Process Recording
Identification Data:
Name: Bipasha Barman
Age: 20 Years Sex: Female DOA: 18.03.2024 WARD: Postnatal ND Ward
Diagnosis: Normal Vaginal Delivery with Episiotomy on 19.03.2024 at 12:53 AM
Date & Nursing diagnosis Nursing activity Evaluation
time
19.03.2024 Altered nutrition and fatigue Provided normal diet with plenty of water Level of Nutrition &
At 11 AM due to labor process and sleep Sleeping Pattern have been
pattern disturbances as Encouraged to indulge food rich with modified in some extent.
evidenced by verbalizing Carbohydrates and Protein
tiredness and day time
sleeping. Encouraged to get adequate rest with
environmental modification such as
drawing curtain, maintaining calm & quite
surrounding.
Advised to adjust sleep timings with the
baby's sleep timings
Provided support person for help
Signature of Student Signature of Evaluator