Post Partum Psychosis Nursing Diagnosis: Aurelio, Lyca Mae M

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The document discusses a case of post partum psychosis and the importance of developing constructive parenting skills to support infant growth and development.

Nursing interventions included assessing parenting skills, creating a safe environment, emphasizing positive aspects, encouraging expression of feelings, providing information on parenting techniques, and encouraging involvement of the husband in baby's care.

The mother was encouraged to keep in contact with her social circle including family, friends and social workers to help her cope positively with her situation.

Aurelio, Lyca Mae M.

POST PARTUM PSYCHOSIS

Nursing Diagnosis

Impaired parenting related to hospitalization as evidenced by loss of contact of the mother with
the baby with a verbalization of the client, “saan ko kayat aywanan dayta ubing ta anak met isuna
ti kapre”.

Nursing Inference

Occurrence of maternal mental illness is linked with less optimal parenting and less secure
mother-child attachment. Mothers are more likely to be inconsistent, lax, withdrawn or
intrusive, and ineffective in their parenting and child discipline behavior. Inadequate parenting
and lower quality parent-child relationships due to hospitalizations, in turn, are related to
increased risk for maladjustment among children. It most likely to have long term effects on the
child’s growth and development.

Nursing Goal

After 3-5 days of nursing intervention, the mother will be able to affirm desire to develop
constructive parenting skills to support infant growth and development

Nursing Intervention Rationale

Assess parenting skill level, taking into Mothers with significant impairments may need
account the patient’s intellectual, more education and support.
emotional and physical strengths and
weaknesses
Create an environment in which Learning is more effective when an individual
relationships can be developed and feels safe.
the needs of each individual met.

Emphasize the positive aspect of the To develop positive mindset to the patient;
situation, maintaining a hopeful negative attitudes are detrimental to promoting
attitude toward the parent’s positive outcomes
capabilities and potential for
improving the situation.

Encourage expression of feelings, It is important to be authentic and express


such as helplessness, anger and feelings constructively. Doing this builds fulfilling
frustrations. Set limits on communications.
unacceptable behaviors

Provide information appropriate to Facilitates satisfactory implementation of plan


the situation including time and new behaviors.
management, limit setting and stress
reduction techniques.

Encourage the husband to involve in By doing so, the bonding for the baby with the
the care of the baby and patient and father will be supported, which is of particular
stressed the importance of providing importance when the mother is incapable of
support by being present and listening performing her role.
to the patient.
Develop a support system appropriate Family, friends, and social workers, may be
to the situation. Encourage the needed to help her cope positively with what is
woman to keep in touch with her happening. Lack of or ineffective use of support
social circle. systems increases risk for continued inability to
parent effectively.

Encourage the mother to identify Promotes general well-being, helps parents to be


positive outlets for meeting her baby’s more effective and reduce burnout.
needs to give patient the
responsibility within her capabilities

Nursing Evaluation

After 4 days of nursing intervention, the goal was met, the mother was able to affirm desire to
develop constructive parenting skills to support infant growth and development.

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