Tremor diagnosis for infant r/t drug withdrawal

[jomiller]

I am doing a care plan on an infant for my OB clinical rotation. The infant I had was going through withdrawals. He had tremors, disturbed sleep, skin breakdown, and poor feeding. I have a diagnosis for all of the symptoms except the tremors and I am having a hard time finding information on tremors r/t drug withdrawals in an infant. If anyone has any ideas or information that I could use for a diagnosis please let me know.

Thanks.

jmiller

[Jolie, BSN]

I am doing a care plan on an infant for my OB clinical rotation. The infant I had was going through withdrawals. He had tremors, disturbed sleep, skin breakdown, and poor feeding. I have a diagnosis for all of the symptoms except the tremors and I am having a hard time finding information on tremors r/t drug withdrawals in an infant. If anyone has any ideas or information that I could use for a diagnosis please let me know.

Thanks.

jmiller

Wow, that is a tough one. Impaired mobility comes to mind, although that's not quite right, as it is more of a problem of hyper-mobility. Is alteration in muscle tone an acceptable diagnosis?

If this were an adult with Parkinson's Disease, what would be the nursing diagnosis for tremors?

[babynurselsa, RN]

Think in terms of a very exaggerated neuro system. Sorry I just got home and my brain is shutting down. I am drawing a blank on an actual diagnosis.

THese kiddos will have markedly increased tone and exaggerated reflexes. They are like one big open nerve.

[RNsweetie]

Here are a few that pertain to FAS, FAE babes, thought that you could use risk for or actual disorganized infant behaviour and (even though you already said it) sleep pattern disturbance if babe is not sleeping, or waking from sleep d/t tremors.

Here is the rest of the nursing DX from this web site:

Based on the North American Nursing Diagnosis Association (NANDA), there are many nursing diagnoses that apply when caring for a child with FAS or FAE. The following is not meant to be a complete list, but offers some of the primary diagnosis that should be considered.

Altered urinary elimination

Sleep pattern disturbance

Ineffective infant feeding pattern

Altered nutrition: Less than body requirements

Risk for aspiration

Risk for disorganized infant behavior

Altered growth and development

Impaired verbal communication

Impaired social interaction

Social isolation

Altered role performance

Toileting self-care deficit

Sexual disfunction

Ineffective individual coping

Noncompliance

Decisional conflict

Chronic low self-esteem

Altered thought processes

Risk for violence: Self-directed or directed at others

Altered parenting

Risk for altered parenting

Risk for altered parent, infant, or child attachment

Altered family processes

Care giver role strain

Altered family process: Alcoholism

Good luck

Erin

[jomiller]

Thank you for all of your suggestions. I used the diagnosis Disorganized infant behavior r/t drug withdrawal e/b tremors and jitteryness. Again thank you I appreciate your input.

jmiller