CASE 2: Use of a qualitative case study to learn lessons from severe preeclampsia causing a maternal near-miss:

a case report

Assessment Nursing Rationale Objectives Nursing Rationale Evaluation

Diagnosis Interventions

Cues Deficient As the patient Short term: Independent After the

(Subjective): knowledge was of a rural After 1-2 hours -Assess -Learning nurse-patient
related to background, of nurse- motivation and requires interaction:
• She had ineffective and had no patient willingness of energy and the
no formal self-health formal interaction: patient to learn patient must - the patient
education management education, she see a need or expressed that
• She was does not have - the patient purpose for
she realize
sick due to sufficient would be able learning. why she needs
an evil information for to understand to learn how to
spirit health- the importance -Assess barriers -The patient manage
• “I think it is behaviors in of knowing to learning (e.g. comes from a pregnancy
ok to order for her to what to do financial unique complications
deliver in have a healthy when concerns, cultural background, when it
my home pregnancy. In complications patterns) established happens
when I addition to this, arise during social
have no the patient does antepartum interaction - the patient
health not have access and patterns, verbalized that
problems.” or refuse to postpartum financial she wants to
• No seek the care of periods patterns, and a know what
prenatal a medical facility distinct should be
check-ups during her - the patient personality done
pregnancy would be able Dependent effectively
which would to show -Provide health- when there’s a
have helped her willingness to -Having the complication
teaching to the
Clues be more learn how to patient be during or after
patient regarding
(Objective): informed on her manage informed and her pregnancy
seeking frequent
• G7P6 pregnancy and antepartum prenatal care and educated on
what to do in and checkup, family the importance At the end of
case postpartum planning, and of prenatal the 8-hour
complications complications proper manner checkups shift:
arise. caring for the ensures a
Long term: newborn healthy - the patient
8 hours after pregnancy; provided
the nurse- family appropriate
patient planning feedback
interaction: reinforces when asked
people’s rights whether she
- the patient to determine understands
would be able the number the provided
to be fully and spacing of health
informed about their children; teachings
the essential and establish
health proper care for
teachings the baby to
before, during, ensure good
and after health
pregnancy
- Have the patient - To reduce the
informed of fear of the
health status, patient and as
results of when a preparation
tests, and fetal before health
well-being. teachings take
place, she has
to first be
adequately
informed of the
health status
 of both her and
her baby

Interdependent
- Involve patient - Patient
in writing specific involvement
outcomes for the promotes and
teaching session improves
compliance
with health
regimen and
makes
teaching and
learning a
partnership

- Collaborate with - Because of

the dietitian in the proteinuria
providing present, less
information to protein should
ensure the be consumed.
appropriate In order to get
intake of protein the adequate
diet, refer the
patient to a
dietician.
Then, as a
nurse,
reinforce to the
 patient her diet
intake

References:
Wayne, G., (2019). 6 Pregnancy induced hypertension nursing care plans. Retrieved March 24, 2020 from
https://nurseslabs.com/pregnancy-induced-hypertension-nursing-care-plans/#Risk-for-Maternal-Injury