Nurse's Pocket Guide

impaired PARENTING
• Emphasize parenting functions rather than mothering/fathering
skills. By virtue of gender, each person brings something
to the parenting role; however, nurturing tasks can be done
by both parents.
NURSING PRIORITY NO. 3. To promote wellness (Teaching/
Discharge Considerations):
• Involve all available members of the family in learning.
• Provide information appropriate to the situation, including
time management, limit setting, and stress-reduction techniques.
Facilitates satisfactory implementation of plan/new
behaviors.
• Discuss parental beliefs about child-rearing, punishment and
rewards, teaching. Identifying these beliefs allows opportunity
to provide new information regarding not using spanking
and/or yelling and what actions can be substituted for
more effective parenting.
• Develop support systems appropriate to the situation (e.g.,
extended family, friends, social worker, home-care services).
• Assist parent to plan time and conserve energy in positive
ways. Enables individual to cope more effectively with difficulties
as they arise.
• Encourage parents to identify positive outlets for meeting
their own needs (e.g., going out for dinner, making time for
their own interests and each other/dating). Promotes general
well-being, helps parents to be more effective and reduces
burnout.
• Refer to appropriate support/therapy groups, as indicated.
• Identify community resources (e.g., childcare services, respite
house) to assist with individual needs, provide respite and
support.
• Report and take necessary actions, as legally/professionally
indicated, if child’s safety is a concern. Family may believe corporal
punishment is the best way to have children behave.
• Refer to NDs ineffective Coping; compromised family Coping;
risk for Violence [specify]; Self-Esteem [specify]; and
interrupted Family Processes.
Documentation Focus
ASSESSMENT/REASSESSMENT
• Individual findings, including parenting skill level, deviations
from normal parenting expectations, family makeup, and
developmental stages.
• Availability/use of support systems and community resources.
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
512 Cultural Collaborative Community/Home Care