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928 NURSING CARE PLAN The Child or Adolescent Hospitalized ...

928 NURSING CARE PLAN The Child or Adolescent Hospitalized ...

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<strong>NURSING</strong> <strong>CARE</strong> <strong>PLAN</strong><br />

NIC Intervention: Socialization<br />

Enhancement: Facilitation of ability<br />

to interact with others.<br />

■ Assist the child <strong>or</strong> adolescent to<br />

identify topics and activities of<br />

interest.<br />

■ Encourage interaction with peers<br />

and staff.<br />

■ Facilitate visits from family and<br />

friends.<br />

■ Provide guidance to family<br />

regarding interaction that<br />

promotes self-esteem.<br />

NIC Intervention: Nutrition<br />

Management: Assistance with <strong>or</strong><br />

provision of a balanced dietary intake<br />

of foods and fluids.<br />

■ Offer nutritious finger foods,<br />

sandwiches, and high-cal<strong>or</strong>ie liquid<br />

supplements frequently throughout<br />

the day.<br />

■ Offer easy-to-carry drinks that are<br />

high in vitamins, minerals, and<br />

cal<strong>or</strong>ies.<br />

■ Encourage daily vig<strong>or</strong>ous physical<br />

activity of at least 30 minutes.<br />

<strong>The</strong> <strong>Child</strong> <strong>or</strong> <strong>Adolescent</strong> <strong>Hospitalized</strong><br />

with Depression (continued)<br />

GOAL INTERVENTION RATIONALE EXPECTED OUTCOME<br />

3. Impaired Social Interaction related to self concept disturbance<br />

<strong>The</strong> child <strong>or</strong> adolescent will participate<br />

in and initiate activities and<br />

conversation.<br />

■ <strong>The</strong> m<strong>or</strong>e the child <strong>or</strong> adolescent<br />

focuses on areas of interest, the less<br />

he <strong>or</strong> she will focus on internal<br />

anxiety and depression.<br />

■ Each positive interaction reinf<strong>or</strong>ces<br />

feelings of success. Each success<br />

reinf<strong>or</strong>ces the desire f<strong>or</strong> future<br />

social interaction.<br />

■ Reinf<strong>or</strong>ces positive and rewarding<br />

relationships.<br />

■ <strong>The</strong> family’s existing interaction<br />

style is often negative.<br />

4. Altered Nutrition: Less Than Body Requirements related to loss of appetite secondary to depression<br />

<strong>The</strong> child <strong>or</strong> adolescent’s daily intake<br />

will be adequate to maintain optimal<br />

nutritional status.<br />

■ Convenient easy-to-eat foods<br />

encourage the child <strong>or</strong> adolescent<br />

to eat and maintain nutritional<br />

status.<br />

■ <strong>The</strong>se are a convenient method f<strong>or</strong><br />

meeting hydration and electrolyte<br />

needs.<br />

■ Physical activity stimulates appetite.<br />

NOC Outcome: Social Interaction<br />

Skills: An individual’s use of effective<br />

interaction behavi<strong>or</strong>s.<br />

By discharge, the child <strong>or</strong> adolescent<br />

initiates conversation and activities<br />

with staff and peers.<br />

NOC Outcome: Nutritional Status:<br />

Amount of food and fluid taken into<br />

the body over a 24-hour period.<br />

<strong>The</strong> child <strong>or</strong> adolescent’s daily intake<br />

will be adequate to maintain optimal<br />

nutritional status by discharge.

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