Page 275 - ترم ثاني كتاب تمريض صحة الام الكتروني
P. 275

275


                ➢  Alteration  in  comfort  (pain)  related  to  afterpains,  episiotomy,  laceration,

                    hemorrhoids,           breast          engorgement,            surgical         incision

                    Alteration in skin integrity related to episiotomy, or perineal lacerations.


                ➢  Altered urinary elimination related to postpartum diuresis and urinary retention

                    from postdelivery edema of perineal area, or due to effect of anesthesia.


                ➢  Altered bowel elimination related to decreased bowel motility and abdominal

                    muscle tone, dehydration, and painful defecation.

                ➢  Fluid volume deficit related to decreased oral intake and/or blood loss.


                ➢  Altered nutrition related to inadequate intake of food (increased body needs for

                    protein for tissue repair and lactation).


                ➢  Sleep pattern disturbance related to discomfort, parenting activities and anxiety.


                ➢  High risk of infection related to impaired skin integrity and tissue trauma, as

                    well as lowered body resistance.


                ➢  Knowledge  deficit  regarding  self-care,  infant  care,  health  maintenance,

                    prevention of infection and complications related to lack of experience.

                ➢  Disturbance in self-concept related to body changes or parenting abilities and

                    role transition.


                ➢  Potential altered parenting related to lack of support from significant others,

                    interruption in bonding process, lack of knowledge, or unrealistic expectations

                    for self, infant, or partner.


                ➢  Impaired  breastfeeding  related  to  improper  positioning,  inverted  nipples,  or

                    absence of infant sucking.








               275
   270   271   272   273   274   275   276   277   278   279   280