Altered Growth and Development
Altered Growth and Development
(_)Actual (_) Potential
| (_)
Acute illness (_) Prolonged pain (_) Chronic illness (_) Prolonged bedrest (_) Neglect/isolation |
(_)
Traction or casts (_) Separation from significant other (_) Parental knowledge deficit (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major:
(Must be present) |
(_)
__________________________________ _____________________________________ _____________________________________ |
| Minor:
(May be present) |
(_)
__________________________________ _____________________________________ _____________________________________ |
| Date & Sign. |
Plan and Outcome [Check those that apply] |
Target Date: |
Nursing Interventions [Check those that apply] |
Date Achieved: |
| The
child/patient will: (_) Demonstrate an increase in personal, social, language, cognition, or motor activities appropriate to age group. Specify Behaviors: |
(_)
Assess present level of personal, social, cognitive and
motor development. (_) Assess etiological factors for alteration in growth and development. (_) On admission, evaluate height and weight. (_) Daily weights at___ a.m./p.m. using the same scale. (_) Provide opportunities for child to meet age related developmental tasks such as:
(_) Teach parents appropriate developmental tasks and parental guidance information such as:
(_)
Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
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