00057 Risk Of Parenting Deterioration

Domain 7: role/relationships
Class 1: caretaker roles (a)
Diagnostic Code: 00057
Nanda label: risk of deterioration of parenting
Diagnostic focus: breeding
Approved 1978 • Revised 1998, 2013, 2017, 2020 • Level of evidence 3.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « risk of parenting deterioration is defined as: main caregiver susceptible to a limitation to nurture, protect and promote the child’s optimal growth and development, using the Proper exercise of empathic authority and proper behavior in response to the child’s needs.

Risk factors

  • Alteration in the parental role
  • Decreased recognition of emotional skills
  • Depressive symptoms
  • Difficulty in managing a complex therapeutic regime
  • Dysfunctional family processes
  • Emotional instability
  • High use of internet connected devices
  • Inappropriate knowledge about the child’s development
  • Inappropriate knowledge about the maintenance of child’s health
  • Inadequate parental role model
  • Inadequate problem solving skills
  • Inadequate social support
  • Inappropriate transport
  • Lack of attention to the child’s needs
  • Increased anxiety symptoms
  • Low self -efficacy
  • Marital conflict
  • Non-repairing sleep-vigilia
  • Perceive economic tension
  • Social isolation
  • Inappropriate use of substances
  • Intimate violence against the unmarked couple

Risk population

Parent

  • teenagers
  • People at economic disadvantage
  • Homeless people
  • People who experience inappropriate use of substances in the family
  • People who experience situational crises
  • People with family history of posttraumatic shock
  • People with a history of abuse
  • People with a history of being abusers
  • People with a history of abandonment
  • People with a history of exposure to violence
  • People with a history of inadequate prenatal care
  • People with prenatal stress history
  • People with low educational level
  • Single parents

infant or child

  • Children who experience prolonged separation from parents
  • Children with difficult temperament
  • Children with sex different from that desired by parents
  • Children with a history of hospitalization in neonatal intensive care units
  • Premature infants

Associated problems

parent

  • Depression
  • Mental disorders

infant or child

  • Behavioral disorder
  • Complex treatment regime
  • Emotional disorder
  • Neurodevelopment disorders

Suggestions of use

The adjustment to be parents is usually a maturation process that requires nursing interventions to prevent possible problems and encourage health.

Suggested alternative diagnostics

  • Committed family coping
  • Family coping, disposition to improve the
  • ATTENGE, Risk of deterioration of
  • Caregiver, risk of fatigue of the role of
  • Ineffective performance of the role
  • Family processes, interruption of the
  • Parental role, conflict of

NOC Results

  • Use the following two results to evaluate the real presence of paternity deterioration:
  • Family coping: family actions to manage stressful factors that test family resources
  • Social support: other people’s reliable help
  • The following results are related to the risk factors of paternity deterioration:
  • Aggentrol of aggression: self -limitation of harmful, combat or destructive behaviors, towards others
  • Self -limitation of abusive behavior: self -control behaviors and carelessness towards others
  • Knowledge: paternity: level of understanding transmitted on the maintenance of a positive constructive environment for a child between one and 17 years of age
  • Child development: (1, 2, 4, 6 and 12 months): milestones of physical, cognitive and psychosocial progress, to (specify) months of age
  • Child development: 2, 3 and 4 years: milestones of physical, cognitive and psychosocial progress towards two years of age
  • Child development: adolescence: milestones of physical, cognitive and psychosocial progress from 12 to 17 years of age
  • Child development: Intermediate childhood: milestones of physical, cognitive and psychosocial progress, from 6 to 11 years of age
  • Stress level: severity of referred physical or mental tensions, secondary to factors that alter the previous balance
  • Paternity: Psychosocial security: parents’ actions to protect the child from social contacts that could cause damage or injury
  • Parental role: Actions of parents aimed at providing the child with a physical, emotional and social, constructive and positive environment
  • Emotional health of the caregiver: emotional well -being of a family caregiver while attending a family member
  • Physical health of the caregiver: physical well -being of a family caregiver while attending a family member

Evaluation objectives and criteria

  • Also see the evaluation objectives/criteria for the diagnosis of paternity, deterioration of the.

  • Demonstrates parental role, as manifested by the following indicators (specify from 1 to 5: never, sometimes, sometimes, often or usually):
    • Use an adequate discipline
    • Express satisfaction with the role of father
    • Express the positive characteristics of the child
    • shows a relationship of affection
  • Other examples

    • One or the two parents will be able to:
    • Show attachment behaviors during pregnancy and after the child’s birth
    • Identify one’s risk factors that can cause ineffective paternity
    • Identify high -risk situations that can cause ineffective paternity
    • Recognize and compensate for their physical, cognitive or psychological limitations in care
    • Demonstrate a recovery of past emotional abuses (for example, express confidence and self -esteem)
    • seek help in case of emotional or neurosis problems
    • Verbally express a sense of control over its own behavior and the life situation
    • Report the existence of positive interpersonal relationships

    NIC Interventions

    • Caregiver Support: Provision of information, help and support, necessary to facilitate the fundamental care of a patient, made by someone who is not a health care professional
    • Support in abuse protection: Child: identification of child high -risk dependency relationships, as well as actions to prevent it from being violated or continuing to violate physical, sexual or emotional damage, or negligence of basic basic needs
    • Support for anger control: facilitation of anger expression in an adaptive way and without violence
    • Prenatal care: patient surveillance and management during pregnancy to avoid complications and favor a healthy result for both the mother and the baby
    • Paterna education: adolescents: assistance to parents to understand and help their teenage children
    • Paterna education: parenting and family: helps parents to understand and promote the physical, psychological and social growth and development of their two -year -old children, or in age, preschool and school
    • Promotion of family integrity: promotion of cohesion and family unit
    • Promotion of family integrity: family and parenting: facilitation of the growth of individuals or families that add a child to the family unit
    • Promotion of normality: helps parents and other relatives of children with chronic abilities or diseases to provide normal life experiences to their children and their families
    • Promotion of paternity: Provision of information, support and coordination, of all services to high -risk families
    • Attachment promotion: Facilitation of the development of the parents/ infant relationship
    • Development promotion: Adolescent: Facilitation of optimal physical, cognitive, social and emotional growth of individuals during the transition from childhood to adulthood
    • Development promotion: Child: promotion or teaching parents and caregivers to facilitate optimal cognitive, social, emotional, thick and fine motor skills, and the language of preschool and school age language
    • Preparation for childbirth: Offer of information and support to facilitate childbirth and improve the abilities of an individual to develop and play the role of parent
    • Surveillance: Collection, interpretation and synthesis of patient data, continuously and with an end, to make clinical decisions

    Nursing Activities

    • Nursing activities for this potential problem focus on support interventions to modify risk factors and avoid the deterioration of paternity. See also paternity nursing activities, willing to improve the.

    Valuations

    • Determine if the parents have unrealistic expectations regarding the child’s behavior, or attribute negative aspects
    • (NIC) Child abuse protection:
      • Identify parents who have lost the custody of another child or who have left other children with relatives for long periods
      • Identify parents who have a history of substance abuse, depression or severe psychiatric diseases
      • Identify parents who have a history of domestic violence, or a mother with a history of numerous injuries
      • “Accidental”
      • Identify crisis situations with the potential to cause abuse (for example, poverty, unemployment, divorce, indigence and domestic violence)
      • Identify babies or children with great need for care (for example, premature birth, low birth weight, colic, food intolerances, serious health problems during the first year of life, disabilities of development, hyperactivity and deficit disorder attention)
    • During pregnancy, ask if one or both parents chose names for the two genres
    • Observe if the new parents present behaviors that indicate the lack of attachment (for example, disgust when changing the diaper, fear or disappointment with the baby’s genre)
    • Assess parents’ knowledge about the basic care of the baby or the child
    • (NIC) Promotion of family integrity.
      • Determine the usual family relationships
      • Monitor current family relationships
      • Patient education and parents
    • (NIC) Support in abuse protection: child:
      • Teach parents to solve problems, make decisions, parenting and paternity skills, or channel them to programs where they can acquire that knowledge
      • Inform parents about the ways of handling the prolonged crying of the infant, highlighting that they should not shake the baby
      • Teach the parents of non -physical punishment to discipline children
    • (NIC) Development promotion: Child: teach caregivers the stages of normal development and associated behaviors

    Collaboration activities

    • Channel to the interested party to community educational and support programs that help develop paternity skills and provide early guidance
    • Encourage parents to attend prenatal education classes
    • (NIC) Support in abuse protection: child:
      • Channel pregnant women and parents of newborns at risk, home nursing services
      • Provide families at risk of the reference of a public nursing service to guarantee the surveillance of the environment at home, that the brothers are evaluated and that families receive support continuously

    Others

    • (NIC) Family Family: Family and upbringing:
      • Listen to the concerns, feelings and doubts of the family
      • Prepare parents for expected changes in roles by becoming parents
      • Encourage them to have individual or external hobbies

    At home

    • above interventions can adapt to home care
    • If there is a sick child, assess the need to offer support to give rest to caregivers