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; 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 Teaching Plan for Perineal Care 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 episiotomy. She asked about short term and long-term effects on her.
I assured her that as her student nurse, I would try my best to explain the care she would need related to her perineum area and her episiotomy. I really encourage her to be straightforward with questions or concerns that she may have. Along with my teaching plan, I referred her to the postpartum floor’s telephone number. If she thought of any other questions that may arise when she goes home. I also told her...
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.