Question

Give at least 5 nursing interventions (with rationale) for nursing diagnosis: Risk for ineffective sexuality patterns related to physiologic changes of postpartal period

Answer 1

1) spend at least 30 minutes every 8 hours, to address specific anticipated loss by:

-provide an active listening in a quiet place

-offering clarification of treatment and procedures

-revising plan of care

-discussing and identifying the impact of anticipated loss.

Rationale-structured discussion places value on the importance of grieving and provide critical data for the plan of care.

2) collaborate with appropriate healthcare professional to meet needs of the patient and family

Rationale-appropriate collaboration and coordination of efforts result in more holistic care at the time of special need.

3) obtain a thorough obstetric history, including previous history of fetal demise.

Rationale-provide essential database needed to plan for effective interventions.

4) prepare the infant for weaving by mother and significant by others

-clean the infant

-use clothes to hide the gross defects

-wrap in soft and clean baby blanket.

Rationale-initiate grieving process in a supportive environment. Demonstrate respect for understanding of the families emotional state.

5) ask the client whether she has a faith in a community

Rationale-asking about the faith community is less threatening than using the term religion, the client is more likely to respond.