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Discussion

Care plan help please

I am a new student, this is my first care plan, I don't understand how to put it together. I know the more I do them the more I will understand them, but when you are new it's like learning a foreign language. Can someone please have mercy on me? If I could get an example of how this should look I would really appreciate it.

Here is the scenario:

Romel Jones is an 11-month-old infant who was seen this week at the developmental pediatrician's office and was diagnosed with spastic cerebral palsy. He was referred by the pediatrician's office because he is not rolling or attempting to sit. He has hypertonia of the lower extremities. Romel is the fourth child of a 26-year-old single mother, who developed preeclampsia. He was born at 24 weeks gestation with a birth weight of 1 pound 4 ounces, and spent 3 months in the neonatal ICU, where his treatment included mechanical ventilation and tube feedings. When he was discharged home 8 months ago, he was on an apnea monitor, receiving bronchodilator medication via nebulizer, and was taking bottle feedings. His weight gain has been slow but steady, and currently he weighs 15 pounds and is 26 ½ inches long. Romel is seen monthly by a public health nurse, who has been assessing his health status and development, and teaching his mother about using a nebulizer. Romel's mother is very upset at hearing his diagnosis. She states she knew they were going to follow him for possible developmental problems, but that she had not heard anything about cerebral palsy before.

I have a nursing diagnosis of Risk for ineffective parenting but the related to and all that I am confused. Once I see it I can comprehend it. All my instructor does is tell me where I am wrong. She is not explaining to me how this should be done, this is why I am a student I am trying to LEARN. PLEASE HELP ME. I REALLY WANT TO BE GOOD AT THIS, THIS IS THE BASIS OF NURSING (WELL ONE OF THEM ANYWAY).

THANKS in advance

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