SR.N TIME SPECIFIC CONTENT TEACHING A.

V AIDS USED EVALUATIO

O OBJECTIVE LEARNING N
S METHOD
S 3 MIN To introduce  SELF INTRODUCTION:- Learning cum Black board Explain the
self st
I rathavavaishali m.sc nursing 1 year pioneer nursing discussion function of the
breast???
college Vadodara city.
 TOPIC INTRODUCTION:
Today I am present the topic of mastitis, breast
engorgement,breast abscess.

INTRODUCTION:-
To introduce The breasts or mammary gland are accessory glands of the
6 min
the topic female reproductive system. They exit also in the male, but
in onlu a rudimentary from. The mammary glands or breasts
consist of varying amount of glandular tissue, responsible for
milk production, supported by fatty tissue and fibrous
connective tissue that anchor the breast to the chest wall.
Each chest contains about 20 lobs, each of which contains a
number of glandular staructure called lobules.
SR.N TIME SPECIFIC CONTENT TEACHING A.V AIDS USED EVALUATION
O OBJECTIVES LEARNING
METHOD

2. 5 min To define :-BREAST ENGORGEMENT:- Learning PPT What is breast

breast cum engorgement?
DEFINITION:-
engorgement discussion
Breast engorgement is a condition which occur due to,

 Excessive production of milk

 Obstruction in the outflow of milk
 Poor removal of milk by baby i.e decresed intake of
milk from breast.
Breast engorgement is painfull over filling of breast with milk.
This occur usually by an imbalance between milk supply &
infant demand. This condition usually aries when the mother
stops breast feeding sooner than it had been planned.
On 2nd & 6th day following birth of baby. The breast of mother
become larger, havier & a little tender when milk production is
increased.
This is due to extra blood & lymph fluids travelling to the
breast to prepare the breast for milk production. This fullness
starts decresess within first few weeks after the birth. When
the baby starts taking feed regularly but if the baby has not
been taking feed often or long enough then fullness develop
causing breast engorgement.
SR.N TIME SPECIFIC CONTENT TEACHING A.V AIDS USED EVALUATION
O OBJECTIVE LEARNING
S METHOD

 Common causes:-
- Starting breast feeding too late.
- Not giving enough feed to baby or poor removal of milk
by the baby.
 SIGN AND SYMPTOM:-
1. Both breast are;- swollen, warm, tender, shiny, firm,
3 to enumerate
painfull breast. Learning Flash card What are sign &
2. Nipples become:- edematous, hard areola, flushed,
of sign and cum symptoms of the
flattened out nipples.
symptoms discussion breast
3. Veins over breast:- prominent, engorged
engorgement??
4. Low grade fever (100 F) or 37.8 C
5. Generalized malaise
6. Swollen and tender lymph nodes in armpits
7. Pain on feeding to baby.

 DIAGNOSIS:-
There is no exam or test to diagnose breast engorgement. It is
diagnosed only based on symptoms.

SR.N TIME SPECIFIC CONTENT TEACHING A.V AIDS USED EVALUATION

O OBJECTIVES LEARNING
METHOD
4. To explain the  PREVENTIVE MESSURES:- Learning cum PPT How do you
prevention of discussion relieve breast
breast - breast engorgement can be prevented by managing the engorgement?
engorgement breast milk.
- Initiae the breast feeding early.
- Feed the baby at frequen intervels.
- When breast are hard and overfilled, letout milk
enough to soften nipples before putting your baby to
the breast.
- Feed the baby in correct position and make sure that
the baby is lacting on and feeding well.

5. To describe the  MANAGEMENT:- How do you

management  MEDICAL MANAGEMENT; Learning cum
prevent the
of breast discussion
breast
engorgement? - For breast engorgement as such there is no medical engorgement?
treatment but incase of relief from pain.
- Give ibuprofen
- Cold/ hot compress
-
 NURSING MANAGEMENT
- ASSESSMENT;
- Check the temperature
- Palpate the breast to assess tenderness & firmness

SR.NO TIME SPECIFIC CONTENT TEACHING A.V AIDS USED EVALUATION

OBJECTIVES LEARNING
METHOD
 - Inspect for swollen breast.
- Check whether the nipple is edematous &
flushed.
- Assess the veins over breast and the veins will
be engorged & prominent.
- Women complains of pain on feeding to baby.

 NURSING INTERVENTION:
- Check the temperature of the women.
- Advise to take warm shover or apply warm
moist compress to breast advise that along with
heat or immediately after massage the breast
with finger tips in a circular motion from chest
wall down to nipple.
- Advise the mother to feed the baby after one
and a half to 2 hours from beginning of one
feeding to beginning of another.
- Supervise the mother at time of breast at time
of breast feeding to make sure that the baby is
positioned & lacted on correctly.
- Ask the mother to give the feed to baby from
both the breast for unrestricted amount of time.
- Manually expression of milk or use pump to
express milk after each feed and keep the

SR.N TIME SPECIFIC CONTENT TEACHING A.V AIDS USED EVALUATIO

O OBJECTIVE LEARNING N
S METHOD
 Interval shot between the feed.
- Give pain relieving medications as prescribed by
doctor.

6. To define -:MASTITIS:- Learning cum PPT What is

mastitis discussion mastitis?
 DEFINIITION:-
Mastitis is an infection of milk ducts (lactiferal ducts) of the
breast tissue of the breast. If occurs most frequently during
the time of breast feeding by cross infection from baby to
mother.
 CAUSATIVE ORGANISMS:
- Staphylococu aureus

 PATHOPHYSIOLOGY;
A)Staph querus ( from baby’s mouth)

Enters through

Cracked nipples

SR.N TIME SPECIFIC TEACHING A.V AIDS USED EVALUATI

O OBJECTIVE LEARNING ON
CONTENT
S METHOD
 Involve parenchymal tissue of breast

Cellulitis

A) Staph aurous ( from baby’s mouth)

Enters milk producing ducts (lactiferous ducts)

Flow of milk is blocked

Mammary advenitis
Mammary adernitis:- the onset is insidious and occurs at the
end of second week.

7. To list out the Learning cum PPT What is the

 SIGN & SYMPTOMS:-
sign & discussion sign &
symptoms of symptoms of
- Fever ( temp- 102 F or over) with chills
mastitis mastitis?
- Headache
- Generalized malaise
- Pain in breast
- Swelling in the breast
- Redness
- Fatigue

SR.NO TIME SPECIFIC CONTENT TEACHING A.V AIDS USED EVALUATION

OBJECTIVES LEARNING
METHOD
8. To describe the  MANAGEMENT:- Learning Can you treat
management of  MEDICAL MANAGEMENT: cum mastitis
mastitis  principle:- discussion without
- to establish the condition and treat appropriately. antibiotics?
- to prevent complication such as breast abscess.
 treatment:-
- bromocriptine( pariodel) 2.5 mg orally 14 days( to
suppress lactation)
 NURSING MANAGEMENT:
- nursing management include assessment, intervention
and evaluation.
 assessment:-
- check the temperature of the women it is more than 102 F
with chill.
- assess the pain & swelling in the breast, there is pain &
swelling.
- the skin overlying the breast is hot and flushed.
- women is having headache & generalized malaise.
- she had inadequate knowledge about mastitis.
 NURSING DIAGNOSIS:-
- fever related to infection of breast.
- difficulty breast feeding related to pain in breast.

SR.NO TIME SPECIFIC CONTENT TEACHING A.V AIDS USED EVALUATION

OBJECTIVE LEARNING
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 - . knowledge deficit. Learning cum
discussion
 NURSING INTERVENTION:-
- isolate the mother and baby.
- give the antibiotic as prescribed by doctor.
- check the temperature and vital sign
- give breast care.
- manually express the milk, if breast is engorged to
relieve engorgement.
- suspension of breast feeding until the infection is
controlled from the affect side.
- provide adequate knowledge an mastitis & it
prevention and care.

SR.N TIME SPECIFIC CONTENT TEACHING A.V AIDS USED EVALUATIO

O OBJECTIVE LEARNING N
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9. To define -:BREAST ABSCESS:- Learning cum PPT What is breast
breast abscess discussion abscess?
 DEFINITION:-
breast abscess is a condition in which there is acute
inflammation an infection with a collection of pus
within the breast tissue.

 CAUSES OF BREAST ABSCESS:-

 Bacterial infection:- staphylococcus or
streptococcus microorganism
 cracked nipple

 SIGN AND SYMPTOMS:-

- redness of the breast
- inflammation
- hardness
- tenderness
- pain
 all these symptoms occur in the infected breast
- fever

SR.NO TIME SPECIFIC CONTENT TEACHING A.V AIDS USED EVALUATION

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- pus draining from nipples
- fatigue
 if left untreated, than the abscess can burst.

 TREATEMENT:-

- Supporting and bandaging the breast

- manual expression of milk
- not allowing the baby to feed from affected side
- antibiotic such as penicillin to treat infection
- surgery to open and drain the abscess.