OB careplan help please!!

[Liebchen]

Sorry for the repeat. I put this in the wrong place earlier.

Please help me. I have successfully done my required three care plans for the quarter clinicals.

However, we now have to do a family care plan with four nursing diagnosis. I am coming up blank.

I just need some suggestions. My baby was very healthy, but they do have some situational issues... They don't have a home and live with the husbands mother. They do have a three year old and an 18 month old.

I have come up with :

ineffective coping r/t changes in family composition AEB sibling rivalry

Parental fatique r/t effects of newborn care on sleep patterns AEB parents verbalizing lack of energy and rest.

interrupted family processes r/t situational transitions AEB newborn addition to the family.

Can I get advice or suggestions please?

[nurseprnRN, BSN, RN]

ok, so i just opened up my handy-dandy nanda 2009-2011 and just read down the table of contents for each domain and pulled the following, some of which may (!) apply.

you too can do this...if you get the darn book.

ineffective family coping

disturbed sleep pattern

deficient diversional activity

fatigue

ineffective activity planning

risk for loneliness

situational low self-esteem

caregiver role strain

impaired parenting

readiness for enhanced parenting

risk for impaired parenting

dysfunctional family processes

readiness for enhanced family processes

parental role conflict

ineffective role performance

impaired social interaction

sexual dysfunction

ineffective sexuality pattern

risk for disturbed maternal/child dyad

decisional conflict

social isolation

[Liebchen]

Wow, not sure if that was meant to be rude or not. Hard to read tone. I do have a diagnosis book, but I am having trouble relating it to the entire family. I have to include, mom, dad and baby and any other family members into the diagnosis.

Thanks for your input...

[nurseprnRN, BSN, RN]

yw. just giving you some potential diagnoses i'd look for. you, the nurse on the ground, have to assess the situation and family to see if any of the things that make for these diagnoses are present.