Mastitis Nursing Care Plans Diagnosis and InterventionsMastitis NCLEX Review and Nursing Care Plans Show
Mastitis is the localized inflammation of the breast tissue, sometimes involving the nipple and areola. It is characterized by redness and swelling, and usually affects only one breast. It is mostly seen in lactating women but can also occur in men and non-breastfeeding women. About 80% of reported cases are women. It is commonly associated with breastfeeding but can also be caused by an infection. Lactation mastitis specifically refers to mastitis seen in breastfeeding women. The discomfort associated with it is said to be a contributing factor for women to wean their babies from breastfeeding earlier than as planned. Signs and Symptoms of MastitisMastitis has a quick onset especially in breastfeeding women. It manifests as follows:
Causes and Risk Factors of MastitisMastitis is often associated with breastfeeding because of the following pathophysiology:
In non-breastfeeding women and in men, the following may lead to mastitis:
The following are the predisposing risk factors that increase the chance of developing mastitis:
Complications of MastitisThe main complication stemming from mastitis is the collection of abscesses in the breast if the inflammation is unresolved or inadequately treated. Abscess or pus formation may require surgical drainage. Diagnosing mastitis is usually dependent on the patient’s signs and symptoms. A thorough history taking and physical examination will be performed by the patient’s clinician. In most cases, the signs and symptoms, and the physical assessment results are enough to make the diagnosis, however, the following procedures may also be required:
Treatment for Mastitis
Mastitis Nursing DiagnosisNursing Care Plan for Mastitis 1Nursing Diagnosis: Risk for Ineffective Breastfeeding related to pain and inflammation secondary to mastitis Desired Outcome: The mother will be able to demonstrate effective breastfeeding to nourish the baby properly.
Nursing Care Plan for Mastitis 2Nursing Diagnosis: Hyperthermia related to mastitis as evidenced by temperature of 38.5 degrees Celsius, rapid and shallow breathing, flushed skin, profuse sweating, and weak pulse. Desired Outcome: Within 4 hours of nursing interventions, the patient will have a stabilized temperature within the normal range.
Nursing Care Plan for Mastitis 3Nursing Diagnosis: Alteration in comfort related to hyperthermia. Desired Outcome: Within 4 hours of nursing interventions, the patient will have a stabilized temperature within the normal range and will verbalize feeling more comfortable.
Nursing Care Plan for Mastitis 4Nursing Diagnosis: Acute Pain related to breast inflammation, as evidenced by pain score of 10 out of 10, guarding sign on the affected breast, and irritability Desired Outcome: The patient will report a pain score of 0 out of 10.
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Nursing ReferencesAckley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Nursing diagnoses handbook: An evidence-based guide to planning care. St. Louis, MO: Elsevier. Buy on Amazon Gulanick, M., & Myers, J. L. (2022). Nursing care plans: Diagnoses, interventions, & outcomes. St. Louis, MO: Elsevier. Buy on Amazon Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2020). Medical-surgical nursing: Concepts for interprofessional collaborative care. St. Louis, MO: Elsevier. Buy on Amazon Silvestri, L. A. (2020). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier. Buy on Amazon Disclaimer:Please follow your facilities guidelines and policies and procedures. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. What are nursing interventions for mastitis?Nursing Care Plan for Mastitis 4. Which intervention would the nurse plan for the breast feeding client with a diagnosis of mastitis?Apply warm, moist compresses to the affected breast every few hours or take a warm shower. Breastfeed every two hours or more often to keep milk flowing through the milk ducts. If needed, use a breast pump to express milk between feedings. Drink plenty of fluids and rest when possible.
What is the best treatment for mastitis?Treatment. Antibiotics. If you have an infection, a 10-day course of antibiotics is usually needed. ... . Pain relievers. Your doctor may recommend an over-the-counter pain reliever, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others).. Which instruction would the nurse include in the teaching plan for a postpartum woman with mastitis?Which instruction would the nurse include in the teaching plan for a postpartum woman with mastitis? Try applying warm compresses to your breasts to encourage the milk to be released."
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