Altered Growth and Development

Published on Saturday March 10th , 2007

Altered Growth and Development

(_)Actual (_) Potential

Related To:
[Check those that apply]
(_) Acute illness
(_) Prolonged pain
(_) Chronic illness
(_) Prolonged bedrest
(_) Neglect/isolation
 (_) Traction or casts
(_) Separation from significant other
(_) Parental knowledge deficit
(_) Other:_____________________________
____________________________________
____________________________________

 

As evidenced by:
[Check those that apply]
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:

  1. _____________
  2. _____________
  3. _____________
  4. _____________
  5. _____________

(_) Teach parents appropriate developmental tasks and parental guidance information such as:

  1. ______________
  2. ______________
  3. ______________
  4. ______________
  5. ______________

(_) Other:________________
________________________
________________________
________________________

  

 

__________________________
Patient/Significant other signature

 

__________________________
RN signature

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