CUES Subjective: Objective: Mother is able to position infant at breast to promote a latchon response Infant is contente d after feeding

ng Appropri ate infant weight patterns for age Effective mother/i nfant communi cation patterns Adequate infant eliminati on patterns for age Eagernes s if infant to nurse

HEALTH PROBLEM Potential for enhanced capability for breastfeed ing

FAMILY NURSING PROBLEM

GOAL OF CARE After 1 hour of nursing intervention the mother will be able to discuss and demonstrate skills on breastfeeding .

OBJECTIVES After one hour of implementation of nursing interventions, the family will be able to: a. Verbalize understandi ng of breastfeedin g techniques b. Demonstrate effective techniques for breastfeedin g c. Demonstrate family involvement and support

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IMPLEMENTATION PLAN INTERVENTION METHOD Home Asses mothers visit knowledge and experience with breastfeeding Identify cultural beliefs or practices regarding lactation, let-down techniques, maternal food preferences Note incorrect myths/misundersta ndings especially in teenage mothers Monitor current effectiveness of current breastfeeding efforts Determine support systems available to mother/family. Demonstrate how to support and position infant such as: Football hold Lying down Cradling Across the lap Keep infant with mother for unrestricted breastfeeding duration and frequency. Encourage mother to drink at least 2000ml of liquid per day Provide information as needed about early infant feeding cues such as:

RESOURCES PHN bag Visual aids Hand-outs Human resources Transport ation fee

EVALUATION PLAN CRITERIA STANDARD

TOOL

rooting, lip smacking, sucking fingers/hand; versus late cue of crying 10. Discuss or demonstrate breastfeeding aids such as: Infant sling Nursing pillows Breast pump 11. Encourage mother or other family members to express feelings or concerns and active-listen to determine nature of concerns. 12. Educate father or significant others about benefits of breastfeeding and how to manage common lactation challenges

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Review techniques for expression and storage of breast milk 14. Recommend using expressed breast milk instead of formula or at least partial breastfeeding for as long as mother and child are satisfied. 15. Discuss importance of delaying

introduction of solid foods until infant is at least 4 months, preferably 6 months old. 16. Recommend avoidance of specific medications or substances that are known to decrease milk supply such as: Estrogencontaining contraceptiv es Nicotine alcohol