Mother-Baby careplan

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Hi!

I am working on my first care plan for my OB rotation and had a 32 yr old mother who had a c-section and was recovering well.

One of my nursing diagnosis is impaired skin integrity r/t abdominal incision aeb ......... This is where i am stuck! I know the aeb is suppose to be the symptoms that describe the abdominal incision but i am drawing a blank! I do not know what to put after the as evidence by...Any suggestions would be greatly appreciated and her incison had no redness, discharge, drainage..nothing was wrong with it and it was healing nicely.

I was also wondering if this nursing diagnosis would be okay: Fatigue r/t lack of sleep aeb baby crying during the night and visitors in and out of room...does that sound okay?

Thank You Thank You

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I'm only a student so I'm not expert but maybe you could change the impaired skin integrity to RISK for impaired skin integrity. I'm thinking that you could leave out the impaired skin because you said its healing nicely. Adding the RISK part could allow for the possibility of it becoming infected. Risk nsg dx don't need the AEB part.

Fatigue r/t lack of sleep aeb baby crying during the night and visitors in and out of room

As for this one, I don't like the AEB. Visitors coming in and out of the room isn't a symptom. You might say something like: AEB mother's statement of exhaustion or even something like AEB mother appearing pale and exhausted or something along those lines. I know at my school, we use the statement factor whenever we can't find any visual symptoms of whatever the problem is.

I hope that helped a little.

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Yes...I will change the impaired skin to risk for...I also need one psychosocial nursing diagnosis and was wondering if the fatigue dx would count as psychosocial?

I also have anxiety r/t adjustment of older kids getting use to new addition aeb mother stating " I'm worried how my other two kids will adjust" does that nursing dx sound okay? I feel like I'm not phrasing my related to correctly! Will anxiety count as psychosocial nursing dx?

I'm finding the objective information hard to find for fatigue and anxiety!

Any help is GREATLY appreciated!!!!!

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Specializes in New Critical care NP, Critical care, Med-surg, LTC.

Another student here, and I start OB tomorrow so I'm by no means an expert. I think that I would still go with impaired skin integrity rather than risk for, because an incision is impairing skin integrity, even if it is healing well. I would use "AEB surgical abdominal incision". That's a sign of the skin integrity compromise, compromise doesn't have to mean infected, it's not intact so it's compromised. For recovering C-section mothers, there's the risk of overdoing it and opening up the incision, and even if that doesn't happen, there's going to be pain because of the incision. I think your idea of anxiety AEB statement is very good. That's a direct quote for the mother and a very good AEB statement that gives insight into the mother's state of mind. You could go with a Readiness for Enhanced Parenting, if she has stated a desire to figure out how to balance a new baby with the older siblings- that would also be AEB a similar statement to the one you previously mentioned. I think for all C-section mothers there's going to be a diagnosis of Pain r/t surgical incision, probably fatigue r/t lack of sleep, maybe risk for bleeding r/t possible uterine hemorrhage, maybe risk for urinary incontinence r/t anesthesia effects. I'm not sure what else you might want to include, those are just the first ones that come to mind. Good luck.

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Thank you! I'm having difficulty find objective data for my psychosocial diagnosis of readiness for enhanced family coping related to sucessful Adjustment to the new baby aeb mother stating that she is eager for her family to become one

Any ideas for onjective data?

My mind is drawing a blank!

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