Teaching Care Plan for Perineal Care

Teaching Care Plan for Perineal Care

Outline Title

Introduction:

I. Client Description

A. Nursing Diagnosis;

1. Knowledge deficit related to episiotomy.

2. Risk for infection related to 2nd degree episiotomy.

3. At risk for pain related to the trauma to perineum, as manifested by client’s request for pain medication.

B. Assessing the Readiness for Teaching;

1. Recovery from birth

2. Motivation

3. Previous knowledge

4. Experience

5. Cultural factors

II. The Content of Teaching Plan;

A. Nursing Diagnosis #1 (as stated under client description)

B. Nursing Diagnosis #2 (as stated under client description)

C. Nursing Diagnosis #3 (as stated under client description)

III. Assessment of Teaching Plan

IV. Conclusion

V. Appendix

VI. References Used

Teaching Plan for Perineal Care

Introduction:

On Thursday September 21, 2000, I care for a woman named K.C. Upon introducing myself to K.C., she appeared to be relaxed and feeling comfortable. I had previously read her chart before entering the room. On her charted it was noted that she had a 2nd degree episiotomy done during labor and delivery

Before I began my assessment I asked her if she had any perineum pain. K.C. as quoted; “I am feeling okay, but I do have a little pain and it is really not all that bad.” My first response was to look on her medex for pain medications ordered. Before doing so I asked her to rate her pain based on the pain scale (0-10, being 10 the most awful pain that she has ever felt.. She said that she would have to rate her pain as being a number 5. She had an order written for Motrin 8oomg every six hours for pain, prn. I administered the pain medication. Afterwards K.C. asked a few questions in regards to her e...

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...f the teaching plan was in the use of take home pamphlets. (As seen in appendix).

Areas of improvement-Taking more time in between each section of content to ask for any questions that she may have. Taking the opportunity to also make sure that she understands the content that was being discussed.

Conclusion

K.C. was given all props and pamphlets to take home for future needs. Fact sheets were given about the importance of Kegel exercises. These exercises as explained to her, but not covered under any of the nursing diagnosis, strength muscle control.

Bibliography:

Johanson, R., (2000). Perineal massage for prevention of perineal trauma in childbirth. The Lancet. pgs: 335 and 250

Lade wig, P.A., London, M.L., Olds, S.B., (1999) Maternal-Newborn Nursing: A Family and Community Based Approach. New Jersey: Prentice Hall Health.