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Goals
Contact with
mother
Continuity of
care
Alteration in
Family Processes
Related to
Hospitalized Infant
Will evidence
positive reactions
to hospital as
evidenced by:
Interventions
Encourage mother to visit often
Encourage mother to feed infant
ordered
Teach parents procedures they are
capable of doing
Discuss her arrangements for care of
family at home
Try to simulate home routine
Try to assign same nurse
Explain behavior to mom
Initiate interventions cited earlier
cries loudly
fussy
rejects
everyone but
mother
Absence of
negative
behaviors:
Alteration in
Parenting Related
to Childs
Behavior on
Returning Home
Anxiety Related
to Procedures
extremely
cooperative
withdraws
from everyone
cries
continually
completely
passive
ENT2
Alteration in
Sensory Stimuli
Related to
Environment
active interest
in environment
regress
4 hours of
sleep
Alteration in
Comfort Related
to Pain
Alleviate pain
evidenced by
absence of:
lack of
appetite
excessive
irritability
lethargy
increase
appetite
Goals
Anxiety Related
to Stranger
Fear, Separation
Anxiety
Contact with
Mom
Minimize protest,
despair, denial
stages
Interventions
Alteration in
Parenting
Related to
Knowledge
Deficit (temper
tantrums,
regression,
etc.)
Consistency in
approach to child
when these
behaviors are
exhibited:
negativism
temper
tantrums
dawdling
regression
Communicate in report/Kardex
Consistent limit setting
Give choices, simple decisions
Set time limits
Teach mom its okay
Self-care Deficit
Related to
Developmental
Level (toilet
training)
Encourage level
of toilet training
child is at
ENT3
Sleep Pattern
Disturbance
Related to Fear
of Separation;
Negativism
Promote ritualistic
behavior for bedtime
Potential for
Injury Related
to Environment
Hazards
Toddler will
interact in
hazard-free
environment as
evidenced by lack
of accidents
Assess
Teach mom about hazards
(crib, chair, toys, equipment)
Supervise when out of crib
Crib net if climber
Strapped into highchair
Check on child Q 15 minutes
when mom gone
ENT4
Interventions
ENT5
School Age/Industry
Nursing Diagnosis
Interventions
Anxiety Related to
Separation from Friends,
School and Family
Assess knowledge.
Encourage questioning regarding fears, or risks.
Involve in decision-making.
Ask if patient wants parent there.
Make as few of restrictions as possible.
Suggest ways of maintaining control.
Accept regression to more childish ways of
coping.
ENT6
Give positive reinforcement.