Could you please provide a NURSING DIAGNOSIS list for this Case Scenario?
ANSWER:- 1. A reduced ability to cope with the stress of postpartum changes and the care obligations that come with having a newborn due to postpartum blues.
2. Ineffective nursing due to inexperience and a lack of self-assurance
3. Guilt is related to the belief that one lacks adequate parenting skills.
4. Inability to sleep well owing to tiredness from the labor and delivery procedure.
5. Discomfort experienced during and after a vaginal delivery.
6. Trouble participating in social activities due to postpartum depression
Explanation
Explanation in further detail:
1.
A reduced ability to cope with the stress caused by postpartum changes and newborn caring obligations. The blues after giving birth are a common condition that may occur between a few days and many weeks after a woman gives birth. Mood swings, weeping fits, stress, and thoughts of despair are all symptoms of this illness. A woman suffering from postpartum depression may find it difficult to manage the obligations of parenthood. Narda may find it difficult to adapt to her new position as a mother and the duty of caring for her kid.
For new moms, the period after birth is one of profound adjustment. Women are adapting to their new role as mothers and the physical changes that occur with pregnancy and childbirth. This may be too much for some individuals to take, causing them to get agitated. Narda’s ability to operate properly after giving birth is hampered by postpartum stress. She is exhausted and overworked and has difficulty emotionally bonding with her new kid. She’s also having trouble nursing her infant and feels bad about her perceived faults as a mother. Narda is having difficulty dealing with the stress caused by these causes and needs support.
2.
Inability to breastfeed successfully owing to inexperience and lack of self-confidence
Narda is having difficulty nursing her infant since she is unskilled and needs more confidence. She is unclear about managing her infant and is apprehensive about her ability to care for her child. She just became a mother. This is interfering with her ability to breastfeed effectively. Others’ support and guidance are required for her to succeed. Narda’s insecurity is making her nursing unsuccessful. Because of her fears, Narda may not feel secure enough to nurse her kid. It’s probable that she’ll need the help of both her spouse and the professionals at the care facility to overcome this obstacle.
3.
Guilt stems from the perception that one lacks adequate parenting skills.
Narda is filled with remorse due to her perceived failures as a mother. She blames herself for her kid’s health problems and believes she is not doing enough for her child. She feels overwhelmed due to her guilt, which stops her from adequately managing the different causes of stress in her life.
Narda may have emotions of guilt as a result of her infant’s illness. Narda’s kid has been diagnosed with fetal Sepsis and is undergoing NICU treatment. There is a chance Narda may blame herself for her infant’s illness. She may seek guidance and comfort from her spouse and medical experts to help her deal with her humiliation.
4.
Inability to obtain adequate sleep due to tiredness during labor and delivery.
Narda is exhausted since she did not receive any rest throughout her pregnancy or when she was in childbirth. This has a detrimental impact on her ability to deal with the rigors of parenthood, contributing to her feelings of guilt and inadequacy. Narda may suffer exhaustion connected with delivery due to her failure to obtain enough sleep. Giving birth is both physically and emotionally demanding on the mother. Narda might be exhausted from the labor and delivery. Since she is a new mother, she is conceivable to be sleep deprived. Narda may need to stop what she’s doing and take a break at different times during the day.
5.
The discomfort felt during and after vaginal birth.
Narda is enduring pain as a consequence of her vaginal delivery and afterbirth. This is keeping her from nursing, which is adding to her exhaustion. Narda is in severe agony as a consequence of the afterpains. Afterpains are a common problem that may occur after the birth of a child. They are caused by the uterus contracting and regaining its pre-pregnancy size. Cramping and discomfort in the lower abdomen are common symptoms of afterpains. Narda could feel better if she took some pain relievers and slept.
6.
Postpartum depression causes social interaction issues.
Narda’s capacity to engage socially with others might be impacted by postpartum depression. Due to postpartum depression, a woman may have feelings of loneliness and withdrawal after giving a child. Narda may have difficulty speaking with her husband as well as the other members of her household. She may seem as if she is unable to connect with her kid.
QUESTION:- Question: Could you please provide a NURSING DIAGNOSIS list for this Case Scenario?
Consider the following scenario:
Narda, a 29-year-old female G1P1, had a full-term baby daughter through NSVD. She is in some postpartum discomfort (after pain). She feels fatigued and drained after giving birth. She started recounting the beginning of her pregnancy and her labor and delivery events. Narda was passive, as you noticed. She would rather have a Nurse attend to her needs and make choices for her. She also contemplates as she holds her baby and wonders, “Is birth over?” Could this kid have been within me?”. This time, all she needed was to relax to recoup her physical strength and to be in a tranquil environment to quiet and manage her racing thoughts.” “Please take care of my kid for a time,” she begged after sharing her story. I’m completely fatigued. “I got no sleep last night,” I said after being in labor for more than ten hours. I need rest.” Narda starts to take action after some time of being dependent.
She now likes to grab her washcloth and make her own choices. She has more freedom since she can care for herself. Monaliza, according to her husband, has a deeper interest in her infant and has begun her duty as a mother. She embraces her baby while nursing, despite her lack of confidence in handling her infant. She is unsure of her capacity to care for her kid, but she does her best. The nurse provided a quick demonstration of newborn care. She was quite grateful. She was complimented on her strengths and given positive reinforcement to increase her confidence. Ultimately, Monaliza recasts herself. She relinquished her status as a childless woman.
When they first started interacting with their infant, they stated it was “priceless” to be a first-time mom and dad. Narda starts to embrace her infant more tightly and expresses more tenderness. She is at ease enough to push her face against the baby’s cheek or kiss the baby’s nose. She is a mother who cares for her kid. You also observe her making close eye contact with her newborn’s face. You also saw that her spouse looked at the infant for an extended time.
Narda was concerned that she would never be able to play the role of a decent mother. She gave birth to a 39-week-old baby girl who was undersized for her gestational age and blamed it on her failure to follow the prenatal medical regimen and to work in a factory. She began to feel unhappy, stressed, and upset days after giving birth, after discovering that her baby’s health would be monitored in the NICU. She was constantly irritated and would never speak to her husband, instead blaming herself. Her spouse demonstrates constant support by emphasizing the need for their baby’s health care requirements. The doctor informs them that the infant has Sepsis and must be treated with antibiotics. After understanding her baby’s illness, Narda felt terrible and inadequate as a mother, stating, “I was careless when I had her; I should not be a parent.” “Whatever happens to my kid, I should be accountable,” she sobbed.
Question: Could you please provide a NURSING DIAGNOSIS list for this Case Scenario?
Nursing