Post C section Care

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Post-Operative Cesarean Section Care

Post-Operative Cesarean Section Care

Angel Garcia

West Coast University

NURS 316L-A

Yaismara Sosa

July 7, 2021

Post-Operative Cesarean Section Care

NANDA Nursing Diagnosis

The main nursing diagnosis arising from postoperative cesarean section care includes the risk of infection and acute pain. The targeted interventions for such women aim to increase feeding and duration of exclusive feeding for the newborn baby. The intervention can include skin-to-skin care and education on breastfeeding support. As defined by NANDA-I diagnosis, the risk of infection can be due to the invasive procedures used during the cesarean section, rupture of the amniotic membranes, and break in the patient's skin (Kamitsuru & Herdman, 2014). In such a case, the patient desired outcome will be to be free of infection and achieve timely wound healing and avoid complications. The risk of infection, which is another key nursing diagnosis for this patient can include increased muscle contractions and possible psychological reactions. The desired outcome for this patient will experience reduced discomfort or pain.

Learning Objectives

The two main learning objectives for this patient will be improving how they address pain and mitigating the risk of infection. Firstly, the patient should demonstrate and apply skincare products that limit their risk of infection. The patient will also identify and describe the mechanism of the different types of pressure-induced and vascular insufficiency. Another learning objective will address the patient’s ability to identify the risk factors of ulcer formation on the operated site and describe the different stages of pressure ulcer. The patient will outline the different treatment modalities for pressure ulcers and demonstrate the ability to adhere to such treatment methodologies.

The other key learning objective for the patient will address their handling of acute pain resulting from post-operative care. The patient will be able to describe their pain when given a scale of 1 to 10 besides being aware of care support to manage their discomfort. The patient will also identify the benefits of complying with pain management methods utilized by their care provider. The treatment goals will include demonstrating wellbeing including base levels for pulse and blood pressure levels. Lastly, the patient will exhibit coping strategies to pain.

Teaching Methodology

One of the teaching methodologies that will be adopted for this patient will be group-based or home-based intervention. Herval et al. (2019) suggest that home-based and group-based educational methodology for patients requiring postoperative care have been shown to improve the quality of life of such mothers alongside increasing the prevalence of exclusive feeding. Of note, home-based and group-based teaching methodologies improve the patient's self-confidence, security, and calmness. The main objective of the group-based educational methodology is to empower women to address their maternal issues. Group-based interventions allow the women to air their concerns on maternal care, provides a sense of community and support, and promote knowledge sharing among them. The group approach favors self-efficacy and social support for delivered mothers by establishing a platform through which they can build their skills and confidence. Moreover, they can share experiences and resources and socialize for progressive health. The ability to share knowledge is an important factor for patient activation and empowerment (Sharma et al., 2018). Therefore, giving the women the platform to participate promotes their adherence to care interventions.

Teaching Aids

Websites are some of the key teaching aids that can be utilized for both home-based and group-based care of post-operative cesarean section care. Instructional notebooks are effective means of giving the patients additional information on wound care. The resources are patient appealing as they include various images to keep the patient glued to the information. With figures and diagrams, the patient can apply the knowledge gained in their daily self-care practices. Similarly, websites can provide wound care information alongside important contacts and phone numbers where the patient can receive additional information.

References

Herval, Á. M., Oliveira, D. P. D., Gomes, V. E., & Vargas, A. M. D. (2019). Health education strategies targeting maternal and child health: A scoping review of educational methodologies. Medicine, 98(26).

Sharma, J., O’Connor, M., & Jolivet, R. R. (2018). Group antenatal care models in low-and middle-income countries: a systematic evidence synthesis. Reproductive health, 15(1), 1-12.

Kamitsuru, S., & Herdman, T. H. (2014). NANDA International, Inc. NURSING DIAGNOSES: Definitions & Classification.