Demonstration On Care Of Breast 6g6c6a
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DEMONSTRATION ON Care of Breast & Engorged Breast SUBMITTED TO : miki ma’am SUBMITTED BY : VARSHA SHARMA(M.Sc 1st year ) SUBMITTED ON : 29/08/14
IDENTIFICATION DATA NAME
: Angel A. Thomas
CLASS
: M.Sc 1st year
SUBJECT
: Obstetrics & Gynecology
TOPIC
: Care of Breast & Engorged Breast
GROUP
: B.Sc 3rd year students
SIZE OF GROUP
:
VENUE
: Laboratory
DURATION OF TEACHING : 45 minutes AUDIO VISUAL AIDS
: articles
DATE AND TIME
:
PREVIOUS KNOWLEDGE
: The group has some basic knowledge regarding the topic.
TIME
SPECIFIC OBJECTIVE
CONTENT
TEACHING LEARNING ACTIVITY INTRODUCTION – Daily washing is all that is necessary for breast hygiene. The normal skin flora are beneficial to the baby. Brassieres may be worn in order to provide comfortable and are useful if the breast leaks and the breast pads are used.
ANNOUNCEMENT OF THE TOPIC – Today I am going to demonstrate the procedure of Breast Care and Care of Engorged Breast.
.
EVALUATION
30 seconds
After the demonstration the class will be able to define Breast.
DEFINATION “The breasts are compound secreting glands composed mainly of glandular tissue, which is arranged in lobes approximately 20 in number.”
30 seconds
After the demonstration the group will be able to define Breast care.
DEFINATION OF BREAST CARE “Breast care is the activity to prepare and clean the breasts during pregnancy and lactation for breast feeding.”
The student teacher defines Breast Care during demonstration.
PURPOSE OF BREAST CARE To prepare the women for breast feeding. To correct the minor defects of the breast.
The student teacher lists down the purposes of Breast Care during demonstration.
1 minute
After the demonstration the group will be able to list down the purposes of Breast Care.
The student teacher defines the breast during demonstration.
Define the breast?
What is breast care?
List down the purpose of breast care?
5 minutes
After the demonstration the group will be able to verbalize the general instructions in Breast Care.
5 minutes
After the demonstration the group will be able to name and identify the articles used in Breast Care.
GENERAL INSTRUCTIONS IN BREAST CARE 1. Pay special attention to the nipples. 2. Use circular movements while applying soap. 3. Never use strong soap/antiseptic. 4. Never put the baby on breasts if the nipples are cracked. 5. Inspect breasts and nipples daily for engorgement, retracted / cracked / depressed nipples, mastitis and other complications. 6. Never take out nipple from baby’s mouth abruptly. 7. Mother should have short nails and should wash hands before feeding.
ARTICLES USED IN BREAST CARE 1. A tray containing, a) Bowl of cotton swabs b) Sponge cloth-2 c) Soap in soap dish d) Ointment ,if prescribed e) Kidney tray f) Small mackintosh and
The student teacher list's down the general instruction in Breast Care during demonstration.
What are the general instructions in Breast Care?
The student teacher lists down the articles in Breast Care during demonstration.
List down the articles used in Breast Care?
towel g) One basin h) Jug of warm water 2. Screen
10 minutes
After the demonstration the group will be able to verbalize the steps of procedure in Breast Care.
STEPS OF PROCEDURE 1) Wash hands. 2) Assemble all the articles. 3) Explain the procedure to the patient. 4) Take the articles to the bed side. 5) Screen the mother. 6) Make the mother sit. 7) Expose the breast. 8) Place the mackintosh and the towel under the breast /over the lap. 9) Pour warm water in the basin. 10)Apply soap with the sponge cloth in a circular motion starting at the nipple and working outwards. 11) Wash the breasts with sponge cloth. 12)Clean the nipples and remove all the crusts with the cotton swab to prevent blockage of the duct. 13)Express the milk to ensure the patency of the nipple. 14) Check for cracks and inversion of nipples or engorgement of the breasts.
The student teacher enumerates the steps of procedure in Breast Care during demonstration.
List down the steps in Breast Care.
15)Dry the breast with towel. 16)Put the baby on the breast but before putting the baby to breast, any discharges from the baby’s eyes or nose must be cleaned, and napkin must be changed. 17)Advise her to wear the bra. 18)Make the mother and child comfortable. 19)Remove all the articles and the screen from the bedside of the patient and replace. 20)Wash hands and do the recordings.
DEFINATION OF ENGORGED BREAST “Engorgement is the condition in which the breasts become enlarged , heavy, hard and tender. It is often seen in varying degrees commonly between third and fifth day of the puerperium.”
30 seconds
After the demonstration the group will be able to define Engorged Breast.
30 seconds
After the PURPOSE demonstration the To reduce the discomfort of the mother by group will be able to relieving the pain and tenderness. list down the purpose To maintain lactation. of care of Engorged To prevent further complication of the Breast. breast.
The student teacher defines the Engorged Breast during demonstration.
Define Engorged Breast.
The student teacher list down the purpose of care of Engorged Breast during demonstration.
What are the purpose of care engorged breast?
5 minutes
After the demonstration the group will be able to name and identify the articles used in care Engorged Breast.
ARTICLES REQUIRED 1) A tray containing, a) A medium sized bowl with warm water. b) Four sponge cloth or other thick material. c) Kidney tray or paper bag. d) Towel to spread over the mackintosh e) A few pads of cotton wool in a bowl. f) Medicines,if prescribed. g) Mackintosh h) A small hand towel for drying the mother after the procedure. 2) A screen for privacy.
The student teacher list down the articles used in the care of Engorged Breast during demonstration.
Name the articles used in care of Engorged Breast.
The student teacher lists down the general instruction in care of Engorged Breast during demonstration.
What are the general instructions to be kept in mind before the care of Engorged Breast?
GENERAL INSTRUCTIONS 5 minutes
After the demonstration the group will be able to list down the general instructions in care pf Engorged Breast.
Breasts must be completely empty after the expression. An effort should be made to lactation. Water should not be very hot.
Inspect for any breast complications. Sucking by the baby and manual expression are avoided in severe Engorgement.
10 minutes
After the demonstration the group will be able to list down the steps of procedure of care of Engorged Breast.
STEPS OF PROCEDURE 1. Bring the tray to bed side. 2. Explain the procedure to the mother. 3. Screen the mother. 4. Put the mother in a sitting or a side lying position. 5. Expose the mother’s breast. 6. Place the mackintosh and towel under the breast. 7. Soak the sponge cloths in warm water, wring the sponge cloth well , test there temperature and apply on breast. 8. Soak the other two sponge clothes in warm water. 9. Change the sponge cloth when cold. 10. Continue fomentation of the breasts for 10-15 minutes. 11. Put the baby to breast. 12. Express the rest of the milk from the breast manually into the kidney tray. 13. Clean the breast and wipe it dry and apply the ,medicine if any. 14. Ask the mother to wear a wellfitting bra. She can use cotton pads in the bra for absorbing
The student teacher lists down the steps of procedure of care of Engorged Breast during demonstration.
List down the steps of procedure of care of Engorged Breast.
milk secretion from the breast. 15. Wash the articles and replace. 16. Record the condition of the breast , nipples and if any medicine (if used).
SUMMARY- The care of breast is of utmost importance to women in both antenatal and postnatal period. It should be taken care of with caution without any risk of causing injuries to the organ. CONCLUSION- This demonstration includes the definition of breast, breast care, Engorged breast, articles required, general instructions and steps of procedure.
BIBLIOGRAPHY Myles Textbook for Midwives , Publisher-Elsevier Science, Editor- Diane M. Fraser & Margaret A. Cooper, Foreword by- Gillian Fletcher, 14th Edition. Jamia Hamdard procedure manual.
IDENTIFICATION DATA NAME
: Angel A. Thomas
CLASS
: M.Sc 1st year
SUBJECT
: Obstetrics & Gynecology
TOPIC
: Care of Breast & Engorged Breast
GROUP
: B.Sc 3rd year students
SIZE OF GROUP
:
VENUE
: Laboratory
DURATION OF TEACHING : 45 minutes AUDIO VISUAL AIDS
: articles
DATE AND TIME
:
PREVIOUS KNOWLEDGE
: The group has some basic knowledge regarding the topic.
TIME
SPECIFIC OBJECTIVE
CONTENT
TEACHING LEARNING ACTIVITY INTRODUCTION – Daily washing is all that is necessary for breast hygiene. The normal skin flora are beneficial to the baby. Brassieres may be worn in order to provide comfortable and are useful if the breast leaks and the breast pads are used.
ANNOUNCEMENT OF THE TOPIC – Today I am going to demonstrate the procedure of Breast Care and Care of Engorged Breast.
.
EVALUATION
30 seconds
After the demonstration the class will be able to define Breast.
DEFINATION “The breasts are compound secreting glands composed mainly of glandular tissue, which is arranged in lobes approximately 20 in number.”
30 seconds
After the demonstration the group will be able to define Breast care.
DEFINATION OF BREAST CARE “Breast care is the activity to prepare and clean the breasts during pregnancy and lactation for breast feeding.”
The student teacher defines Breast Care during demonstration.
PURPOSE OF BREAST CARE To prepare the women for breast feeding. To correct the minor defects of the breast.
The student teacher lists down the purposes of Breast Care during demonstration.
1 minute
After the demonstration the group will be able to list down the purposes of Breast Care.
The student teacher defines the breast during demonstration.
Define the breast?
What is breast care?
List down the purpose of breast care?
5 minutes
After the demonstration the group will be able to verbalize the general instructions in Breast Care.
5 minutes
After the demonstration the group will be able to name and identify the articles used in Breast Care.
GENERAL INSTRUCTIONS IN BREAST CARE 1. Pay special attention to the nipples. 2. Use circular movements while applying soap. 3. Never use strong soap/antiseptic. 4. Never put the baby on breasts if the nipples are cracked. 5. Inspect breasts and nipples daily for engorgement, retracted / cracked / depressed nipples, mastitis and other complications. 6. Never take out nipple from baby’s mouth abruptly. 7. Mother should have short nails and should wash hands before feeding.
ARTICLES USED IN BREAST CARE 1. A tray containing, a) Bowl of cotton swabs b) Sponge cloth-2 c) Soap in soap dish d) Ointment ,if prescribed e) Kidney tray f) Small mackintosh and
The student teacher list's down the general instruction in Breast Care during demonstration.
What are the general instructions in Breast Care?
The student teacher lists down the articles in Breast Care during demonstration.
List down the articles used in Breast Care?
towel g) One basin h) Jug of warm water 2. Screen
10 minutes
After the demonstration the group will be able to verbalize the steps of procedure in Breast Care.
STEPS OF PROCEDURE 1) Wash hands. 2) Assemble all the articles. 3) Explain the procedure to the patient. 4) Take the articles to the bed side. 5) Screen the mother. 6) Make the mother sit. 7) Expose the breast. 8) Place the mackintosh and the towel under the breast /over the lap. 9) Pour warm water in the basin. 10)Apply soap with the sponge cloth in a circular motion starting at the nipple and working outwards. 11) Wash the breasts with sponge cloth. 12)Clean the nipples and remove all the crusts with the cotton swab to prevent blockage of the duct. 13)Express the milk to ensure the patency of the nipple. 14) Check for cracks and inversion of nipples or engorgement of the breasts.
The student teacher enumerates the steps of procedure in Breast Care during demonstration.
List down the steps in Breast Care.
15)Dry the breast with towel. 16)Put the baby on the breast but before putting the baby to breast, any discharges from the baby’s eyes or nose must be cleaned, and napkin must be changed. 17)Advise her to wear the bra. 18)Make the mother and child comfortable. 19)Remove all the articles and the screen from the bedside of the patient and replace. 20)Wash hands and do the recordings.
DEFINATION OF ENGORGED BREAST “Engorgement is the condition in which the breasts become enlarged , heavy, hard and tender. It is often seen in varying degrees commonly between third and fifth day of the puerperium.”
30 seconds
After the demonstration the group will be able to define Engorged Breast.
30 seconds
After the PURPOSE demonstration the To reduce the discomfort of the mother by group will be able to relieving the pain and tenderness. list down the purpose To maintain lactation. of care of Engorged To prevent further complication of the Breast. breast.
The student teacher defines the Engorged Breast during demonstration.
Define Engorged Breast.
The student teacher list down the purpose of care of Engorged Breast during demonstration.
What are the purpose of care engorged breast?
5 minutes
After the demonstration the group will be able to name and identify the articles used in care Engorged Breast.
ARTICLES REQUIRED 1) A tray containing, a) A medium sized bowl with warm water. b) Four sponge cloth or other thick material. c) Kidney tray or paper bag. d) Towel to spread over the mackintosh e) A few pads of cotton wool in a bowl. f) Medicines,if prescribed. g) Mackintosh h) A small hand towel for drying the mother after the procedure. 2) A screen for privacy.
The student teacher list down the articles used in the care of Engorged Breast during demonstration.
Name the articles used in care of Engorged Breast.
The student teacher lists down the general instruction in care of Engorged Breast during demonstration.
What are the general instructions to be kept in mind before the care of Engorged Breast?
GENERAL INSTRUCTIONS 5 minutes
After the demonstration the group will be able to list down the general instructions in care pf Engorged Breast.
Breasts must be completely empty after the expression. An effort should be made to lactation. Water should not be very hot.
Inspect for any breast complications. Sucking by the baby and manual expression are avoided in severe Engorgement.
10 minutes
After the demonstration the group will be able to list down the steps of procedure of care of Engorged Breast.
STEPS OF PROCEDURE 1. Bring the tray to bed side. 2. Explain the procedure to the mother. 3. Screen the mother. 4. Put the mother in a sitting or a side lying position. 5. Expose the mother’s breast. 6. Place the mackintosh and towel under the breast. 7. Soak the sponge cloths in warm water, wring the sponge cloth well , test there temperature and apply on breast. 8. Soak the other two sponge clothes in warm water. 9. Change the sponge cloth when cold. 10. Continue fomentation of the breasts for 10-15 minutes. 11. Put the baby to breast. 12. Express the rest of the milk from the breast manually into the kidney tray. 13. Clean the breast and wipe it dry and apply the ,medicine if any. 14. Ask the mother to wear a wellfitting bra. She can use cotton pads in the bra for absorbing
The student teacher lists down the steps of procedure of care of Engorged Breast during demonstration.
List down the steps of procedure of care of Engorged Breast.
milk secretion from the breast. 15. Wash the articles and replace. 16. Record the condition of the breast , nipples and if any medicine (if used).
SUMMARY- The care of breast is of utmost importance to women in both antenatal and postnatal period. It should be taken care of with caution without any risk of causing injuries to the organ. CONCLUSION- This demonstration includes the definition of breast, breast care, Engorged breast, articles required, general instructions and steps of procedure.
BIBLIOGRAPHY Myles Textbook for Midwives , Publisher-Elsevier Science, Editor- Diane M. Fraser & Margaret A. Cooper, Foreword by- Gillian Fletcher, 14th Edition. Jamia Hamdard procedure manual.
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