Viernes, Jemalyn

BSN 2-3

Assessment Diagnosis Planning Implementation Rationale Evaluation

1. It will let the client and her
Subjective: Ineffective Short Term Goals: Independent: support groups to have a better By October 26,
Breastfeeding related to By October 26, 2019, 1. Explained to the mother and her understanding on the benefits 2019, rendering
Unsatisfactory insufficient knowledge rendering health education , immediate family members the process of breastfeeding. It will motivate health education
breastfeeding process on proper position the client will be able to: and importance of breastfeeding. them to achieve their goal. , the client will
as the client verbalized during breastfeeding as Included the health benefits to both be able to:
“hindi sapat, manifested by infant 1. Verbalize understanding of mother and her child. 2. It will let the mother and baby
kinukulang si baby sa inability to latch onto causative/contributing factors to have a successful 1. Verbalize
gatas ko, kasi nag- maternal breast to ineffective breastfeeding. 2. Explained the correct positioning of breastfeeding through correct understanding of
iiyak siya kahit correctly. the mother and infant during positioning. This will prevent causative/contri
nakadede na siya sa 2. Mention at least 2 breastfeeding by demonstrating the disruption of the process. buting factors to
akin”. techniques to proper technique. ineffective
improve/enhance 3. Proper positioning of the breastfeeding.
Objective: breastfeeding. 3. Checked the infant’s ability to grasp infant during breastfeeding aids
the areola of the breast with his/her lips, in the success of the process. 2. Mention at
Behavioral: Infant 3. Demonstrate effective tongue and jaw. least 2
inability to attach onto breastfeeding independently. 4. This will also aid in having a techniques to
maternal breast 4. Checked the infant’s ability to suck successful breastfeeding. improve/enhanc
correctly. 4. The infant will manifests breast milk. e breastfeeding.
signs of adequate intake at 5. This will prevent disruption of
the breast. 5. Promoted relaxation and comfort the breastfeeding process. Partially Met
during breastfeeding process.
Long Term Goals: 7. It will prevent problems of
By November 8, 2019, the Collaborative: malnutrition if there is
client will: 7. Make referrals to neonatal suspected ineffective
nutritionists and lactation specialists if breastfeeding.
1. Increase self-esteem necessary.
related to the infant feeding
process.

2. Improve health status of

the infant by having no signs
of infection.
 Viernes, Jemalyn
BSN 2-3

Assessment Diagnosis Planning Implementation Rationale Evaluation

Subjective: Disturbed Sleep Pattern Short Term Goals: 1. Rendered Health Teaching 1. The client may think she By October 26,
related to constant care of By October 26, 2019, about what things you may do with cannot do anything with 2019, rendering
The client newborn baby throughout the rendering health education , sleep deprivation for breastfeeding sleep deprivation since she health education ,
verbalized “Yung night as manifested by verbal the client will be able to: moms. This includes: sleeping is breastfeeding. the client will be
tulog ko paputol- complaints of not feeling well positions, eating right foods, able to:
putol gawan ng rested and dissatisfaction 1. Identify at least 3 napping during the day, and
magpapadede kay with sleep. appropriate things to do to accepting help from others. 1. Identify at least
baby.” promote sleep while 3 appropriate
breastfeeding. things to do to
Objective: promote sleep
Change in normal Long Term Goals: while
sleep pattern: The By November 8, 2019, the breastfeeding.
client usually client will be able to:
sleeps at 10 pm Goal Met
and wakes up at 7 1. Achieve optimal amounts 1. Continuously practicing what 1. Doing so will help the
am without of sleep as evidenced by: was thought during the health client retain the information
disturbance. rested appearance, teaching about things to do with that was thought during the
verbalization of feeling rested sleep deprivation for health teaching.
and improvement in sleep breastfeeding.
pattern.
.
 Viernes, Jemalyn
BSN 2-3

Assessment Diagnosis Planning Implementation Rationale Evaluation

Subjective: Readiness for enhanced Short Term Goals: 1. Provided information 1. Use of multiple By October 26, 2019,
knowledge about family By October 26, 2019, about the different formats increases rendering health
The client expresses an planning as manifested by rendering health education , methods of Family learning and retention education , the client
interest in learning as she expression of desire to learn the client will be able to: Planning by using of material. will be able to:
verbalized about family planning different learning styles
“Meron akong naririnig noon, 1. Verify accuracy of such as interaction and 2. Encourages 1. Verify accuracy of
pero oo nga, gusto ko informational resources. She demonstration. independent search for informational
matutunan iyon. Paano ba will ask for clarifications and learning opportunities resources. She will
iyon?”. at least 2 questions about 2. Discussed ways to while reducing ask for clarifications
family planning to assure that verify accuracy of likelihood of acting on and at least 2
her comprehension is correct. informational resources erroneous or unproven questions about
and to look for more data that could be family planning to
Objective: Long Term Goals: information. detrimental to client’s assure that her
By November 10, 2019: well-being. comprehension is
Behavioral: The client shows 3. Encouraged client to correct.
positive behavior 1. The client still remembers journal, keep a log or 3. Provides opportunity
characterized by increased the information of what was graph as appropriate. for self-evaluation of Goal Met
attention, experienced during thought on the last two weeks effects of learning, such
the interview. by verbalizing accurate 4. Assisted client to as better management
information about family identify ways to for sleep deprivation,
Affective: The client shows planning methods. integrate and use reduction of risk factors,
excitement when the information effectively. and acquisition of new
interviewer mentioned that 2. Verbalize her choice of skills.
she will conduct health family planning method that is
teaching about family acceptable and appropriate 4. Ability to apply
planning. for her and her husband. information effectively
helps to retain
Cognitive: The client shows 3. The client will verbalize the information that was
focused attention that she effectiveness of the family learned even after a
engages more with the topic. planning method she is using. long period of time.
Teaching Plan

Topic: Breastfeeding

Setting: Bobadilla Compound Amaya I Tanza, Cavite

Duration: 20 minutes

Description: The health teaching is designed for lactating women (Postpartum)

Goal: At the end of the health teaching, the client will be able to recall about breastfeeding and demonstrate breastfeeding appropriately.
Objectives: At the end of the health teaching, the client will be able to:
Learning Content Outline Teaching Learning Time Frame Materials Client Study Nurse Assessment Plan
Outcomes Strategies Activity
1. The client 1. Ano ang Visualization,  2 min Laptop, Cognitive: 1. The student
recalls about what Pagpapasuso? nurse will ask the
is breastfeeding. Interaction,  2 min Inquiry-based client what she
2. Ano ang and instruction recalls about
2. The client benepisyo sa
Demonstration  2 min (question and breastfeeding.
knows about the sanggol ng
benefits of pagpapasuso?  2 min answer) 2. The client can
breastfeeding in give 3 benefits of
the newborn. 3. Ano ang  3 min breastfeeding to
benepisyo sa ina Psychomotor: infant and 3 risks
3. The client is ng
 3 min Demonstration of giving formula
aware of the pagpapasuso? milk.
benefits of  2min
breastfeeding to 4. Mga posisyon 3. The client was
the mother. sa pagpapasuso able to cite at
 3 min
least 2 benefits of
4. The client is 5. Paano breastfeeding to
mindful of the malalaman kung her.
different positions ang iyong
in breastfeeding. sanggol ay 4. The client
nakakakuha ng states what
sapat na gatas? position she prefer
in breastfeeding
6. Paano
 masahiin ang and demonstrates
5. The client is suso para it.
conscious if the magpalabas ng
newborn is gatas? 5. The client can
breastfeeding enumerate 3 signs
properly. 7. Paano that show the
gumamit ng newborn is getting
6. The client Breast Pump? enough milk from
knows how to breastfeeding.
massage her 8. Pangangalaga
breast sa sarili habang 6. The client
independently to nagpapasuso demonstrates how
promote breast to massage breast
milk production. independently.

7. The client is 7. The client

aware how to use demonstrates how
a breast pump.. to use breast
pump with the
8. The client assistance of the
knows how to take student nurse.
care of self while
breastfeeding. 8. The client will
verbalize 3 things
she can do to take
good care of self
while
breastfeeding.
Topic: Disturbed Sleep Pattern Management during Breastfeding

Setting: Bobadilla Compound Amaya I Tanza, Cavite

Duration: 5 minutes

Description: The health teaching is designed for lactating woman (Postpartum)

Goal: At the end of the health teaching, the client will be able to identify things she can do to manage sleep disturbance due newborn care
Objectives: At the end of the health teaching, the client will be able to:
Learning Content Outline Teaching Learning Time Frame Materials Client Study Nurse Assessment Plan
Outcomes Strategies Activity
1. The client 1. Posisyon sa Visualization,  2 min Laptop Cognitive: 1. The client will
knows what Pagtulog verbalize her
sleeping position Interaction, Inquiry-based preferred sleeping
can help her 2. Kumain ng and  2 min instruction position that she
manage sleep mga pagkain na
Demonstration (question and thinks will help her
disturbance due to makakatulong  1 min manage sleep
breastfeeding. answer) disturbance due to
3. Umidlip kapag breastfeeding.
2. The client is may
mindful of what pagkakataon Psychomotor: 2. The client can
food she should Demonstration give at least 2
eat to help her foods that can
manage sleep help her manage
disturbance due to sleep disturbance
breastfeeding. due to
breastfeeding.
3. The client is
aware that she
can nap whenever 3. The client will
there is an agree to the
opportunity to do student nurse that
so. she can nap
whenever there is
an opportunity to
do so.
Topic: Family Planning Methods during Breastfeeding

Setting: Bobadilla Compound Amaya I Tanza, Cavite

Duration: 5 minutes

Description: The health teaching is designed for lactating woman (Postpartum)

Goal: At the end of the health teaching, the client will be able to identify things she can do to manage sleep disturbance due newborn care
Objectives: At the end of the health teaching, the client will be able to:
Learning Content Outline Teaching Learning Time Frame Materials Client Study Nurse Assessment Plan
Outcomes Strategies Activity
1. The client 1. Posisyon sa Visualization,  2 min Laptop Cognitive: 1. The client will
knows what Pagtulog verbalize her
sleeping position Interaction, Inquiry-based preferred sleeping
can help her 2. Pagkain ng and  2 min instruction position that she
manage sleep Tama
Demonstration (question and thinks will help her
disturbance due to  1 min manage sleep
breastfeeding. 3. Umidlip kapag answer) disturbance due to
may breastfeeding.
2. The client is pagkakataon
mindful of what Psychomotor: 2. The client can
food she should Demonstration give at least 2
eat to help her foods that can
manage sleep help her manage
disturbance due to sleep disturbance
breastfeeding. due to
breastfeeding.
3. The client is
aware that she
can nap whenever 3. The client will
there is an agree to the
opportunity to do student nurse that
so. she can nap
whenever there is
an opportunity to
do so.