Mastitis care plan
ASSESSMENT
(Data Collection)
NURSING DIAGNOSIS
(Patient Problem/Priority)
PLANNING
(Patient-Centered Goals)
IMPLEMENTATION
(Nursing Interventions)
Nurse roles: Assess, monitor, use of communication techniques, patient education
EVALUATION
(Patient-Centered Goal Met?)
Subjective: (what you heard the patient describe)
Objective: (what you see, hear, smell, feel)
*Use nursing diagnosis language
1 goal per physical
What specifically will you do - as a nurse - to assist the patient to meet the goals?
Rationale and reference for each intervention
What subjective or objective data is noted to know that goals are met or not met? Subjective Data:
Pt. states right breast is very painful and red
Pt. rates pain an 8 out of 10
Objective Date:
Baby appears to be having a difficult time latching on Right breast has a hard, tender, red spot on the right outer area
Breast-feeding, ineffective related to inadequate sucking.
Acute pain related to inflammation of breast tissue as evidence by patient reporting pain in right breast.
Physical:
Patient will have success with breast -feeding and be able to empty both breasts by 5pm.
Patient will report decrease in pain and redness of right breast within 24 hrs
Provide comfort such as warm soaks or compresses
Rational: Relieve/ decrease pain and promote comfort
Administer pain medication as prescribed to help alleviate pain/ discomfort Rational: Relieve/ decrease pain and promote comfort
1. Patient states that baby is latching on and breasts are less painful
2. Patient rates pain a 2 out of 10
3. *Goal Met
4.
5.
6.
7.
Carpenito, L. J. (2013). Handbook of nursing diagnosis (14th ed. P 48-50). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health
(Data Collection)
NURSING DIAGNOSIS
(Patient Problem/Priority)
PLANNING
(Patient-Centered Goals)
IMPLEMENTATION
(Nursing Interventions)
Nurse roles: Assess, monitor, use of communication techniques, patient education
EVALUATION
(Patient-Centered Goal Met?)
Subjective: (what you heard the patient describe)
Objective: (what you see, hear, smell, feel)
*Use nursing diagnosis language
1 goal per physical
What specifically will you do - as a nurse - to assist the patient to meet the goals?
Rationale and reference for each intervention
What subjective or objective data is noted to know that goals are met or not met? Subjective Data:
Pt. states right breast is very painful and red
Pt. rates pain an 8 out of 10
Objective Date:
Baby appears to be having a difficult time latching on Right breast has a hard, tender, red spot on the right outer area
Breast-feeding, ineffective related to inadequate sucking.
Acute pain related to inflammation of breast tissue as evidence by patient reporting pain in right breast.
Physical:
Patient will have success with breast -feeding and be able to empty both breasts by 5pm.
Patient will report decrease in pain and redness of right breast within 24 hrs
Provide comfort such as warm soaks or compresses
Rational: Relieve/ decrease pain and promote comfort
Administer pain medication as prescribed to help alleviate pain/ discomfort Rational: Relieve/ decrease pain and promote comfort
1. Patient states that baby is latching on and breasts are less painful
2. Patient rates pain a 2 out of 10
3. *Goal Met
4.
5.
6.
7.
Carpenito, L. J. (2013). Handbook of nursing diagnosis (14th ed. P 48-50). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health