1 the patient needs to understand that a moist or

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1. The patient needs to understand that a moist or dirty wound will not heal nearly as quickly or easily. 2. Infection in a deep wound can travel into the bloodstream quickly and must be stopped as soon as possible. 3. After a patient leaves the hospital, they will come into contact with a lot more bacteria and viruses. Patients that are aware may avoid uncleanliness more. (Doenges, 2010) Goal ongoing. The patient’s wound is not yet healed, but has been infection free thus far.
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Supporting Data Nursing Diagnosis Goals/Outcomes Nursing Interventions Scientific Rationales Evaluation Subjective: Patient stated a history of ineffective breast feeding. Patient’s first child breastfed with supplemental bottle feedings to create enough sustenance. Ineffective breastfeeding related to reduction mammoplasty as evidenced by perceived inadequate milk supply. Short term: Patient will state at least one resource for breastfeeding support by the end of the shift. 1. Determine support systems available for mother and family. 2. Educate patient about the community resources available to her. 3. Educate the patient about the lactation consultant in the hospital and get her in touch. 1. Support groups are a great backbone to any medical problem. Other people in the situation will truly be able to help. 2. Knowledge is power. Babies don’t come with handbooks and the nurse needs to provide as much direction as possible. 3. The lactation consultant can teach a lot about breast feeding just by meeting with the patient one time. This is an invaluable resource. (Doenges, 2010) Goal met. The patient spoke with the lactation consultant during the shift and was referred to an outpatient lactation specialist to schedule check-ups for the first months of postpartum life. Objective: Patient’s breasts are intact, but one can tell she had breast reduction surgery.
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