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Home Care

Home Care. Chapter 31. Length of Stay. Early discharge okay with home visits Federal law mandated 48 hr stay. Assess level of knowledge Difficult to meet all needs in hospital Follow up home care Reinforce information taught in hospital. Home Visit. 24 -48 hrs after discharge

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Home Care

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  1. Home Care Chapter 31

  2. Length of Stay • Early discharge okay with home visits • Federal law mandated 48 hr stay. • Assess level of knowledge • Difficult to meet all needs in hospital • Follow up home care • Reinforce information taught in hospital

  3. Home Visit • 24 -48 hrs after discharge • Evaluate adjustment • Safety • Be genuine, empathetic, develop trust, be non-judgmental, establish rapport

  4. Home Care • Model different holds • Place back or side- reposition frequently • Assess I&O’s • Bathing-sponge bath- head to toe • Tub bath okay after cord falls off • Trim nails while asleep

  5. Home care • Dress newborn warmly- head and ears • Taking temperature- Give acetaminophen • Stool-BF 6-10, bottle one-two • Void 5-8 • Sleep and activity • Crying- distinguish types of cry

  6. Breastfeeding After Discharge • Nipple soreness-reposition, feed more frequently, ice, exposure, blow dryer • Take Tylenol • Eat healthy, increase protein, Vit. C, zinc • Do not use petroleum based products • Use own milk • Thrush infection

  7. Nipple Care • Feed on unaffected side first • Reposition for cracked nipple • Breast engorgement- can use warm or cool compress • Plugged ducts massage for in to out, warm shower • Can pump when resume working

  8. Weaning • If wean before 12 months need iron supplements • Gradual approach the most healthy • Usually mutually agreed upon

  9. Sexual Activity and Contraception • Resume when episiotomy healed and lochia stops • May need to use lubricant • May experience letdown • Familial adjustment • Help to make informed decision regarding contraception

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