Nursing diagnosis – READINESS FOR ENHANCED FAMILY PROCESSES

READINESS  FOR  ENHANCED

FAMILY  PROCESSES

DEFINITION

A pattern of family functioning that is sufficient to support the well-

being of family members and can be strengthened

DEFINING CHARACTERISTICS

• Activities support the growth of family members

• Activities support the safety of family members

• Balance exists between autonomy and cohesiveness

• Boundaries of family members are maintained

• Energy level of family supports ADLs

• Family adapts to change

• Relationships are generally positive

• Respect for family members is positive

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Roles/relationship

• Coping

• Communication

• Values/beliefs

EXPECTED OUTCOMES

Family members will

• Identify family goals and structured directions.

• Express enjoyment and satisfaction with their roles in the family.

• Express a willingness to enhance roles in family dynamics.

• Participate regularly in traditional family activities.

• Maintain open and positive communication.

• Maintain a safe home environment.

• Seek regular health screenings and immunizations.

• Identify and acknowledge family risk factors.

• Make plans to deal with life changes and events.

SUGGESTED NOC OUTCOMES

Family Coping; Family Functioning; Family Health Status; Family

Integrity; Family Normalization; Family Social Climate

INTERVENTIONS AND RATIONALES

Determine: Assess family composition, roles within the family,

communication patterns, family developmental stages, developmen-

tal tasks, health patterns, coping mechanisms, socioeconomics,

educational levels, ethnicity, and cultural and religious beliefs.

Assessment information helps identify appropriate interventions.

Perform: Establish an environment in which family members can

openly share their issues and concerns in comfort to reduce anxiety

and develop their ability to resolve problems.

Inform: Explain importance of setting goals as a method of estab-

lishing boundaries that will be respected by all family members.

Family functioning with structural direction will enhance the poten-

tial to meet physical, social, and psychological needs.

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Show family how to develop a Genogram to identify genetic risk

factors. Information from the Genogram will highlight things that

can modify a family’s health patterns, lead to early identification of

genetically related diseases, and may delay onset of disease.

Teach value of daily exercise, well-balanced diet, and use of

proven holistic strategies to improve health.

Provide family with information on recommended health screen-

ings and immunization schedules. It is essential to keep immuniza-

tions given according to schedule to prevent loss of immunity.

Attend: Encourage family members to identify individual and family

goals and a structured direction toward sound health habits for the

entire family. Developing a structured plan will assist in having

everyone work together toward goals set by the family for

themselves.

Involve family in planning and decision making. Having the abil-

ity to participate encourages greater compliance with the plan.

Encourage family to spend time together enjoying traditional

activities that everyone likes doing to promote a healthy lifestyle and

encourage strong family unity.

Manage: Refer, where requested, for follow-up for a family member

who needs exercise, weight management, diet assistance, health

screenings, and so forth. Providing referrals will help to provide

continuity of care for the patient.

SUGGESTED NIC INTERVENTIONS

Family Support; Family Integrity Promotion; Family Maintenance

Reference

Yanaka, L., et al. (2007, January–February). Barriers to screening for domestic

violence in the emergency departments. Journal of Continuing Education in
Nursing, 38(1), 37–45.

Nursing diagnosis – READINESS FOR ENHANCED CHILDBEARING PROCESS

READINESS  FOR  ENHANCED CHILDBEARING  PROCESS

DEFINITION

A pattern of preparing for, maintaining and strengthening a healthy

pregnancy and childbirth process and care of newborn

DEFINING CHARACTERISTICS

During pregnancy

• Reports appropriate prenatal lifestyle, physical preparations; man-

aging unpleasant symptoms in pregnancy

• Demonstrates respect for unborn baby

• Reports a realistic birth plan

• Prepares necessary newborn care items

• Seeks necessary knowledge (e.g., of labor & delivery, newborn

care)

• Reports availability of support systems

• Has regular prenatal health visits

During labor & delivery

• Reports lifestyle that is appropriate for the stage of labor

• Responds appropriately to the onset of labor

• Is proactive in labor & delivery

• Uses relaxation techniques appropriate for the stage of labor

• Demonstrates attachment behavior to the newborn baby

• Utilizes support systems appropriately

After birth

• Demonstrates appropriate baby-feeding techniques; basic baby care

techniques

• Provides safe environment for the baby

• Reports appropriate lifestyle

• Utilizes support system appropriately

RELATED FACTORS

• Prenatal health status

• Obstetrical/medical history (including perinatal risks/complications)

• Cultural beliefs/expectations

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Behavior

• Knowledge

• Roles/relationships

EXPECTED OUTCOMES

The patient/childbearing family will

• Demonstrate a willingness to maintain/modify his or her lifestyle

for optimal prenatal health.

• Convey confidence and knowledge of pregnancy, the labor &

delivery process, and newborn care.

• Express appropriate self-control and readily cooperate with recom-

mendations of the healthcare team during labor & delivery.

• Exhibit parent–newborn attachment after delivery.

• Meet the newborn’s physical, social, and nutritional needs.

SUGGESTED NOC OUTCOMES

Prenatal Health Behavior; Knowledge: Pregnancy; Knowledge: Labor

& Delivery; Knowledge: Newborn Care; Parent Infant Attachment.

INTERVENTIONS AND RATIONALES

Determine: Assess baseline knowledge of prenatal self-care, labor &

delivery process, and newborn care to identify and resolve

knowledge deficits.

Perform: Provide written literature on prenatal wellness, labor &

delivery expectations, and newborn care. Providing written materials

allows adequate time to synthesize and understand new information.

Inform: Teach self-care for common prenatal discomforts to promote

patient autonomy.

Teach childbearing family labor & delivery process and newborn

care. Understanding   expectations improves confidence and reduces

anxiety.

Attend: Assist childbearing family with development of a birth plan.

This allows childbearing family to participate in managing the birth

experience and promotes communication with the healthcare team.

Encourage and support childbearing family throughout the course

of the pregnancy to improve self-confidence and promote patient

compliance with health recommendations.

Manage: Refer to certified childbirth educator for classes on prenatal

care, labor & delivery (to include Cesarean birth), breast-feeding,

and newborn care. Advanced knowledge of the childbearing process

promotes empowerment and positive maternal outcomes.

SUGGESTED NIC INTERVENTIONS

Anticipatory Guidance; Childbirth Preparation; Emotional Support;

Parent Education: Infant, Prenatal Care.

Reference

Ward, S. L., & Hisley, S. M. (2009). Maternal–child nursing care: Optimizing

outcomes for mothers, children, and families. Philadelphia: F.A. Davis Com-
pany.