Sie sind auf Seite 1von 3

BUKIDNON STATE UNIVERSITY

COLLEGE OF NURSING
CITY OF MALAYBALAY

LACTATING

I. INTRODUCTION
According to an Anatomy and Physiology book, lactation is the process by which milk is
synthesized and secreted from the mammary glands of the postpartum female breast in response to an
infant sucking at the nipple. Breast milk which is produced by lactation provides ideal nutrition and passive
immunity for the infant, encourages mild uterine contractions to return the uterus to its pre-pregnancy
size, and increases the metabolism of the mother, consuming the fat reserves stored during pregnancy.
Long term benefits include improved neurodevelopmental outcomes and reduced risk of obesity. Benefits
to the breastfeeding mother include enhanced bonding, reduced anxiety, reduced risk of ovarian and
breast cancer and post-partum weight loss.
The researchers chose a respondent for the case study who is a lactating mother, which resides
at the city, and is available and accessible for interview anytime. She was related to one of the researchers
which made the assessment process easier through their conversation in an interview.

II. DEMOGRAPHIC DATA


• NAME: Mrs. Z
• AGE: 25 years old
• EDUCATIONAL ATTAINMENT: Undergraduate
• OCCUPATION: Housewife
• RELIGION: Roman Catholic
• SEX: Female
• HEIGHT: 5’1
• WEIGHT: 53.5 kg
• BMI AND CLASSIFICATION: 22.29 - NORMAL
• BMR: 1,315.16 kcal
• VITAL SIGNS: BP: 110/70; T: 36.5; RR: 19; PR: 73
• WATER INTAKE: 2.5L per day
• ELIMINATION PATTERN: Twice a day
• MAINTENANCE MEDICATION: None
• LEVEL OF CONSCIOUSNESS: Alert
• ANCESTRAL/ETHNIC BACKGROUND: Bukidnon
• COMPOSITION OF FAMILY: Traditional Family
• RECREATION AND EXERCISEF FAMILY: Trail walk and jog

III. HISTORY OF PAST ILLNESS


Mrs. Z stated that she had completed her vaccinations which entails BCG, OPV, DPT, Measles and
Tetanus Toxoid vaccines. She was diagnosed with mastitis last August 2019. During that time, she
verbalized, “Sakit akong totoy ug maka feel ko lumps sa ilok”.

IV. HISTORY OF PRESENT ILLNESS


Prior to the interview, Mrs. Z was able to answer the questions enthusiastically. She has no chief
complaints as she was looking perfectly fit and fine. In addition, Mrs. Z had normal spontaneous vaginal
delivery at Malaybalay Polymedic General Hospital with a healthy baby boy that weighs 2.7 kilograms. Her
initial vital signs were BP- 110/70 mmHg, T- 36.5ºC, RR- 19 cpm, and PR- 73 bpm.
BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
CITY OF MALAYBALAY

V. DIETARY HISTORY
 FOOD LIKES AND DISLIKES:
o The food that she specifically likes are the following:
 Pasta
 baby back ribs
 vegetable salads
o The food the she does not like is OKRA only
 24 HOUR RECALL: The client had her breakfast with egg with tomatoes, rice, and milk. During
lunch time, she took adobo and tinolang manok, rice and coke. By dinner, she consumed fried fish
(matambaka), pinakbet, and rice.
 COOKING FACILITIES: Gas-Stove
 OTHER SOURCES OF NUTRIENTS: NONE
 PAST DIETARY RESTRICTION: N/A
 NUTRITIONAL KNOWLEDGE AND WHERE OBTAIN: She acquires knowledge from reading in the
internet
 PRESENT DIETARY RESTRICTION: NONE
 APPETITE: The client has good appetite

VI. IDEAL DIET


Breakfast:
o Fried Bangus
o Camote Tops Salad with Tomatoes
o Rice
o Banana
o Milk
AM Snack:
o Boiled Corn
o Apple Juice
Lunch:
o Chicken Tinola with Green Sayote and Malunggay
o Rice
o Mango
PM Snack:
o Boiled Camote
o Apple Juice
Dinner:
o Fried Galunggong
o Pinakbet
o Rice
o Watermelon
o Milk
BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
CITY OF MALAYBALAY

VII. ACTUAL DIET


Breakfast:
o Scramble egg
o Rice
o Milk
AM Snack:
o Water
Lunch:
o Chicken Adobo
o Rice
PM Snack:
o Water
Dinner:
o Pinakbet
o Rice

VIII. RECOMMENDATIONS AND HEALTH TEACHINGS

Medications Continue medications and vitamins as prescribed by the physician

Exercises Perform yoga to provide relaxation as well as to facilitate the production of breastmilk

Treatment/ Encourage client to attend mother’s class


Therapy

Health Instruct the mother to breastfeed baby to provide and supply nutrients needed for every day life
Teachings

Out Patient Visit the doctor for follow-up check up

Diet Encourage client to eat high carbohydrate and high protein foods (full course diet)

Spiritual Encourage client to meditate