Nursing Care Plan Readiness For Enhanced Relationship

By On Monday, September 24th, 2012 Categories : Nanda, Nursing Careplans

certified nurse assistant10 257x300 Nursing Care Plan Readiness For Enhanced RelationshipNursing Care Plan Readiness For Enhanced Relationship Definition:A pattern of preparing for, maintaining and strengthening a healthy pregnancy and childbirth process and care of newborn, is a professional judgment based on the application of clinical knowledge which determines potential or actual experiences and responses to health problems and life processes. The list of nanda nursing diagnosis can be applied to individuals, families or communities. Included with the list of nanda nursing diagnosis is an array of commonly applied interventions from which the caregiver can choose to implement to the given patient. Standardized nursing language is a body of terms used in the profession that is considered to be understood in common. The use of common terms promotes patient safety by allowing nurses to quickly and efficiently understand the aspects of a patient’s needs. The use of standardized terms allows nursing staff to avoid sifting through long narratives in order to determine a particular patient’s needs and planned course of care. Nursing Care Plan Readiness For Enhanced Relationship

Defining Characteristics During Pregnancy

  • Reports appropriate prenatal lifestyle, physical preparations; man-aging unpleasant symptoms in pregnancy
  • Demonstrates respect for unborn baby
  • Reports a realistic birth plan
  • Prepares necessary newborn care items
  • Seeks necessary knowledge (e.g., of labor & delivery, newborn care)
  • Reports availability of support systems
  • Has regular prenatal health visits During labor & delivery
  • Reports lifestyle that is appropriate for the stage of labor
  • Responds appropriately to the onset of labor
  • Is proactive in labor & delivery
  • Uses relaxation techniques appropriate for the stage of labor
  • Demonstrates attachment behavior to the newborn baby
  • Utilizes support systems appropriately After birth
  • Demonstrates appropriate baby-feeding techniques; basic baby care techniques
  • Provides safe environment for the baby
  • Reports appropriate lifestyle
  • Utilizes support system appropriately

Related Factors

  • Prenatal health status
  • Obstetrical/medical history (including perinatal risks/complications)
  • Cultural beliefs/expectations

Assessment Focus

  • Behavior
  • Knowledge
  • Roles/relationships

Expected Outcomes The Patient/Childbearing Family Will

  • Demonstrate a willingness to maintain/modify his or her lifestyle for optimal prenatal health.
  • Convey confidence and knowledge of pregnancy, the labor & delivery process, and newborn care.
  • Express appropriate self-control and readily cooperate with recom-mendations of the healthcare team during labor & delivery.
  • Exhibit parent–newborn attachment after delivery.
  • Meet the newborn’s physical, social, and nutritional needs.

Suggested Noc Outcomes

Prenatal Health Behavior; Knowledge: Pregnancy; Knowledge: Labor & Delivery; Knowledge: Newborn Care; Parent Infant Attachment.

Interventions And Rationales

Determine: Assess baseline knowledge of prenatal self-care, labor &delivery process, and newborn care to identify and resolve knowledge deficits.Perform: Provide written literature on prenatal wellness, labor &delivery expectations, and newborn care. Providing written materials allows adequate time to synthesize and understand new information.Inform: Teach self-care for common prenatal discomforts to promote patient autonomy.Teach childbearing family labor & delivery process and newborn care. Understanding   expectations improves confidence and reduces anxiety.Attend: Assist childbearing family with development of a birth plan.This allows childbearing family to participate in managing the birth experience and promotes communication with the healthcare team.Encourage and support childbearing family throughout the course of the pregnancy to improve self-confidence and promote patient compliance with health recommendations.Manage: Refer to certified childbirth educator for classes on prenatal care, labor & delivery (to include Cesarean birth), breast-feeding,and newborn care. Advanced knowledge of the childbearing process promotes empowerment and positive maternal outcomes.

Suggested Nic Interventions

Anticipatory Guidance; Childbirth Preparation; Emotional Support;Parent Education: Infant, Prenatal Care.

Reference

Ward, S. L., & Hisley, S. M. (2009). Maternal–child nursing care: Optimizing outcomes for mothers, children, and families. Philadelphia: F.A. Davis Com-pany.

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