Domain 2. Nutrition
Class 1. Ingestion
Diagnostic Code: 00106
Nanda label: Readiness for enhanced breastfeeding
Diagnostic focus: Breastfeeding
Nursing diagnosis readiness for enhanced breastfeeding is a assessment framework developed by the North American Nursing Diagnostic Association (NANDA). It is used to identify nursing diagnoses that reflect actual or potential problems and areas of support for lactation and breastfeeding. This framework helps to guide nurses in individualizing care plans, develop realistic objectives and interventions, and promote breastfeeding support for mothers with infants.
NANDA Nursing Diagnosis Definition
The NANDA’s definition for Nursing Diagnosis Readiness for Enhanced Breastfeeding is “the state in which an individual wants to nurse, has knowledge and skills needed to nurse, and is able to implement his/her nursing intentions effectively.”
Subjective: Reports confidence in ability and desire to breastfeed, expression of interest in the breastfeeding process, verbalizes understanding of benefits of breastfeeding.
Objective: Practices effective positioning of the infant and body during breastfeeding, expresses milk effectively, maintains proper hygiene during breastfeeding, presents a positive attitude regarding breastfeeding.
Nursing diagnosis readiness for enhanced breastfeeding can be used to develop an individualized plan of care and provide support for breastfeeding mothers. The framework can also help identify any barriers that may be preventing a mother from breastfeeding effectively and develop strategies for addressing them. Additionally, it can be used to assess the effectiveness of current interventions and determine if additional measures need to be taken.
Suggested Alternative NANDA Nursing Diagnoses
Risk for Impaired Lactation Outcome: This nursing diagnosis reflects an individual’s risk for not achieving physiological and emotional outcomes related to breast feeding.
Ineffective Infant Feeding Pattern: This nursing diagnosis refers to an individual’s inability to feed effectively and may include ineffective positioning, inability to maintain effective latch, inadequate frequency or duration of feeding, ineffective suckling, and refusal to feed.
Knowledge Deficit [specify]: This nursing diagnosis outlines a lack of understanding related to the breastfeeding process and is often seen in mothers who are first-time mothers or those who have had limited exposure to breastfeeding.
When using the NANDA nursing diagnosis readiness for enhanced breastfeeding framework it is important to remember to individualize the plan of care and interventions based on each mother’s physical and psychological needs. Additionally, it is essential to assess the mother’s overall readiness to breastfeed (e.g. knowledge and skills) as well as any potential barriers such as disease, medications, family dynamics, etc. that may limit her ability to breastfeed successfully.
The following NOC outcomes can be expected when using the NANDA nursing diagnosis readiness for enhanced breastfeeding assessment framework:
- Breastfeeding Knowledge: the individual is able to demonstrate proper positioning, latch, and other breastfeeding techniques
- Adequate Milk Production: the individual is able to produce adequate amounts of breast milk for her infant
- Proper Hygiene: the individual is able to practice proper hygiene when breastfeeding which includes hand washing and drying and avoiding cross contamination.
- Feeling Confident about Breastfeeding: the individual is able to feel confident about her ability to breastfeed her infant
- Feeling Supported: the individual feels supported and has access to the necessary resources needed to succeed in breastfeeding
- Engaging in Effective Communication: the individual is able to communicate effectively with health care providers and other professionals involved in her breastfeeding journey.
Evaluation Objectives and Criteria
The following evaluation objectives and criteria should be utilized when assessing an individual’s nursing diagnosis readiness for enhanced breastfeeding:
- Assess the mother’s knowledge and understanding of the breastfeeding process.
- Observe the mother’s position and effective latch during breastfeeding.
- Assess the mother’s feelings of confidence and support system.
- Evaluate the mother’s ability to practice proper hygiene during breastfeeding.
- Measure the mother’s ability to communicate effectively with health care providers and other professionals.
The following progress notes reflect possible NIC interventions utilizing the nursing diagnosis readiness for enhanced breastfeeding framework:
- Breastfeeding Education: Provide education to the mother on the importance of breastfeeding and proper breastfeeding techniques.
- Positioning and Latching Support: Teach the mother proper positioning and latching techniques and demonstrate correct technique during breastfeeding.
- Hygiene Reinforcement: Reinforce appropriate hygiene during breastfeeding including hand washing and avoidance of cross contamination.
- Supportive Listening: Provide emotional support and discuss feelings related to breastfeeding.
- Referral Assistance: Assist the mother in accessing resources and additional support needed for breastfeeding success.
In addition to NIC interventions, the nurse should also focus on the following activities related to the nursing diagnosis readiness for enhanced breastfeeding:
- Provide Postpartum Follow-up Care: Conducting postpartum visits or follow up phone calls can be beneficial for monitoring the mother’s breastfeeding progress and providing additional guidance and support.
- Implement Action Plan: Identify barriers impacting the success of breastfeeding and develop a plan of action with the mother to address these issues.
- Track Infant’s Feeding Habits: Track the infant’s feeding habits to ensure they are receiving adequate nutrition.
- Monitor Weight Gain: Monitor the infant’s weight gain to ensure they are growing adequately.
- Provide Referrals: Provide referrals to appropriate resources and professionals as needed.
Nursing diagnosis readiness for enhanced breastfeeding is a invaluable assessment tool for nurses. It provides a framework to identify nursing diagnoses related to lactation and breastfeeding and helps tailor individualized care plans, develop realistic objectives and interventions, and promote breastfeeding support for mothers with infants.
- What is Nursing Diagnosis Readiness for Enhanced Breastfeeding?
Nursing Diagnosis Readiness for Enhanced Breastfeeding is a assessment framework developed by the North American Nursing Diagnostic Association (NANDA). It is used to identify nursing diagnoses that reflect actual or potential problems and areas of support for lactation and breastfeeding.
- Who can benefit from the nursing diagnosis framework?
The framework can be used to help guide nurses in developing individualized care plans, assessing the effectiveness of current interventions, and providing additional support for breastfeeding mothers.
- What NOC outcomes can be expected when using the framework?
Potential NOC outcomes when utilizing the NANDA diagnosis readiness framework may include breastfeeding knowledge, milk production, proper hygiene, feeling confident, feeling supported, and engaging in effective communication.
- What NIC interventions utilize the framework?
NIC interventions may include breastfeeding education, positioning and latching support, hygiene reinforcement, supportive listening, and providing referral assistance.
- What other activities are important to consider when using the framework?
Additional activities to consider include providing postpartum follow-up, implementing an action plan, tracking infant’s feeding habits, monitoring baby’s weight gain, and providing referrals as needed.