الســلام عليكــم ورحمــة اللهـ وبركــاتهـ
أسعــد اللهـ اوقاتكــم ، وحفظكــم البــاري لاحبتـــكم
انــا اليووم جبت لكــم تشخيصــات مرضيهـ فترة بعد الولادة للام وللبيبــي
اليــوم بحــط لكــم عن الام وبإذن اللهـ راح اكتب عن البيــبي
وهالتشخيصــات
من تجميعــي الشخصــي لمــا نطلــع ميدانــي ، وبعــد ما خلصت من
كتابتهــم وريتهــم للدكتورتـــي وقالتلــي شغلــج ممتــاز
فأنــا قلتـ لازم انزله لكــم عشاان تستفيدوون ، وعشاان تدعولــي
NCP for the Mother:
Episiotomy:
Pain due to perineal suture
Goal: The client will verbalize a decrease in pain within tolerable limits
Interventions: - Give anelgisics
- Provide bed rest
- Avoid full bladder
- Use ointments
- Antibiotic cream to promote healing
- Frequent changing of perineal pads
- Immediately after delivery apply cold application
- After 24 hrs. Use sits bath for healing episiotomy
- Keep area dry
Breast engorgement {develop after 2-3 days of delivery (pain& enlargement)}
Alteration in comfort R/T breastfeeding
Goal: client will experience a reduce in breast engorgement
Interventions: - Use warm compresses
- Breast feed frequently
- Wear supportive bra
- Massage & manual expression of milk
Cracked Nipple:
Pain related to cracked nipples
Goal: The client will verbalize a decrease in pain within tolerable limits
Interventions: - Applying nipple cream
- Keep nipple dry
- Avoid cleaning with soap
- Always wear a clean bra
Urinary retention:
High risk for altered elimination due to loss of bladder following child birth
Goal: Client will not experience a difficulty in urinating
Interventions: - Perineal care & applying of warm water
- Listen to the sound of water
- Hot water bag to pubic area
- If all managements failed we do catheterization
Sleep disturbance
High risk for sleep pattern disturbance due to exhaustion from child birth & baby care
Interventions: - Provide calm environment
- Give sedation
- Switch off lights
- Drink hot milk
- Encourage bath before sleeping
Edema of Extremities:
Altered perfusion or pain due to poor venous return
Interventions: - Monitor intake & output
- Daily weight
- Advice moderate sodium intake
- Encourage elevating leg
- Avoid sitting for too long
- Massage
Infection:
High risk for uterine infection due to the presence of lochia
Goal: pt will be free of infection during hospitalization
Interventions: - Check V/S 4 hourly
- Encourage sleep & bed rest
- Perineal hygiene & care
- Wash hand before & after perineal care
Altered nutrition:
High risk for altered nutrition less than body requirements due to lack of knowledge about postnatal needs
Interventions: - Eat a wide variety of foods with high nutrients values
- Avoid excessive drinking of milk 1 L is appropriate
- A breast feeding mother should take extra 500 cal after delivery
- Encourage to eat food that are rich in vitamin C & proteins
Child loss:
Grieving due to loss of fetus
Interventions: - Provide emotional support
- Give spiritual support
- Encourage family to sit with her