Bubble He Essay Example
COMPONENTS OF A POSTPARTUM ASSESSMENT
"BUBBLE HE"
BREAST-
-How do they feel? -Observe the size, symmetry, and shape of the breasts. -Examine areola and nipple for potential problems such as flat or retracted nipples, signs of nipple trauma (redness, blisters, or fissures) -Palpate for firmness and tenderness- indicates vascular and lymphatic circulation that may precede milk production. The breasts may feel "lumpy" as various lobes begin to produce milk.
Use this time to educate patients about breast care and breastfeeding techniques.
UTERUS- -Fundus location- how far below the umbilicus, is it midline or shifted laterally? -Cramping- how severe is it? -Is it firm or boggy? -If the patient had a c-section, how does the incision look?
BLADDER- -Has she been able to void? If so, how much? -Is the bladder visible or able to be palpated? Does she have the urge to void? -Are there any signs of a UTI? -Does she need to be catherized?
BOWEL- -Has she passed any flatulence? Has she had a bowel movement since delivery? -Is she constipated? -If she had a bowel movement, did she have difficulty? -Are there bowel sounds? -How's her abdomen? Is it soft, non-tender, or not distended?
LOCHIA- -Color- is it lochia rubra, lochia serosa, or lochia alba? -Amount- is it absent, scant, light, moderate, large or excessive? How long has she been wearing that pad? -Odor- described as fleshy, earthy, or musty. Should not be foul smelling, if it is look for signs of infection. -Is there a constant flow? Is there an excessive amount even with a firm fundus? -Timing since delivery and type of delivery helps to determine the amount that is acceptable. -Are there clots? -Does she know how much lochia is OK? Patient needs to know what to report as abnormal. -Can she demonstrate proper pericare?
EPISIOTOMY- -REEDA- use this acronym to
"BUBBLE HE"
BREAST-
-How do they feel? -Observe the size, symmetry, and shape of the breasts. -Examine areola and nipple for potential problems such as flat or retracted nipples, signs of nipple trauma (redness, blisters, or fissures) -Palpate for firmness and tenderness- indicates vascular and lymphatic circulation that may precede milk production. The breasts may feel "lumpy" as various lobes begin to produce milk.
Use this time to educate patients about breast care and breastfeeding techniques.
UTERUS- -Fundus location- how far below the umbilicus, is it midline or shifted laterally? -Cramping- how severe is it? -Is it firm or boggy? -If the patient had a c-section, how does the incision look?
BLADDER- -Has she been able to void? If so, how much? -Is the bladder visible or able to be palpated? Does she have the urge to void? -Are there any signs of a UTI? -Does she need to be catherized?
BOWEL- -Has she passed any flatulence? Has she had a bowel movement since delivery? -Is she constipated? -If she had a bowel movement, did she have difficulty? -Are there bowel sounds? -How's her abdomen? Is it soft, non-tender, or not distended?
LOCHIA- -Color- is it lochia rubra, lochia serosa, or lochia alba? -Amount- is it absent, scant, light, moderate, large or excessive? How long has she been wearing that pad? -Odor- described as fleshy, earthy, or musty. Should not be foul smelling, if it is look for signs of infection. -Is there a constant flow? Is there an excessive amount even with a firm fundus? -Timing since delivery and type of delivery helps to determine the amount that is acceptable. -Are there clots? -Does she know how much lochia is OK? Patient needs to know what to report as abnormal. -Can she demonstrate proper pericare?
EPISIOTOMY- -REEDA- use this acronym to