Tremor diagnosis for infant r/t drug withdrawal

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    I am doing a care plan on an infant for my OB clinical rotation. The infant I had was going through withdrawals. He had tremors, disturbed sleep, skin breakdown, and poor feeding. I have a diagnosis for all of the symptoms except the tremors and I am having a hard time finding information on tremors r/t drug withdrawals in an infant. If anyone has any ideas or information that I could use for a diagnosis please let me know.
    Thanks.
    jmiller
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  4. 0
    Quote from jomiller
    I am doing a care plan on an infant for my OB clinical rotation. The infant I had was going through withdrawals. He had tremors, disturbed sleep, skin breakdown, and poor feeding. I have a diagnosis for all of the symptoms except the tremors and I am having a hard time finding information on tremors r/t drug withdrawals in an infant. If anyone has any ideas or information that I could use for a diagnosis please let me know.
    Thanks.
    jmiller

    Wow, that is a tough one. Impaired mobility comes to mind, although that's not quite right, as it is more of a problem of hyper-mobility. Is alteration in muscle tone an acceptable diagnosis?

    If this were an adult with Parkinson's Disease, what would be the nursing diagnosis for tremors?
  5. 0
    Think in terms of a very exaggerated neuro system. Sorry I just got home and my brain is shutting down. I am drawing a blank on an actual diagnosis.
    THese kiddos will have markedly increased tone and exaggerated reflexes. They are like one big open nerve.
  6. 0
    Here are a few that pertain to FAS, FAE babes, thought that you could use risk for or actual disorganized infant behaviour and (even though you already said it) sleep pattern disturbance if babe is not sleeping, or waking from sleep d/t tremors.
    Here is the rest of the nursing DX from this web site:

    Based on the North American Nursing Diagnosis Association (NANDA), there are many nursing diagnoses that apply when caring for a child with FAS or FAE. The following is not meant to be a complete list, but offers some of the primary diagnosis that should be considered.

    Altered urinary elimination
    Sleep pattern disturbance
    Ineffective infant feeding pattern
    Altered nutrition: Less than body requirements
    Risk for aspiration
    Risk for disorganized infant behavior
    Altered growth and development
    Impaired verbal communication
    Impaired social interaction
    Social isolation
    Altered role performance
    Toileting self-care deficit
    Sexual disfunction
    Ineffective individual coping
    Noncompliance
    Decisional conflict
    Chronic low self-esteem
    Altered thought processes
    Risk for violence: Self-directed or directed at others
    Altered parenting
    Risk for altered parenting
    Risk for altered parent, infant, or child attachment
    Altered family processes
    Care giver role strain
    Altered family process: Alcoholism


    Good luck

    Erin
  7. 0
    Thank you for all of your suggestions. I used the diagnosis Disorganized infant behavior r/t drug withdrawal e/b tremors and jitteryness. Again thank you I appreciate your input.
    jmiller


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