UCSD Lactation Educator Program Curriculum Lesson Plans Directions: (Reviewed in Video Instructions) Page 28 Write a lesson plan for EACH topic using the forms below. -Minimum of 12 1. Objectives: a. Every lesson plan starts with a list of objectives. Objectives are measurable ways of evaluating learning. Objectives are often confused with goals. The difference is that the measurement of whether a goal is met is the objectives. If the objectives are met, the goal is accomplished. b. THREE parts to an objective: 1. Condition or time reference when the behavior will occur. By the end of class … By the end of the session ... After the film showing … After the demonstration…. 2. Performance or what the participant is to do or know. … the participant will state…. … the participant will list … … the student will demonstrate … 3. Criterion or exactly what is expected, usually a number. … 3 reasons … 2 ways … 1 position Do Use Action verbs: list - define - describe - state - identify on diagram Do Not Use the following words in objectives!!!!!: …know …understand …have knowledge of CONDITION PERFORMANCE CRITERION By the end of class, the participant will state 3 reasons for breastfeeding. CONDITION PERFORMANCE CRITERION After the film showing, the participant will list 2 ways to express breastmilk. CONDITION PERFORMANCE CRITERION After the demonstration, the student will demonstrate, 1 positioning for breastfeeding. 01/12 CLEC UCSD Lactation Educator Program Lesson Plan Instructions 2. Rationale: Try not to be generic The rationale is the reason you teach a skill or information. It is the WHY and BECAUSE of teaching. It provides the motivation for the learners. It is in an algebraic format (If A, then B, and sometimes C). EXAMPLE: When a client know about ___(Your topic)_______ they are able to _____________; ______________; and ________________. EXAMPLE: When a client understands ___(Your topic)_______ they are able to _____________; ______________; and ________________. NOW You Can Use the following words in rationales: …know …understand …have knowledge of 3. Learning Strategies: Most important part of the curriculum plan. The methodologies or HOW you teach the material and information. a. Teacher Activity The description of the steps the teacher must take to accomplish objectives. Describe teacher activity fully and be creative in your teaching. In the age of information we cannot lecture to the students. b. Learner Activity What the participants will be doing to increase the learning and meet the objectives. Described in detailed terms. Remember, we learn by doing! 4. Materials Needed: Listing of the materials required for learning activity to take place. Attach pictures or photos of proposed teaching aids. If the teaching aid is home made or problem solving situation, then it must be included with the lesson plan. A sketch or picture of large posters will be adequate. List all equipment needed, projectors, overheads, computers, white boards, felt pens, etc. MAKE COPIES OF THE LESSON PLAN PAGES ! 01/12 CLEC UCSD Lactation Educator Program Lesson Plan TOPIC: __Risks of Not Breastfeeding ______________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) State 3 risks of not breastfeeding to the mom 2.) Lists 3 risks of not breastfeeding to the baby 3.) List 1 risk of not breastfeeding to the partner 4.) List 1 risk of not breastfeeding to society RATIONALE: When a client knows about the risks of not breastfeeding they are able to make an informed choice. This reduces the amount of ABN given and she’s motivated to breastfeed and this increases her confidence to defend her choice to breastfeed. Learning Strategies: Teacher/Learner Activities: ________________________________________ __I will use a basket and fill it with various items that represent the costs of not breastfeeding to mom, the baby, the partner and society. I will have the students pass around the basket and each individual will take out one item and I will ask what they think it represents in terms of risks of not breastfeeding, I will discuss what it really means and then they will pass it to the next student. Materials Needed: Large basket filled with various items to represent costs of not breastfeeding. Examples of items to be used include: prescription papers (mom), formula can with cost attached (baby), an earth ball (society), a pink slip (partner). 01/12 CLEC UCSD Lactation Educator Program Lesson Plan TOPIC: _Position and Latch_______________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) Demonstrate at least 3 positions for breastfeeding 2.) Describe “latch on” using the sandwhich analogy 3.) List other things to do while breastfeeding RATIONALE: __When a client knows about position and latch they are able to find a position for breastfeeding that is comfortable for both mother and baby; this increases her perception of breastfeeding and thus makes it more likely for her to continue breastfeeding for a longer amount of time. __________________________________________________________________ Learning Strategies: Teacher/Learner Activities: I will use a baby doll to help demonstrate positions for breastfeeding. I will demonstrate first and then have each participant practice a different position with the doll by passing the doll around. I will help students adjust positions accordingly and add pillows or comfort measures as needed. Materials Needed: I will need one infant sized baby doll, swaddle blanket, footstool, boppy pillow and pillows to help students adjust to comfort level when practicing positions. 01/12 CLEC UCSD Lactation Educator Program Lesson Plan TOPIC: Anatomy and Physiology ________________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) Describe the structure of the breast 2.) Have knowledge of why babies suck so much 3.) Identify the stages of lactation RATIONALE: __When a client knows about the anatomy and physiology of the breast, they are able to know the mechanism behind milk production and breastfeeding, then they have knowledge to know they are physically capable of producing enough milk for their babies and thus increases their confidence to breastfeed. Learning Strategies: Teacher/Learner Activities: To demonstrate and explain the anatomy and physiology of the breast I will use a handwritten diagram demonstrating the high suck need and low milk volume (similar to given diagram in UCSD CLE book by Gini Baker, but using an original version). In addition, I will use a fake broccoli floret or picture of one to help participants visualize the anatomy of the breast. Materials Needed: Whiteboard, dry eraser pens and a picture of a broccoli floret with stems or a plastic food toy of broccoli. 01/12 CLEC UCSD Lactation Educator Program Lesson Plan TOPIC: __Getting Enough ______________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) Identify 3 feeding cues in their infant 2.) Know the proper feeding frequency for a 24 hour period 3.) Have knowledge of milk transfer 4.) Describe how breastfeeding is a demand and supply system RATIONALE: _When a client knows about when their baby is getting enough they are able to know their baby is receiving enough nutrition through their own milk and body and thus are less likely to supplement with formula. Learning Strategies: Teacher/Learner Activities: I will distribute a breastfeeding log, as well as use a whiteboard to write out the acronym of the FIL factor and lead a discussion on supply and demand. I will also use am electrical outlet as a prop to demonstrate the concept of creating “plug in’s” by the demand and supply system. Materials Needed: Electrical plug in, white board, erase pens, and a breastfeeding log example 01/12 CLEC UCSD Lactation Educator Program Lesson Plan TOPIC: _Breastfeeding Plan _______________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) Describe a breastfeeding plan from hospital to home that fits their needs 2.) Have knowledge of the importance of establishing a solid breastfeeding plan 3.) Understand the need to limit visitors and unnecessary distractions during the 2 week period RATIONALE: __When a client has a breastfeeding plan then they are better prepared to make the transition from the hospital to home and be thus be able to plan visitors appropriately and thus can create a more peaceful breastfeeding enviornment and provide a better visiting experience for family and friends. Learning Strategies: Teacher/Learner Activities: I will guide participants through writing their individual outline of a hospital to home breastfeeding plan where participants can record their plan for the hospital stay as well as other details pertaining to the first few days at home as it relates to breastfeeding. I will prompt them to address certain barriers such as comfort measures for leaving the hospital, how to keep visitors limited and when to schedule visitors due to the 2 week growth period after returning home. Materials Needed: _Rule paper and pencils, list of prompted questions for participants to record a breastfeeding plan. 01/12 CLEC UCSD Lactation Educator Program Lesson Plan TOPIC: ___Common Concerns _____________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) Describe 3 methods for sore nipple management 2.) Have knowledge of the reasons for engorgement and how to manage pain associated with it 3.) Identify 2 infections of the breast associated with breastfeeding RATIONALE: When a client is made aware of common concerns of breastfeeding they have knowledge of barriers to breastfeeding and then are able to better address these problems and thus be encouraged to breastfeed even if/after a problem occurs. Learning Strategies: Teacher/Learner Activities: I will show participants product samples of sore nipples management such as creams and nipple shields and pass them around to participants. I will lead an open discussion addressing fears about any common concerns and any recommended products or solutions to them. Materials Needed: _Product samples from Medela or Lansinoh to pass around to participants and describe how they can help in sore nipple management. 01/12 CLEC UCSD Lactation Educator Program Lesson Plan TOPIC: Pumps and Equipment _______________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) Identify the parts of a breastpump and related equipment 2.) List questions to take into consideration when determining if a brestpump is appropriate for use 3.) Identify any other addition supplies and equipment needed for breastfeeding RATIONALE: When a client is familiar with breastfeeding equipment and supplies used in breastfeeding they can distinguish with supplies are going to best fit their needs and thus provide a more comfortable experience using breastfeeding equipment. Learning Strategies: Teacher/Learner Activities: To facilitate learning, I will have 2 breastpumps and various breastfeeding supplies such as milk storage bags, nursing bras and hydrogel pads. I will describe via lecture and demonstration the parts of the breastpumps and differences between them and describe the proper storage of pumped milk and storage time, as well as the criteria for finding a well fitted nursing bra. Materials Needed: 2 breastpumps, (1 electrical- borrowed from hospital/clinic location) and 1 manual breastpump (from on location site as well), a nursing bra for example,milk storage bags and a sample of hydrogel pads. 01/12 CLEC UCSD Lactation Educator Program Lesson Plan TOPIC: _Back to Work or School _______________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) Define a workable plan for going back to work or school 2.) Have knowledge of laws reguarding breastfeeding in the workplace 3.) Describe 3 ways to make a smoother transition back to work or school RATIONALE: __When a client has knowledge that they can successfully breastfeed while going back to work or school they are more confident in their ability to balance their professional role and their role as a mother therefore increasing her confidence to successfully breastfeed while returning to work or school. Learning Strategies: Teacher/Learner Activities: To engage participants I will have their pair share with other participants about what their perceived plans are for returning to work or school. From the pair share we will go around the room and share different situations, hopefully facilitating an appreciation for ones own unique situation. After discussion, I will prompt participants to write down “knowns” about their return to work/school and “what if’s” to both prepare for transition with the knowledge they already have and then prepare for possible situations that could arise. Materials Needed: _Rule paper and pencils, list of prompted questions for participants to record “knowns” and “what ifs.” 01/12 CLEC UCSD Lactation Educator Program TOPIC: _Maternal Nutrition _______________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) Describe 3 nutrients that breastfeeding women need to increase during lactation 2.) List 3 strategies for weight loss during breastfeeding 3.) Have knowledge of birth control options 4.) Identify resources for information about Medications interactions in breastfeeding 5.) Have knowledge of alcohol and substance effects during breastfeeding RATIONALE: When a client knows about maternal nutrition they are then able to make better choices about the food they eat and how it affects their milk composition, they are then able to provide more nutrient dense breastmilk to their baby. Learning Strategies: Teacher/Learner Activities: To encourage student learning, I will bring cartons of food products that include the nutrients a breastfeeding mother needs to increase during lactation (examples include: yogurt cartons-calcium, whole wheat bread- B12 and chicken breast-protein). I will facilitate discussion on how to read nutrition labels and encourage suggestions of what other food groups provide these nutrients as well as meal idea suggestions for breastfeeding mothers. I will provide a handout with meal and snack combinations. Materials Needed: Various food cartons with certain nutrition criteria and breastfeeding mothers guide to snacking handout (WIC- or material from hospital). 01/12 CLEC UCSD Lactation Educator Program TOPIC: _Myths About Breastfeeding _______________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) Have knowledge of common myths surrounding breatfeeding 2.) Identify that breastfeeding is not contraindicated for breast surgeries 3.) List 2 questions they have regarding breastfeeding myths and have them answered RATIONALE: When a client knows about the myths of breastfeeding, they have accurate knowledge about the normalities of breastfeeding and are thus better able to make decisions regarding breastfeed based upon fact not fiction. Learning Strategies: Teacher/Learner Activities: I will guide participants through the material by passing around post it notes and having each participant write down one breastfeeding myth they have heard of or they question to be true. Participants will then pair share with a partner and exchange any knowledge of the subject. We will then have a group discussion going around the group and addressing each myth and discussing its validity. Those that are “true” will be written on the board and the others will physically be thrown away (post it note) to symbolize the myths inaccuracy. Materials Needed: I will utilize post it notes, pens and dry erase board materials for learning. 01/12 CLEC UCSD Lactation Educator Program Lesson Plan TOPIC: _Support Systems _______________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) Define a list of individuals who are available to provide support to them 2.) Have knowledge of free agencys that provide services to breastfeeding women 3.) Understand how to use support systems to promote better health RATIONALE: When a client has a defined support system they are more likely to ask for help with duties related to the infant, are more likely to know where to get breastfeeding support for related issues and thus are more likely to be encouraged to breastfeed. Learning Strategies: Teacher/Learner Activities: I will have participants create a list of possible individuals they could contact for support. This will include me leading a discussion asking participants to think about all of their social, professional, and personal circles where they engage with individuals and help them identify the valuable resources they already have for help. After the creation of that list, I will have them evaluate the list and create a “back up” list they can create from the free agency’s I provide via a handout. I will identify possible barriers to access and have the list of agencies be targeted to the audiences specific needs (if low income, no transportation, ect.). Materials Needed: Ruled paper, pens, access to dry erase boards and pens, and a list of free agencies that offer resources for breastfeeding women (nearest hospitals, breastfeeding hotlines, WIC agencies in the local area, domestic violence hotlines, ect). 01/12 CLEC UCSD Lactation Educator Program Lesson Plan TOPIC: _Resources _______________________________________________________________________________________ OBJECTIVES: By the end of the session the student will be able to: 1.) Identify at least 3 breastfeeding resources 2.) Have knowledge of where to find answers for commonly asked questions regarding breastfeeding 3.) Have knowledge of the importance of creating a support group RATIONALE: __When a client has knowledge of what resources are available to them regarding breastfeeding they are able to know they have places for their questions to be answered and thus are better able to address their specific needs during the breastfeeding period. Learning Strategies: Teacher/Learner Activities: I will use a laptop computer to take students through a virtual web tour of various online breastfeeding resources (examples include: 4women.gov, kellymom.com, breastfeeding.org, ect.) they can use. Students will be able to record which sites they liked best or deemed most user friendly and will also get a briefing of basic use of the internet regarding finding relevant resources that provide credible information on the internet. Materials Needed: Laptop computer connected to a projection screen for participants to see the online sites. 01/12 CLEC