Pt 24yo female 1 day postpartum. Baby is in NICU due to other complications but only the mother was my pt. I need five diagnoses total and I only have four. If there is any input on the four I have already that would be appreciated also. Due in 24hrs.
Updated:
That all looks good to me. I might add some more interventions, I know my teachers wanted a lot more than what you listed.
Do you have to write one more physical or psychosocial?
Which way are you leaning? What do you see as a problem or potential issue? If you can give something to work with, it's easier to help you phrase it.
Think....you just had a baby but it has to be in the ICU for babies....how will that affect how you care and bond with your baby? How does it change what you can do for your baby? What is "wrong" with the newborn that may impact the ongoing care of this infant when they get home?
How can you as the nurse help the Mom?
Risk for impaired parenting r/t baby in the NICU AEB pt states " I just don't feel like a mom yet."
NOC: pt will verbalize one positive statement about parenting by end of shift.
NIC: 1) Explain to pt that babies time in the NICU is limited to encourage pts outlook
2) Encourage pt to go and see baby as much as physically able to establish bonding
3) ...................
Allie0188 said:Risk for impaired parenting r/t baby in the NICU AEB pt states " I just don't feel like a mom yet."NOC: pt will verbalize one positive statement about parenting by end of shift.
NIC: 1) Explain to pt that babies time in the NICU is limited to encourage pts outlook
2) Encourage pt to go and see baby as much as physically able to establish bonding
3) ...................
IMPAIRED PARENTING
Related to: (Specify: unmet social and emotional maturation needs of parental figures, ineffective role modeling, lack of knowledge, situational crisis or incident.)
Defining Characteristics: (Specify: lack of parental attachment behaviors, verbalization of resentment toward child and of role inadequacy, inattention to needs of child, noncompliance with health practices and medical care, inappropriate discipline practices, frequent accidents and illness of child, growth and development lag in child, history of child abuse or abandonment, multiple caretakers without regard for needs of child, evidence
of physical and psychological trauma, actual abandonment of child.)
Goal: Parents will exhibit improved parenting skills by (date/time to evaluate).
Outcome Criteria
Demonstration of appropriate parenting behaviors.
Maintenance of safe environment for child.
Establishment of positive relationship with child and realistic expectations for self and child.
Acceptance of support for achievement of desirable parenting skills.
How best would you help Mom what does NANDA say?
I would not put that the baby's time in NICU is limited, you don't know that. Impaired coping mechanism is a big one. Depending on the baby's problem, there can be a problem with bonding. Also, is she breastfeeding? That helps some moms cope as supplying MBM may be the only thing they feel they can do for their baby at that time.
Ineffective Breastfeeding
R/T situational crisis AEB pt verbalization of not being able to breastfeed while her baby is in the NICU.
NOC:
Pt will use breast pump effectively by the end of shift.
NIC:
Evaluation:
Goal met; Pt demonstrated the correct use of the breast pump independently as 1130. Cont. POC
Acute Pain
R/T episiotomy AEB pt states...
NOC:
Within 4 hours of interventions pt will experience a decrease in pain level by reporting a pain score of 2 or less.
NIC:
Evaluation:
Goal met; Pt stated pain level at a 2 one hour after interventions. Cont POC
Impaired Tissue Integrity
R/T episiotomy AEB 3rd degree laceration in the perineal area
NOC:
The pt will remain free of infection throughout shift, without any signs and symptoms of infections, and exhibit evidence of progressive healing as demonstrated by clean, dry, absent edema, and intact episiotomy site.
NIC:
Evaluation:
Goal met; Pt showed signs of progressive healing as demonstrated by clean, dry, absent edema and intact episiotomy site.
Risk For Ineffective Coping
R/T mood alteration and pain
NOC:
The pt will cope with mood lacerations, by verbalization of positive statements about newborn and participation in newborn care
NIC:
Evaluation:
Goal met
Cont POC
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