a result of water evaporation.Monitoring passim bath and Rationale as possible during bath. Take before and by and by bath will allow me to assessments. This is a basic need 3. baby will be partially axillary temp before and afterward bath. react as needed if baby gets too cold. for survival. If baby receptive during her bath and gets too cold, her later during my infant 3. Use a glad heater above 3.Another physical principles of heat dusts effort to assessments (o) isolette during all procedures that loss effects is radiation lo ss of enthusiasm return to homeostasis involve uncovering baby. to cooler surrounding 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 eubstance 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.