Postpartum Care Plan

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.

She needed to ambulate. But the only thing keeping her from that was pain. I was not sure if impaired physical mobility was appropriate. Also we only have to have three interventions minimum.

With a 3rd degree tear she's at risk for constipation, you might add that. There's also risk for impaired parenting if the baby is in the NICU.

I think you came close to this, but along with your skin integrity issues, you have risk for infection. That might be another way to go. I agree with the role problems (parenting). That's where my mind went right away.

What Would your interventions be for impaired parenting with the baby in the NICU

Well, would kind of depend on whether the NICU is in the same hospital. Again, anything to offer? I'm glad to help, but don't want to do your homework for you!

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) ...................

How is she COPING with the baby in the NICU? It's not just that it interrupts the parenting process. How is she handling it emotionally, especially if she can't breastfeed?

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.