Nurse's Pocket Guide

parental role CONFLICT
• Encourage interaction/facilitate communication between
parent(s) and children.
• Promote use of assertiveness, relaxation skills to help individuals
to deal with situation/crisis.
• Assist parent to learn proper administration of medications/treatments,
as indicated.
• Provide for/encourage use of respite care, parental time off to
enhance emotional well-being.
• Help single parent distinguish between parent love and partner
love. Love is constant, but attention can be given to one
or the other, as appropriate.
NURSING PRIORITY NO. 3. To promote wellness (Teaching/
Discharge Considerations):
• Provide anticipatory guidance to encourage making plans
for future needs.
• Encourage parents to set realistic and mutually agreed-on
goals.
• Discuss attachment behaviors such as breastfeeding on cue,
co-sleeping, and babywearing (carrying baby around on
chest/back). Dealing with ill child/home care pressures can
strain the bond between parent/child. Activities such as
these encourage secure relationships.
• Provide/identify learning opportunities specific to needs (e.g.,
parenting classes, healthcare equipment use/troubleshooting).
• Refer to community resources, as appropriate (e.g., visiting
nurse, respite care, social services, psychiatric care/family
therapy, well-baby clinics, special needs support services).
• Refer to ND impaired Parenting for additional interventions.
Documentation Focus
ASSESSMENT/REASSESSMENT
• Findings, including specifics of individual situation/parental
concerns, perceptions, expectations.
PLANNING
• Plan of care and who is involved in the planning.
• Teaching plan.
IMPLEMENTATION/EVALUATION
• Parent’s responses to interventions/teaching and actions performed.
• Attainment/progress toward desired outcome(s).
• Modifications to plan of care.
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
182 Cultural Collaborative Community/Home Care