Nursing Care plan and Drug study

Make a Nursing Care plan and Drug study based on the given scenario Case Scenario: Mrs Beltran, a 30-year-old woman, gravida 1, para 1 who gave birth at term, birth weight 3.5 kg. Mrs Beltran and her son, 5 days of age, were seen in the lactation clinic for sore nipples. She experienced breast fullness during the third post-partum day, and by the fifth day they are painfully engorged.

Following engorgement, her nipples began to crack.

Nipples now “seem to hurt all the time”. She reports that severe nipple pain occurs with latch-on.

Mrs Beltran appeared to be tired and downhearted. She reports that her baby was crying a lot, did not sleep well and was not gaining weight well. Her baby starts well but soon stops, apparently because he was not getting enough.

He would then cry and be reluctant to take the breast again. Her vital signs were: BP: 130/90 mmHg, PR: 95 bpm, RR: 20 CPM and Temp: 37.8 C.

A maternal breast examination revealed moderately engorged breasts. Nipples are everted, approximately 1 cm in size with a linear fissure diagonally from 2 to 8 o’clock on the left side and 10 to 4 o’clock on the right.

She was given ibuprofen to reduce the discomfort and pain.

 

NURSING CARE PLAN FORMAT

ASSESSMENT	NURSING DIAGNOSIS	PLANNING	INTERVENTION	RATIONALE	EVALUATION
Subjective	Problem, Etiology, Signs(P.E.S) Format	Short Term Goal: S.M.A.R.T + Evidence	Independent * Assessment   * Therapeutic   * Educative       Dependent * Assessment   * Therapeutic   * Educative         Interdependent/Collaborative * Assessment   * Therapeutic   * Educative		Short Term Goal Evaluation
Objective	INFERENCE Scientific Explanation (Diagram Form)	Long Term Goal: S.M.A.R.T + Evidence			Long Term Goal Evaluation

DRUG STUDY FORMAT

DRUG	CLASSIFICATION	INDICATION	SIDE EFFECTS	ADVERSE EFFECTS	NURSING RESPONSIBILITIES
Generic Name:     Brand Name:      Dosage:      Route:        Frequency:
	MECHANISM OF ACTION	CONTRAINDICATIONS