This nursing care plan and diagnosis is for Mastitis related to breastfeeding. Mastitis is inflammation of the breast tissue. It is mainly caused by plugged ducts or milk stasis from breastfeeding. It is very rare a non-breastfeeding woman can experience mastitis but it does happen. However, for this nursing care plan we are going to concentrate on the lactating mother who may experience Mastitis during lactation.
Mastitis is most likely to affect the mother during the first 1-2 weeks after her baby is delivered and during the weaning phase. If milk is static in the breast it inflames the surrounding tissues and causes the mother pain. Mastitis starts out as a tender, warm, hard, red spot in the breast and can escalate to an infection or abscess if not taken treated promptly.
As the nurse it is important to education your patient on the early signs of mastitis.
Nursing Care Plan for Mastitis
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
A new mother is 1 week postpartum and has decided to breast feed her baby. She is visiting as an outpatient with you at the lactation clinic. She verbalizes to you her baby is having difficulty at times latching on and sometimes does not empty the breast completely. She states that within the pass day she has started to develop a red, painful area on her right breast and it is making it very difficult for her to breastfeed. On assessment you note that the red breast is developing the early sign of Mastitis. Her right breast has a hard, tender, red spot on the right outer area. The patient denies having any flu-like symptoms at this point.
Subjective Data:
She verbalizes to you her baby is having difficulty at times latching on and sometimes does not empty the breast completely. She states that within the pass day she has started to develop a red, painful area on her right breast and it is making it very difficult for her to breastfeed. The patient denies having any flu-like symptoms at this point.
Objective Data:
A new mother is 1 week postpartum and has decided to breast feed her baby. She is visiting as an outpatient with you at the lactation clinic. . On assessment you note that the red breast is developing the early sign of Mastitis. Her right breast has a hard, tender, red spot on the right outer area.
Nursing Diagnosis for Mastitis
Acute pain related to inflammation of breast tissue as evidence by patient reporting pain in right breast.
Risk for ineffective breastfeeding related to interruption secondary to inflammation as evidence patient reporting pain in right breast.
Patient & Nursing Goals for Mastitis
Patient will report decrease in pain and redness of right breast within 24 hours.
Patient will report increased emptying of right breast with 24 hours.
Patient will report increased ability of newborn latching ability within 48 hours.
The patient will be free from the signs and symptoms of Mastitis within 48 hours.
Nursing Interventions for Mastitis
The nurse will verbalize and demonstrate to the patient how to apply warm compresses to right breast every 2 hours.
The nurse will observe the mother breastfeeding her infant to assess the possible latching problems.
The nurse will assist the patient with helping her develop a plan for proper latching techniques with her newborn before the end of the office visit.
The patient will take Ibuprofen 200mg every 6 hours per md orders for pain and to decrease inflammation in right breast.
The nurse will educated the patient about the early signs and symptoms of Mastitis before the end of the office visit.