Nursing Care Plan Risk For Impaired Attachment

49757 Girls Nurse Costume large4 130x300 Nursing Care Plan Risk For Impaired AttachmentNursing Care Plan Risk For Impaired Attachment Definition:Disruption of the interactive process between parent/significant other and child/infant that fosters the development of a protective and nurturing reciprocal relationship, 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 Risk For Impaired Attachment

Risk Factors

  • Anxiety over parental role
  • Illness in infant that doesn’t allow initiation of interaction with parents
  • Inability of parents to meet
  • their personal needs

Lack of privacy, physical barriers,separation, substance abuse

Assessment Focus

  • Communication
  • Coping
  • Emotional status

Expected Outcomes The Parents Will

  • Initiate positive interaction with child.
  • Hold child and talk to him or her.
  • Express confidence in their ability to respond to child’s needs.
  • Respond appropriately to child.
  • Express positive feelings about child.
  • Express confidence in their ability to care for child.
  • Recognize when they need assistance.

The Child Will

  • Respond positively to parents.
  • Show interest in parents’ faces
  • Become calm when soothed by parents.

Suggested Noc Outcomes

Parenting Performance; Role Performance

Interventions And Rationales

Determine: Assess composition of family and ages of members;ability of family to meet physical and emotional needs of its members;knowledge of growth and development patterns; energy levels of parents; recent life changes; child’s neurological and sensory status, including vision and hearing; sleep patterns of parents and child. This information will assist in establishing appropriate interventions.Perform: Reduce environmental stressors (including people) where it is possible to observe whether the parents’ responses to the child are appropriate.Provide parents and child with periods of privacy to promote attachment.

  • Role/relationships
  • Sleep and rest
  • Values and beliefs

Risk For Impaired Parent–Child Attachment

Provide physical care to child when appropriate. This may be to demonstrate to the family the appropriate way to perform ADLs.Inform: Teach parents to observe and understand behavioral cues from the child. For example, the child may become fussy when he or she is ready for a nap or may pull his or her ear if he or she has an earache. Explain the range of options for responding to these cues positively. It is important that the parents have a variety of options made available to them.Teach parents to give physical care when the needs exist to increase their self-confidence and self-competence.Teach relaxation techniques (guided imagery, progressive muscle relaxation, and meditation) that can be done by the parents to restore psychological and physical equilibrium by decreasing autonomic response to anxiety.Attend: Provide emotional support and encouragement to help improve parents’ self-concept and self-confidence in parental roles.Initiate discussions with parents on life changes precipitated by the birth of the child. Parents are often confused and blame themselves because the stress of birth causes frustration and anger.Encourage parents to talk about the kinds of activities that promote feelings of comfort. Assist parents to create a plan to engage in at least one of these activities each day. This provides parents with a sense of control over their own lives.Make sure parents have clear explanations for everything that is expected of them. Ask for feedback to ensure parents understand.Anxiety may impair their cognitive abilities.Manage: Provide the name of professionals and/or agencies where parents can receive assistance to continue developing attachment skills and/or ongoing support. Refer to case manager/social worker  to assess the home environment to enable the parents to make modifications that will be needed.

Suggested Nic Interventions

Abuse Protection Support: Child; Child Coping Enhancement; Developmental Enhancement; Parenting


Delaney, K. R. (2006, November). Learning to observe relationships and coping.
Journal of Child and Adolescent Psychiatric Nursing, 19(4), 194–202.

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