Alteration in Parenting
Published on Monday October 12th , 2009
Alteration
in Parenting
(_)Actual (_)
Potential
Related
To:
[Check
those that apply]
(_)
Abusive
(_) Accident victim
(_) Acutely disabled
(_) Addicted to drugs
(_) Adolescent
(_) Alcoholic
(_) Breastfeeding difficulties
(_) Change in family unit
(_) Economic problems
|
(_)
Emotionally disturbed
(_) Lack of extended family
(_) Lack of knowledge
(_) Relationship problems
(_) Separation from nuclear family
(_) Single parent
(_) Terminally ill
(_) Unrealistic expectations of self, infant, partner
(_) Other:_____________________________
____________________________________
____________________________________ |
As
evidenced by:
[Check
those that apply]
Major:
( Must be
present) |
(_)
Innappropriate parenting behaviors.
(_) Lack of parental attachment behavior. |
Minor:
(May be
present) |
(_)
Frequent verbalization of dissatisfaction or
disappointment with infant/child.
(_) Verbalization of frustration of role.
(_) Verbalization of perceived or actual inadequacy.
(_) Diminished or inappropriate visual, tactile, or
auditory stimulation.
(_) Evidence of abuse or neglect of child.
(_) Growth and development lag in infant/child. |
Date &
Sign. |
Plan and Outcome [Check
those that apply] |
Target
Date: |
Nursing Interventions [Check
those that apply] |
Date
Achieved: |
|
The
patient will:
(_)
Begin to verbalize positive feelings re: child, self.
(_) Demonstrate
increased attachment behaviors such as holding infant
close, talking to infant, eye contact.
(_) Initiate active
role in child’s care.
(_) Identify
activities that defer and promote successful breast
feeding.
(_) Identify outside
resources for support/guidance:
______________
(_) Demonstrate
ability to care for infant.
(_) Identify support
system.
(_) Other:
|
|
(_)
Assess causative or contributing factors.
(_) Eliminate/reduce
contributing factors.
(_) Promote ongoing
attachment process by:_______________
________________________
________________________
(_) Assist to identify
and contact appropriate outside resources.
(_) Will assist
patient to identify support system and assess strengths
and weaknesses.
(_) Provide support to
parents/support system by:____
________________________
________________________
(_) Provide
interventions that promote parents and s/o self esteem.
(_) Counsel the
parent(s) on assessed needs.
(_) Consult
with:______________
________________________
________________________
(_) Encourage
mother/father to feed, diaper, dress, bathe child.
(_) Promote successful
breastfeeding by:
- proper
positioning
- eye to eye
contact
- feeding on demand
- encourage rooming
in
- proper latching
on of infant to breast
- other
(_)
Other:________________
________________________
________________________
________________________
|
|
__________________________
Patient/Significant other signature
__________________________
RN signature
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