Psychosocial diagnsosis for infant?

Published

I had a 6 mos old pt. with a colostomy due to GI issues. Pt. was NPO but later advanced diet. I need two dx. First one I chose, is anxiety r/t to medical treatments/fear of unknown (for the family). Pt. is too young for body image issues, could pain fall under psychosocial? it's the main thing I dealt with during the patients care..

Up Vote Up Vote ×
Specializes in SICU, trauma, neuro.

Is the colostomy planned for long-term, or are they planning a reversal? If it will stay in, a baby could be at risk for body image/social issues.

What about actual/risk for altered skin integrity? The skin can get wicked raw if the device allows any leakage of stool.

(oops, you were asking about psychosocial. give me a moment)

Addendum: How are the parents coping? Do you note any ineffective coping? Any caregiver role strain, with the chronically ill child's needs?

Again if the colostomy is to stay long-term, a child could be at risk for social isolation.

Thanks for giving some thoughts first, by the way. :)

Up Vote Up Vote ×

Risk for impaired attachment since the caregiver(s) might be more hesitant to hold, touch, or otherwise comfort the child for fear of damaging the device or injuring the child. I think this is ideal suited to your patient even if no issues have been noted. It's important to educate family/caregivers about what they can do for/with their child and how to interact in a caring and safe way.

Up Vote Up Vote ×
Specializes in PICU.

What about bonding issues?

Up Vote Up Vote ×
+ Join the Discussion