7.1c Psychosocial Needs Flashcards

1
Q

Assessment

A
  • Reaction to birth
  • Feelings about themselves
  • Interaction with new baby

Especially important for..

  • Low income primipara
  • Risk of family dysfunction and child abuse
  • Risk for PPD
  • Home visitation has been shown to be effective
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2
Q

Characteristics of Concern

A
  • Unable/Unwilling to discuss labor/birth experience
  • Refers to themselves as ugly/useless
  • Preoccupied with body image
  • Lacks support system
  • Negative reaction to baby
  • Refusal to interact with baby
  • Disappointment in baby sex
  • Difficulty sleeping
  • Loss of appetite
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3
Q

Adaptation to Parenthood

A
  • Realistic perception/acceptance of newborn needs and limitations, immature responses and helplessness
  • Pleasure in providing infant care
  • Respond appropriately to baby cues
  • Provide comfort
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4
Q

Family Structure and Functioning

A
  • Greatly affected by partner, mother and relative support

- Identify possible conflicts and deal with these before discharge

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5
Q

Cultural Assessment

A
  • Literacy of English
  • Primary language
  • Family involvement/support
  • Dietary preference
  • Religious/Cultural beliefs
  • Types of infant care
  • Folk medicine practices
  • Nonverbal communication
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6
Q

Traditional Preferences of Care

A
  • Rest
  • Seclusion
  • Dietary Constraints
  • Ceremonies honoring mother
  • Restriction on activity
  • Sexual Activity
  • Bathing
  • Infant caretaking
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7
Q

Edinburgh Scale

A
  • Determine risk of PPD

- Education and Support should be used for those at risk for PPD along with social worker

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8
Q

PPD Risk Priorities

A
  • Addressing patient’s stressors in life
  • Assessment of emotional needs
  • Assessment of fatigue
  • Alert OB provider if conditions worse
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