IMPAIRED PARENTING Nursing Care Plan

When I became a father of a daughter, I honestly felt happy and afraid. I'm happy because now there is someone I will raise and raise this child to be a good person with a purest heart but on the other hand, I'm afraid because I don't know what to do and how should I start. And that moment, I realized that the reason of a child having a father and a mother is to both of them will help together to take care of their child. However, in some cases, the parent don't want to take care of their child. For some reason, they just wish they did not have a child. Like Mrs. Davelle, a 45 years old female, former news anchor on a former TV broadcast company. She said that she doesn't really want her child and she has been exposing anger towards her child. It's like she neglects having the child and feels so disappointed.

Assessment:

Subjective: "I really don't want that child." said by the parent.


Objective:

You can observed anger of Mrs. Davelle towards her child, by frequently verbalizing of disappointments with her child. There are lots of evidence of patient's neglect of child. Also there are no evidenced of behavior that indicates parental attachment. 

Diagnosis:

Impaired parenting related to parenting difficulties as evidenced by lack of behavior indicating parental attachment and evidence of neglect of child.

Planning:

After 4 hours of nursing intervention, the patient will demonstrate two effective skills to increase parenting effectiveness: Acknowledgement of issue with parenting skills and identify resources available for assistance with improvement of parenting skills that are culturally considerate.

Intervention:

- Assess Mrs. Davelle's situation about impaired parenting. It is okay to convey empathy but remember to reserve judgment to Mrs. Davelle and offer her educational information based on assessment like providing information for being a mother out having a child.

- Encourage discussion of her feelings regarding unmet expectations then discuss setting personal goals. Remember that our goals are that the patient, Mrs. Davelle, will demonstrate two effective skills t to increase parenting effectiveness. Mrs. Davelle must acknowledge the issue with parenting skills and identify resources to improve parenting skills.

- Educate the parent about normal growth and development and age-related expected behaviors. Since her child is 2 years old, her child may have temper tantrums assess the child for sudden outburst anger to confirm temper tantrums. You can check Delayed Growth and Development Nursing Care Plan to focus on growth and development.

- Explore when did Mrs. Davelle experienced child's problem behavior. Where did it commonly happens and what triggers the problem. Did Mrs. Davelle discipline her child? What kind of discipline she impose to her child? Identify what kind of behavior she wants to her child. 

- Discuss with Mrs. Danvelle the positive parenting techniques. Encourage the her to convey to her child that he is loved and with this, she will reinforce mother- child relationship. Encourage her to praise her child being good and use eye contact. Make a special time that guarantees the parent-child relationship without interruptions. Having 30 minutes or more time to play, watch, and/or talk with the child without interruptions is an effective positive reinforcement to improve parenting skills.

- Discuss with Mrs. Davelle, the parent, that ignore minor transgressions by having no physical contact, eye contact, or talking of the behavior. This will help her child to identify the the difference between good and bad deeds. 

- Encourage the parent to practice active listening towards the child by describing what the child is saying and reflect back the child's feelings, and avoid judging. Mrs. Davelle must know that she needs to listen actively to what her child is saying, most of the time, children find it hard to express or say what they want and make an annoying cries. The parent needs to avoid her anger by reflecting back the child's feelings.

- Tell to Mrs. Davelle the difference between discipline and punishment, with her focusing their communications with children on discipline. Make sure the discipline corresponds to the unacceptable behavior. If she is irritated, tell her not to discipline her child because it may result to improper or inappropriate actions. Tell to Mrs. Davelle not to reprimand her child in front of another person especially in front of his friends or at the same age.

- Encourage Mrs. Davelle to use "I" statements when disagreeing a behavior like "I do not want that." or "I do not like that." Tell to Mrs. Davelle that when her child done an inappropriate action or behavior, reprimand by focusing on the act or the behavior, not the child. Do not use words like "I do not like you." or "I do not want you."

Evaluation:

After 4 hours of nursing intervention, the patient demonstrated two effective skills to increase parenting effectiveness: Acknowledgement of issue with parenting skills and identify resources available for assistance with improvement of parenting skills that are culturally considerate.

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