Nursing diagnosis – DELAYED GROWTH AND DEVELOPMENT

DELAYED  GROWTH  AND  DEVELOPMENT

DEFINITION

Deviations from age-group norms

DEFINING CHARACTERISTICS

• Altered physical growth

• Delay or difficulty in performing motor, social, or expressive skills

typical of age group

• Flat affect

• Listlessness and decreased response

• Inability to perform self-care activities or maintain self-control at

age-appropriate level

RELATED FACTORS

• Effect of physical disability

• Multiple caretakers

• Environmental deficiencies

• Prescribed dependence

• Inadequate caretaking

• Separation from significant

• Inconsistent responsiveness

others

• Indifference

• Stimulation deficiencies

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Activity

• Family roles and responsibilities

• Cardiac function

• Nutrition

• Communication

• Sleep

EXPECTED OUTCOMES

The child will

• Demonstrate skills appropriate for age.

• Participate in developmental stimulation program to increase skill

levels.

The parents will

• Express understanding of norms for growth and development.

• Use community resources to promote child’s development.

• Provide play activities to promote child’s development.

SUGGESTED NOC OUTCOMES

Child Development: Middle Childhood; Growth; Physical

Maturation: Female; Physical Maturation: Male

INTERVENTIONS AND RATIONALES

Determine: Monitor weight and height weekly. Monitor nutritional

intake, activity level, and sleep patterns. Documentation of these

factors will help measure progress over time.

Assess cardiac functioning and respiratory status to ensure that

child is healthy enough to participate in activities.

Assess child’s motor skills, communication patterns, social skills, and

cognitive abilities to evaluate where skill development may be needed.

Assess support systems available to child and parents. Where there

are gaps, other sources of support may need to be put in place.

163

Perform: Establish a meal program to promote nutritional needs.

Weigh and measure child weekly and review growth-chart curve to

monitor progress.

Establish a routine sleep schedule for child to ensure that the

child is healthy enough to participate in an activity.

List age-appropriate activities and exercises to stimulate bone and

muscle development and promote cardiovascular health. Provide

appropriate play activities, such as building blocks, dolls, crayons,

or games to promote development.

Administer prescribed drugs and treatments as ordered. Ensure

parents and child understand intended action and possible side effects

to ensure therapy will continue as planned.

Provide an environment that is conducive to promote changes the

child must make. Environment can be a powerful motivator.

Inform: Provide parents with information about the causes of

delayed growth and development. Provide written information to

help them know what they can expect as a result of treatment.

Discuss age appropriate nutritional requirements with parents and

child and teach additional risk factors associated with delayed

growth (e.g., lack of regular sleep, environmental hazards). Teach

appropriate activities and encourage frequent play with child. These

measures promote continuity of care.

Attend: Five child positive reinforcement for demonstrating appropri-

ate skills and behavior and encourage parents to do the same to

encourage the child to continue developing skills.

Encourage child and parents to express feelings about present

state of child’s health. Listen attentively with understanding about

the self-esteem associated with what is considered by peers to be

other than normal. Parents need to be encouraged first to accept the

child as he is and then encourage the child to develop new skills

Development can occur only when parents and staff are both realis-

tic about the child’s present stage of development.

Manage: Provide parents with referrals to appropriate community

resources, including sources for financial assistance, child care, and

suppliers of adaptive equipment, to ensure the child’s right to receive

remedial and educational support in accordance with the disability,

as guaranteed by federal law.

SUGGESTED NIC INTERVENTIONS

Developmental Enhancement: Child; Health Screening; Nutrition

Management; Risk Identification; Self-Responsibility Facilitation

Reference

Wagner, J., et al. (2006, September–October). Nurses’ utilization of parent

questionnaires for developmental screening. Pediatric Nursing, 32(5),
409–412.

Leave a Reply