Follow us on Twitter!Alteration in Parenting
Alteration in Parenting
(_)Actual (_) Potential
| (_)
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:_____________________________ ____________________________________ ____________________________________ |
| 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:
(_)
Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
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