Nursing Diagnosis for Nurses and BSN students

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Nursing diagnosis DELAYED GROWTH AND DEVELOPMENT Nursing diagnosis INEFFECTIVE HEALTH MAINTENANCE

Nursing diagnosis RISK FOR DISPROPORTIONATE GROWTH

<a href="http://www.bidvertiser.com/bdv/BidVertiser/bdv_advertiser.dbm">internet marketing</a> RISK FOR DISPROPORTIONATE GROWTH DEFINITION At risk for growth above the 97th percentile or below the 3rd percentile for age, crossing the percentile channels RISK FACTORS Altered nutritional status Inability to digest and absorb Any disease that persists over nutrients time, especially during critical periods of development Neuroendocrine factors, such as altered levels of growth or Environmental hazards, such thyroid hormones as chemical or radiation expo-

sure, lead exposure, passive inhalation of tobacco smoke, and exposure to air, water, or food contaminants Prenatal inuences, such as maternal exposure to drugs or alcohol, severe maternal malnutrition, and maternal smoking Financial or socioeconomic Genetic abnormalities hardships ASSESSMENT FOCUS Nutrition Sleep Activity Coping EXPECTED OUTCOMES The child will Grow and gain weight as expected on the basis of growth-chart norms for age and gender. Consume _____ calories and ___ml of uids representing ____ servings (specify for each food group). Achieve ____ hours of uninterrupted sleep daily. Maintain age-appropriate activity level. Parents will (Refer to comprehensive assessment parameters.)

 Identify risk factors that may lead to disproportionate growth. State understanding of preventive measures to reduce risk of disproportionate growth. SUGGESTED NOC OUTCOMES Appetite; Body Image; Child Development: Middle Childhood Growth; Risk Control; Weight: Body Mass INTERVENTIONS AND RATIONALES Determine: Monitor weight and height weekly to evaluate progress. Monitor temperature, activity levels, sleep patterns, and changes in nutritional status. Monitor prescribed and over-the-counter medications taken. Determine exposure to tobacco smoke and/or other environmental contaminants. These assessment parameters will assist in developing appropriate interventions. Perform: Weigh and measure the child weekly to evaluate progress. Review growth-chart curve to compare with growth history. 165 Establish meal program that meets the childs nutritional needs. Establish routine sleep schedule for the child. Help child keep a chart to encourage increased levels of self-care. List age-appropriate activities and exercises for the child to stimulate bone and muscle development and promote cardiovascular health. Administer prescribed drugs and treatments as ordered. Ensure that the child and parents understand the intended action and side effects that may occur to ensure that therapy can continue without interruption.

Provide an environment that is conducive to promote changes the child must make. Environment can be a powerful motivator. Inform: Educate child and parents on nutritional requirements for childs age and gender. Discuss meals available to the child at home to promote growth. Teach child and parents about risk factors associated with disproportionate growth, such as poor nutrition, lack of regular sleep, environmental hazards, or lack of age-appropriate activities. Help to identify preventive measures to be taken in the home to promote continuity of care. Attend: Encourage healthy, loving interactions between child and other family members. Demonstrate healthy and positive interactions with the child. Disproportionate growth may be associated with emotional deprivation. Encourage child and parents to express feelings about present state of childs health. Listen attentively with understanding about the self-esteem associated with what is considered by peers to be other than normal. Parents will need help in supporting the child through difculties coping with normal peers. Manage: If a medical or psychiatric illness places child at risk for disproportionate growth, make sure child gets adequate follow-up medical care and ensure that the care is appropriate and professional. This will ensure the childs right to receive remedial and educational care in accordance with his disability, as guaranteed by federal law. If nancial hardship interferes with the familys ability to provide

for child with disproportionate growth, offer a referral to a social worker to improve the familys access to community resources. SUGGESTED NIC INTERVENTIONS Active Listening; Behavior Modication; Coping Enhancement; Counseling; Nutritional Management; Patient Contracting; Weight Management Reference Gregory, K. (2005, JanuaryFebruary). Update on nutrition for pre-term and full term infants. Journal of Obstetric, Gynecology, and Neonatal Nursing, 34(1), 98108.
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