Common Pediatric Psychosocial Nursing Diagnoses:
Anxiety (related to hospitalization, separation, procedures)
Related to: unfamiliar environment, separation from parents, painful procedures
As evidenced by: crying, restlessness, verbal expressions of fear, increased heart rate
Fear (of the unknown, medical staff, procedures)
Related to: invasive procedures, medical equipment, strangers
As evidenced by: clinging to parent, refusal to cooperate, crying, avoidance behavior
Ineffective Coping (individual)
Related to: chronic illness, disability, repeated hospitalizations
As evidenced by: temper tantrums, regression, withdrawal, somatic complaints
Interrupted Family Processes
Related to: child’s illness or hospitalization
As evidenced by: parental stress, role changes, communication breakdown
Risk for Delayed Development
Related to: prolonged hospitalization, chronic disease, limited stimulation
As evidenced by: not meeting developmental milestones appropriate for age
Social Isolation
Related to: extended hospitalization, immunocompromised condition, stigma
As evidenced by: limited peer interaction, sadness, lack of interest in activities
Risk for Impaired Parent/Infant (or Child) Attachment
Related to: NICU admission, separation after birth, prolonged illness
As evidenced by: lack of eye contact, absence of soothing behavior, parental withdrawal
Powerlessness (family or child)
Related to: dependence on medical staff, limited choices
As evidenced by: statements of helplessness, passivity, emotional distress