POSTPARTUM – NEWBORN DAILY CARE PLAN
Patient is 35-year old IRANIAN female who had C-section due to breech presentation of the fetus. Otherwise, no other complications during her pregnancy. Please answer Psychosocial, Cultural Diversity, and Care Plan.
Note: You can just make-up these answers for this patient.
Note: most of this paper is your patient information. There are a few theoretical questions throughout the paper. Use your references to answer these questions. Be sure to cite your reference sources for theoretical information in APA format.
PSYCHOSOCIAL ASSESSMENT part 1.
Erikson’s Developmental Level:
THE PROCESS OF MATERNAL ROLE ADAPTATION:
First Column Research: Identify the behaviors you would see for each phase including timing. Cite source.
Second Column: Pt. Assessment / Interpretation. Describe what you saw use quotes and pt. data. Identify factors that may be interfering with her progression.
Bottom Section: Identify the pt’s predominant phase. Is it congruent with theoretical timing? Discuss plans to address any issues.
Taking In
Taking Hold
Letting Go
Factors interfering with adaptation (if any)
STUDENT DIVERSITY ASSIGNMENT: Culture or Spirituality or Uniqueness, and Nursing Considerations
Please review and use the appropriate information found in the preclinical culture study sheets to compare and contrast with the
assessment information you obtained from your patient. Complete on any two interesting patients throughout your rotation (may be
separate from your careplan work-up patients.
State Patient Diversity: 35-year-old Iranian Female
Expected behaviors:
Describe traditional cultural beliefs. Use preclinical document AND other cultural sources such as your culture book. Be sure to cite your source with pg # Patient Assessment:
Compare and contrast your patient/family with expected cultural behaviors from your research. Include extended family (grandparents etc) if available.
Traditional Beliefs r/t Pregnancy / Birth
Diet / Food Preferences during Pregnancy
Cultural Behavior & Communication Type (eye contact, personal space, etc.)
Nursing Considerations: How did you or could you modify your nursing care to make it culturally relevant? Be specific and address as many areas as you can.
Source: (full citation)
Part 1.
Assessments
(highlight the topics you are addressing) Describe the assessment findings for your patient Describe the nursing interventions you implemented to addressing the patient’s issues
1. Knowledge about the childbirth & PP experience
2. Relationship with partner or significant other
3. Work/ financial issues
4. Concern about children or other home related responsibilities (# of children/ages, pets, etc.).
5. Education
6. Sleep patterns / sleep needs (cite sources)
7. Energy / activity
8. Comfort Level (pain, etc.)
9. Appetite
10. Feelings about body changes and body image
11. Signs and symptoms of mood or anxiety
12. Postpartum Depression
13. Feelings and perceptions about pregnancy / infant / motherhood
14. Developmental / Age related assessment (include expected vs actual – cite sources):
15. Formula Feeding
Part 2.
Coping related issues in pregnancy/PP Describe your patient’s coping strategies. What behaviors indicated she was or was not coping well? How did she address or plan to address issues of concern? Describe the nursing interventions you implemented to address the patient’s coping issues:
1. Identify patient coping strategies with pregnancy &/or complications during L&D, PP, or newborn.
2. Support system
3. Spirituality
4. Diversional activities
Part 3.
What did you learn from this experience? When in a similar situation, how will you improve your ability to gather a thorough psychosocial assessment and implement the appropriate interventions the next time?
NANDA Requirements:
Submit 3 Priority NANDAs. The mom and baby can be from different couplets however include the birth information if using a different newborn. Please provide 10 interventions, 10 rationale, and 10 patient responses for each NANDA. Please use the NANDAs provided and follow the format below.
1. 1 psychosocial for Mom – Deficient Knowledge or Anxiety
2. 1 physiologic for Mom – Risk for Infection
3. 1 physiologic for Baby – Risk for Impaired Fetal Gas Exchange
Instructions for NANDAs: Use detailed, objective, measurable parameters unique to this pt. that connect through stages of the NANDA.
● Include objective, descriptive information/ data that applies to your pt. specifically. If it could apply to just about any pt. with a similar problem, seek to modify your plan of care so it addresses the needs of your individual patient.
Instructions for completing the Nanda components:- Instructor, please provide examples of higher level Nandas / Problems would be for a pp patient. Other smaller Nandas / Problems = Mini Nandas / Problems.
● NANDA: Using the standard NANDA format. Include pt. specific reasons in the RT section. List pt. data (assessments, labs etc.) in the AEB sections. Note: If the NANDA is “Risk of” – you do not need to list AEB
● GOALS–short and long term: Needs to reflect pt. assessments (not interventions). Time frame should be appropriate for the Dx (not all goals are appropriate for “end of shift” goals).
● INTERVENTIONS: Integrate pt. specifics into each intervention (if it applies to a large number of pts., it is too general, seek to modify each intervention so it applies to THIS pt.).
○ Provide rationale and cite.
○ Provide patient response
● EVALUATION: Describe pt. progress towards goal parameters by describing objective pt. assessments in the context of the interventions listed. These should mirror the parameters described in the goals (if you mention it in the goal, discuss it in the evaluation and vice versa).
NANDA_______________ r/t _________________ AEB: _______________________ (NANDA) (etiology/) (s/s that support the NANDA)
GOAL / EXPECTED OUTCOME (specific to NANDA, measurable & realistic)
By _______, pt. . will___________________________________ (AEB) _____________________________
(time frame) (general statement) (specific measurable objective assessments)
NURSING INTERVENTIONS (related to NANDA): Add space as needed for each. Be sure to include all 3 types of interventions in your Nanda, List ALL, then highlight all you performed.
Assessment (Monitor)
Action / Implementation (Manage)
Mother / Family Education (Teach)
EVALUATION /MODIFICATION (Include patient data here. Did the patient meet e
