Mr. Cole Iceberg, 14
years old, student and a chess varsity player of a prestigious school. Cole was
so gifted with intelligence but have a lack of social and communication
skills. Cole's height was also behind with his classmates makes him the
shortest among his grade level students. You can observe with Cole that he was
so lack of energy and enthusiasm to do work. He always approaches with negative
mood and response to others. You will clearly notice that he is so
different with other students. Because of unusual behavior of Cole, her teacher
decided to refer him to the Guidance Counselor. The Guidance Counselor summons
the parent of Cole to discuss what their child's situation during his academic
class. Below is a sample of delayed growth and development nursing care
plan of Mr. Cole Iceberg.
Assessment:
Objectives:
- Flat affect
- Listlessness or
lack of energy to exert effort
- Decreased response
time
- Slow social responses
- Limited signs of satisfaction to caregiver
- Limited eye contact
- Decreased appetite
- Lethargy
- Irritability
- Negative mood
Diagnosis:
Delayed growth and
development related to compromised physical ability and dependence
secondary to unknown causes.
Planning:
After 4 hours of nursing
intervention, the patient will demonstrate increased age-appropriate
behaviors in socialization, language, motor skills, self-care and cognitive
skills.
Interventions
- Encourage and support
parental or caregiver presence. Demonstrate methods that allow Cole's
parents/family to participate in their child’s care. Provide Cole with
age-appropriate communication and his preparation regarding procedures. Assign
a consistent caregiver and/or provide clear communication to relay a consistent
method of care-giving.
- Consider cultural practices and beliefs of both Cole's parents.
- Speak frequently with Cole about his feelings, ideas, and concerns about his
condition or care. Provide Cole an opportunity for interaction with others of
the same age. Identify Cole's interest or his hobby that the unit can support,
and support it daily.
- Allow the health care facility routine to be altered to suit the child’s
schedule. Allow Cole to wear his own clothes if possible. Involve Cole in
decisions about his care. Provide an opportunity for him in involvement in
several activities such as reading, video games, movies, board games, art, and
trips outside or to other areas.
- Encourage visits or telephone calls to Cole from his parents, siblings, and
peers.
- Provide anticipatory guidance for Cole's parents regarding constructive
handling of developmental problems and support of developmental process. Refer
to diagnosis Impaired Parenting.
- Refer the family to the appropriate agency for counseling or follow-up
treatment of abuse, parent–child conflict, chemical dependency, and so forth.
Refer Cole's family to the appropriate agency for structured, ongoing
stimulation program like schooling when functioning is likely to be impaired
permanently.
- Refer Cole's family to community programs specific to contributing factors
Evaluation:
After 4 hours of nursing intervention, the patient was demonstrated increased age-appropriate behaviors in socialization, language, motor skills, self-care and cognitive skills.
For more samples of nursing care plan you are free to check it out in our NCP LIST page.
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