Impaired Parenting Nursing Diagnosis – The term child abuse is used to describe any form of neglect or abuse of infants or children, including emotional pain, physical injury, or sexual exploitation. Often there is neglect or abuse by the child’s biological parents. Others include caring parents, babysitters, boyfriends, friends and daycare workers. Nurses have a legal and moral responsibility to identify children who may be abused and report findings to protect the child from further abuse.
Neglect is the most common form of abuse and can include deprivation of basic physical or emotional needs such as food, clothing, shelter, health, education, love, affection and care. Emotional abuse occurs when a child is rejected, isolated, and/or threatened.
Impaired Parenting Nursing Diagnosis
Physical abuse can cause burns, bruises, fractures, lacerations or poisoning. Babies can suffer from “shaken baby syndrome,” which causes serious or fatal neurological injuries.
The Human Responses And Nursing Diagnoses Of Those Living With Infertility: A Qualitative Systematic Review
The child is shaking violently. Symptoms of shaken baby syndrome include retinal and subarachnoid hemorrhages. Symptoms of sexual abuse include bruising or bleeding in the anus or genitals, discharge from the genitals, odor, severe itching or pain, and sexually transmitted diseases. The disparity between the nature of the child’s injuries and the cause of the injury suggests that abuse was more likely.
The main goals of nursing care planning for an abused child include providing adequate nutrition, ensuring the safety of the abused child, relieving anxiety, developing parenting skills, and building parental confidence.
A malnourished child has poor concentration, pale, dry skin, loss of subcutaneous tissue, dull and brittle hair, and red and swollen tongue and mucous membranes.
Nutritional support may be recommended for those unable to keep down oral food.
Nursing Diagnosis Guide For 2022: Complete List & Tutorial
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Paul Martin has been a registered nurse since 2007 with a bachelor’s degree in nursing. After five years as a medical-surgical nurse, she has learned to provide individualized care to all types of patients. Now, her experience working at a hospital carries over into her writing to help aspiring students achieve their goals. She currently works as a nursing instructor and has a special interest in nursing management, emergency care, intensive care, infection control, and public health. as an author.
Please log in again. The login page will open in a new tab. Once logged in, you can close the page and return to this page. Patient and Family Education – Spanish Translations Preventing the Spread of HIV and Hepatitis B Infections (Prevención de la Diseminación de Infecciones con los Virus de HIV y la Hepatitis B) (Word Document)
The nursing process is a theory of how nurses organize care for individuals, families, and communities. The nursing process involves the use of cognitive and operational skills in five stages: 1. Assessment is the analysis and synthesis of information from a comprehensive and focused health history and physical examination of the child and family.
Child Abuse And Neglect Nursing Care Plans
3. Formulation of a plan is a planned set of nursing interventions to prioritize the health needs of the child and family. At this stage, patient-centered outcomes can be created.
5. Evaluation is a measure of the outcome of nursing action(s) that complements the nursing process or serves as a basis for re-evaluation.
The American Nurses Association has established its practice standards (application of the nursing process): 1.Assessment—the nurse gathers detailed information about the patient’s health or condition.
The North American Association for Nursing Diagnosis-International† defines a nursing diagnosis as a clinical judgment about an individual, family, or community’s response to actual and potential health problems. The nursing diagnoses used in this guide were taken from the North American Nursing Diagnosis Association-International (Box 5-1). Nursing diagnoses for selected health system disorders are recommended. A Nursing Intervention Classification (NIC) is included for each nursing diagnosis. NIC is a standardized checklist of evidence-based nursing care interventions. In addition, the Nursing Outcomes Classification (NOC) was introduced to provide standardized patient outcomes. Selected nursing diagnoses and interventions are general guidelines for nursing care for children and families. Other nursing diagnoses and care interventions should be included to individualize care.
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In order to make safe and effective decisions using the NANDA-I nursing diagnoses, nurses should refer to the definitions and descriptive characteristics of the diagnoses presented in this study. From the Nursing Diagnosis Association of North America: Nursing Diagnoses: Definitions and Classification 2009-2011. Copyright 2009, 2007, 2005, 2003, 2001, 1998, 1996, 1994 NANDA International. John Wiley & Sons, Inc. Used under contract with Wiley-Blackwell Publishing Nursing activities for children and families consist of three types of practice activities: dependent, interdependent, and independent. Dependent activities The nurse is responsible for carrying out medical interventions prescribed by the medical staff. Interrelated practice activities require collaboration between two or more disciplines (defined as collaborative in the care plan) to implement a joint medical/medical intervention. Independent practice activities are nursing interventions prescribed and directed by the nurse.
Nursing Care Plan for a Sick Child Expected Patient Outcomes Nursing Interventions Rationale Associated illness (specify acute or chronic) Descriptive characteristics of child/family Subjective and objective data Changes in facial expressions
• Physiological changes: increased heart rate and blood pressure, increased breathing, crying, sweating, decreased oxygen saturation, dilated pupils, flushing or pallor, nausea, muscle tension in the early onset of an acute illness, and if suppressed by chronic pain, these symptoms are acute. and are consistently unreliable indicators of chronic disease
Absence of pain or reduction of pain to the child’s acceptable level (less than or equal to comfort or functional goal) while receiving analgesics The following NOC concepts apply to these outcomes: Comfort state
Postpartum Hemorrhage Nursing Care Plans
Use the QUESTT pain assessment: Ask the child a question. use a pain rating scale. Assess behavioral and physiological changes. Involve parents. Consider the cause of the disease. Take action and evaluate its effectiveness. A child’s self-report of illness is the most important factor in assessment. Before an illness is expected, ask the parents about the child’s difficult behavior by taking a medical history. Find out about current pain such as duration, type and location. It assesses influencing factors, which may include (1) trigger events (those that cause or worsen the disease), (2) mitigating events (such as pain medications), and (3) transient events (when the pain subsides). relieved or increased), (4) positional events (standing, sitting, lying down), and (5) associated events (eating, stress, coughing). Have the parent or child describe the illness as disrupting daily activities. Assessing the child’s pain history Gathering information about the pain to implement appropriate nursing interventions to manage the pain Emergence of certain behaviors (eg, behavioral improvement during pain treatment (eg, less irritability, stopping crying, or playing) Coping strategies the child uses with pain during the procedure (eg, talking, moaning, lying rigid, still, shaking hands, screaming) Use an objective, age-appropriate pain rating scale for accurate assessment. Have dad identify the pain by showing it to the bandage. Learn why children deny or tell the truth about pain. Encourage accurate assessment. To ensure accurate assessment, because young children, even children who have difficulty understanding the scale of pain, may draw or feel pain in their body. Believing that suffering is a punishment for some wrongdoing; Unreal Reluctance to tell the person (but not immediately sympathize with the parent) Use different words to describe the pain (eg “ouch”, “owy”, “boo-boo”, “danger”, “oow”) and the relevant stranger use words in the language. To assess the pain of a young child who does not know what the word pain means and needs to describe the pain in familiar language, choose a scale that is appropriate for the child’s developmental or cognitive age, abilities, and preferences. To increase accuracy, as some scales are more appropriate for younger children than others, use a pain assessment registry or adapt an existing form to include a pain assessment to document the effectiveness of interventions. Providing practitioners with objective documentation of pain, rather than advice, may lead to positive changes in pain management orders. Encourage parents to participate in current pain assessment using a pain assessment journal. Involve parents in caring for their child Wait for analgesics to be administered before a painful procedure. Plan a round-the-clock (ATC) prophylactic medication schedule or, if pain relief is needed, administer PRN at regular intervals when pain occurs to ensure the highest effect is matched to the patient event.
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