{[ promptMessage ]}

Bookmark it

{[ promptMessage ]}

THE PARENTS OF A CHILD WITH SPECIAL

THE PARENTS OF A CHILD WITH SPECIAL - NEEDS ,,creates...

Info icon This preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
THE PARENTS OF A CHILD WITH SPECIAL  NEEDS The birth of a child with special needs, regardless of whether the condition is temporary or permanent, creates  unique concerns for the family, who mourns the loss of a normal, healthy child. Conditions range from prematurity,  growth deviations, and infections to gross anomalies. Although each case is individual and varies in degree of  involvement, many similarities are observed in the parents’ responses to their child. (This plan of care is to be used in conjunction with the routine postpartal plans of care.) CLIENT ASSESSMENT DATA BASE (Refer to Client Assessment Data Base in CPs: The Client at 4 Hours to 2 Days Postpartum; Care Following  Ceasarean Birth (4 Hours to 3 Days Postpartum); The Client at 24 Hours Following Early Discharge; The Client at 1  Week Following Discharge; and The Client at 4 to 6 Weeks Following Delivery.) Ego Integrity Varied emotional responses (e.g., calm, withdrawal, irritability, restlessness, weeping, anger) History of postpartal depression or psychosis Safety History of exposure to teratogenic factors Presence of infectious agents (including HIV), premature rupture of membranes Sexuality Unexpected intrapartal event (e.g., dysfunctional labor, hemorrhage) History of birth of a child with special needs and/or perinatal loss Teaching/Learning History of substance use/abuse DIAGNOSTIC STUDIES Genetic Studies/Chromosomal Analysis:  Helps determine presence of syndromes/inherited disorders, general  prognosis, and future expectations. Other Testing:  Dependent on specific findings and individual risk factors. NURSING PRIORITIES 1. Facilitate grieving and positive coping. 2. Provide appropriate information related to short- and long-term implications of child’s illness or anomaly. 3. Facilitate learning of parenting role and participation in infant care tasks. DISCHARGE CRITERIA 1. Demonstrate progress in dealing with grief at own pace. 2. Display appropriate attachment/bonding behaviors. 3. Participate in infant care; develop mastery of therapeutic regimen. 4. Have plan in place to meet needs after discharge. NURSING DIAGNOSIS: GRIEVING [expected], related to May Be Related To: Perceived loss of the perfect child/ pregnancy/delivery, alterations of  future expectations
Image of page 1

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Possibly Evidenced By: Expression of distress at loss, sorrow, guilt, anger; choked feelings;  reliving of pregnancy events; interference with life activities; crying DESIRED OUTCOMES/EVALUATION— Verbalize feelings freely/effectively.
Image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern