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PSYCHOBIOLOGICAL NEED - OXYGENATION
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| Risk of impaired respiratory system function |
Scheduling follow-up appointment;
Assessing whether infants are alert, active, fatigued, cyanotic, with inspiratory, expiratory difficulty, expiratory groan;
Referring to appointment with medical professional;
Identifying the presence of cough and its characteristics, nasal congestion, fever above 38ºC, vomiting, diarrhea, abdominal pain;
Auscultating;
Requesting family monitoring by a Community Health Agent. |
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PSYCHOBIOLOGICAL NEED - NUTRITION
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Effective breastfeeding
Exclusive breastfeeding
Interrupted breastfeeding
Impaired breastfeeding |
Scheduling follow-up appointment;
Assisting manual milking of the breast;
Assisting infants in correct grasping of the mother's breast;
Assessing the position of mothers and infants during breastfeeding;
Assessing weight gain; |
Infant feeding behavior (effective/impaired)
Knowledge of mother/father/caregiver about infant feeding (impaired/improved)
Difficulty breastfeeding
Lack of knowledge of mother/father/caregiver about infant feeding
Lack of knowledge of mother/father/caregiver about breastfeeding |
Assessing interpersonal relationships between mother/father/caregiver and infant during breastfeeding;
Demonstrating different positions for breastfeeding;
Demonstrating manual breast milking;
Referring mothers for appointment with a medical professional;
Referring infants for appointment with a medical professional;
Encouraging exclusive breastfeeding until the 6th month;
Clarifying mother/father/caregiver's doubts about breastfeeding;
Encouraging breastfeeding on demand;
Examining the mothers' breast;
Guiding to keep bras clean and dry;
Guiding mothers to expose the breast to the sun before 10 a.m. and after 4 p.m, for 10 minutes;
Guiding the importance and benefits of breastfeeding;
Guiding mothers on the importance of depleting the breast before offering the other and in the next breastfeeding start with the last breast offered;
Guiding mother/father/caregiver about breast milk composition;
Positioning infants correctly;
Performing compress and warm bath on the mother's breasts;
Perform manual milking of breasts whenever necessary;
Conducting home visit by the Health Team;
Performing measurement of anthropometric measurements;
Requesting family monitoring by a Community Health Agent. |
Altered swallowing (reflux) (mild, moderate, severe)
Improved swallowing (mild, moderate)
Normal swallowing |
Scheduling follow-up appointment;
Assessing the development and weight gain of infants;
Referring to appointment with a medical professional;
Referring to a nutritionist;
Guiding not to wear tight clothing on infants and discouraging umbilical band use;
Guiding not shake infants while breastfeeding and after breastfeeding;
Guiding diaper change, when necessary, to be performed before feedings, avoiding lying infants soon after breastfeeding;
Guiding mother/father/caregiver about physiological reflux and gastroesophageal reflux disease;
Positioning infants in supine position to sleep;
Positioning infants with the head elevated after feeding for 20 minutes or until eructation; |
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PSYCHOBIOLOGICAL NEED - ELIMINATION
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Risk of diarrhoea
Risk of impaired gastrointestinal system function |
Scheduling follow-up appointment;
Assessing the infant's bowel habits;
Assessing signs of dehydration: mucosal moisture, turgor and skin elasticity, presence of tears and diuresis, sunken eyes and depressed fontanelles;
Referring to appointment with a medical professional;
Identifying the duration, frequency, intensity, appearance, consistency and odor of feces;
Identifying the quantity and type of liquids or food ingested;
Guiding the replacement of liquids and electrolytes through Oral Rehydration Therapy (ORT);
Requesting family monitoring by a Community Health Agent. |
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PSYCHOBIOLOGICAL NEED - SLEEP AND REST
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Risk of sudden infant death
Proper sleep
Poor sleep |
Scheduling follow-up appointment;
Guiding infants to sleep in supine position, even those with gastroesophageal reflux, with their feet leaning against the lower edge of the crib;
Guiding so that the mattress is firm and the size of the crib;
Guiding so that the car safety seat and stroller are not used for regular sleep;
Guiding so that the bed is not shared with parents;
Guiding the relationship of sudden death and the mother's smoking habits as well as use of drugs and alcohol;
Strengthening breastfeeding;
Using only a sheet to cover infants, not covering their head and wear clothes for their heating. |
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PSYCHOBIOLOGICAL NEED - BODY CARE
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Mother/parent/caregiver's ability to perform improved care
Mother/father/caregiver's knowledge about improved infant body hygiene
Mother/father/caregiver's knowledge about improved oral hygiene
Lack of mother/father/caregiver knowledge about infant care
Lack of mother/father/caregiver knowledge about oral hygiene
Hygiene (impaired/improved)
Improved skin integrity
Risk of mother/parent/caregiver's ability to perform impaired care
Risk of impaired skin integrity |
Scheduling follow-up appointment;
Assessing skin integrity;
Assessing hygiene state;
Demonstrating technique for performing body, oral and genital hygiene,
Encouraging body and oral hygiene;
Guiding mother/father/caregiver about the importance of body and oral hygiene;
Guiding mother/father/caregiver to wear clothes appropriate to the room temperature;
Performing genital region hygiene with each diaper change;
Performing oral hygiene of infants, gums and tongue, and after eruption of incisors, at least once a day;
Conducting home visit by the health team;
Requesting family monitoring by a Community Health Agent;
Changing diaper after bowel movements and whenever necessary. |
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PSYCHOBIOLOGICAL NEED - SKIN AND MUCOUS MEMBRANE INTEGRITY
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Oral candidiasis (mild, moderate, severe)
Improved oral candidiasis
Mother/father/caregiver's knowledge about appropriate candidiasis
Lack of mother/father/caregiver knowledge about candidiasis
Improved oral mucosa integrity
Risk of impaired oral mucosa integrity |
Scheduling follow-up appointment;
Assessing oral cavity;
Assessing the mothers' breast and nipple;
Demonstrating technique for performing oral hygiene;
Encouraging oral cavity hygiene to promote cleansing, massage the gum and accustom infants to mouth manipulation;
Guiding mothers to avoid using tampons in the breast;
Guiding mothers to sanitize the breast after feeding;
Guiding mother/father/caregiver to perform oral hygiene of infants after feeding;
Guiding mother/father/caregiver about pacifier damage and bottle use;
Guiding mother/father/caregiver to sanitize the bottle, pacifiers and toys that come into contact with the infant's mouth;
Guiding infant oral health care;
Prescribe medication for infants according to the institutional protocol;
Prescribe medication for application to the mothers' breasts after breast hygiene following an Institutional Protocol. |
Heat erythema (mild, moderate, severe)
Improved heat erythema
Mother/father/caregiver's knowledge of adequate heat erythema
Lack of mother/father/caregiver knowledge about heat erythema
Improved skin integrity
Risk of impaired skin integrity
Diaper erythema (mild, moderate, severe)
Improved diaper erythema
Mother/father/caregiver's knowledge about appropriate diaper erythema |
Scheduling follow-up appointment;
Relieving excess clothing;
Assessing skin integrity, lesion characteristics and skin around it;
Demonstrating technique to perform intimate hygiene of infants;
Guiding mother/father/caregiver to care for skin lesion;
Avoiding direct contact of the infant's skin with woolen clothing;
Encouraging body hygiene;
Guiding mother/father/caregiver about the importance of body hygiene;
Guiding mother/father/caregiver to use appropriate clothing at room temperature;
Scheduling follow-up appointment;
Assessing skin integrity;
Assessing characteristics of the lesion and the skin around it;
Demonstrating technique to perform genital hygiene; |
Lack of knowledge of mother/father/caregiver about diaper erythema
Improved skin integrity
Risk of impaired skin integrity |
Referring to appointment with a medical professional;
Avoiding using a wet wipe;
Encouraging the infant's body hygiene;
Guiding mother/father/caregiver to care for skin lesion;
Guiding mother/father/caregiver about the importance of body hygiene;
Guiding to expose the affected area to the sun (before 10 a.m. and after 4 p.m.), for 15 minutes;
Performing genital region hygiene at each diaper change;
Requesting family monitoring by a Community Health Agent;
Suspending use of hygiene product that causes erythema;
Changing diaper after evacuations and whenever necessary;
Changing the diaper brand;
Using age-appropriate hygiene products. |
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PSYCHOBIOLOGICAL NEED - THERMAL REGULATION
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Fever
Knowledge of the mother/father/caregiver about adequate body temperature
Lack of knowledge of mother/father/caregiver about body temperature
Risk of impaired thermoregulation
Body temperature normal
Effective thermoregulation
Impaired thermoregulation |
Scheduling follow-up appointment;
Administering antipyretic in accordance with an Institutional Protocol;
Applying water compress at room temperature;
Relieving excess clothing;
Consulting mother/father/caregiver if infants took medication for fever;
Consulting mother/father/caregiver about what medication infants usually take for fever;
Referring to appointment with a medical professional;
Monitoring and recording body temperature;
Guiding mother/father/caregiver of infants with a temperature above 38ºC to seek health/emergency services;
Guiding mother/father/caregiver about shower bath; |
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PSYCHOBIOLOGICAL NEEDS - NEUROLOGY REGULATION
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Psychomotor activity (impaired/improved)
Able to socialize
Childish behavior (disorganized/organized)
Knowledge of mother/father/caregiver about child development (improved/impaired)
Infant development (improved/impaired)
Newborn development (improved/impaired)
Effective child development
Lack of knowledge of mother/father/caregiver about child development
Risk of disorganized child behavior
Risk of impaired infant development |
Scheduling follow-up appointment;
Supporting the role of parents as promoters of child development;
Referring to appointment with a medical professional;
Guiding mother/father/caregiver about necessary encouragement for infants by using toys and games for child development (according to the age group);
Guiding mother/father/caregiver on domestic accident prevention;
Guiding mother/father/caregiver about the milestones of child development, according to the age group;
Performing assessment and annotation of child development milestones in a Child Health Booklet;
Verifying with mother/father/caregiver what they think and/or perceive about the infant's development process. |
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PSYCHOBIOLOGICAL NEED - IMMUNOLOGICAL REGULATION
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Inflammation (mild, moderate, severe)
Improved inflammation
Adherence to the immunization regimen
Improved skin integrity
Non-adherence to the immunization regimen
Risk of impaired skin integrity |
Scheduling follow-up appointment;
Assessing skin integrity;
Assessing characteristics of the lesion and the skin around it;
Referring to appointment with a medical professional;
Encouraging body hygiene;
Guiding mother/father/caregiver about the importance of body hygiene;
Advising the importance of vaccines and to keep vaccination scheduling up to date;
Requesting family monitoring by a Community Health Agent;
Using scissors or nail clippers with a rounded tip and for exclusive use of for infants to cut the nails; |
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Wearing clothing appropriate to the temperature;
Verifying the infant's vaccination status. |
| Risk of infection |
Scheduling follow-up appointment;
Assessing body hygiene state;
Assessing umbilical stump skin integrity;
Demonstrating technique for umbilical stump hygiene;
Performing umbilical stump hygiene with 70% alcohol whenever necessary;
Keeping the umbilical stump clean and dry;
Guiding mother/father/caregiver about basic care with the umbilical stump and body hygiene;
Guiding mother/father/caregiver not to use umbilical band and other products on the umbilical stump;
Requesting family monitoring by a Community Health Agent. |
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PSYCHOBIOLOGICAL NEEDS - CELL GROWTH REGULATION
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Delayed growth (or growth delay)
Growth within normal limits
Risk of delayed growth (or delayed growth)
Risk of disproportionate growth |
Scheduling follow-up appointment;
Measuring the anthropometric parameters: weight, height, head circumference, thoracic and abdominal;
Performing bone, dental and physical-motor development assessment;
Recording the information in the Child Health Booklet and assessing the related graphics;
Observing breastfeeding (infant position, grasp, suction and the mother's breast);
Guiding mother/father/caregiver on a routine of childcare appointments;
Verifying with mother/father/caregiver what they think and/or perceive about the infant's growth process. |
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PSYCHOBIOLOGICAL NEEDS - VASCULAR REGULATION
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Altered skin color (Jaundice - mild, moderate, severe)
Normal skin color
Knowledge of the mother/father/caregiver about proper skin color
Lack of knowledge of the mother/father/caregiver about skin color |
Scheduling follow-up appointment;
Increasing the frequency of breast milk supply;
Assessing jaundice location and intensity;
Assessing breastfeeding;
Referring to appointment with a medical professional;
Encouraging breastfeeding on demand;
Guiding mother/father/caregiver about jaundice;
Sunbathing with infants without clothes, before 10 a.m. and after 4 p.m,, for up to 10 minutes; |
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PSYCHOSOCIAL NEED - SAFETY/LOVE
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Adaptation (improved/impaired)
Adjustment of mother/father/caregiver (improved/impaired)
Affective mother/father/caregiver-infant bonding (effective/impaired)
Risk of impaired emotional attachment of mother/father/caregiver-infant |
Scheduling follow-up appointment;
Referring to a social worker and/or psychologist;
Encouraging interaction of mother/father/caregiver with infants;
Identifying and preventing postpartum depression and refer the mother for treatment, if necessary;
Identifying families at risk (domestic abuse, alcohol or drug addiction, lack of family support, adolescent parents with a fragile support network, etc.);
Guiding on the importance of developing affective bond between mother/father/caregiver and infant and its relationship with adequate growth and development, construction of personality, affective relationships and sociability;
Guiding mother/father/caregiver about doubts regarding infant care;
Promoting breastfeeding and support for its effectiveness;
Conducting home visit by the health team;
Requesting family monitoring by a Community Health Agent;
Verifying the existence of difficulties in mother/father/caregiver adaptation in relation to the arrival of infants. |
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PSYCHOSOCIAL NEED - PARTICIPATION/ATTENTION
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| Improved parenting knowledge of parent/caregiver |
Scheduling follow-up appointment;
Referring to a social worker and/or psychologist;
Encouraging interaction of mother/father/caregiver with infants; |
Lack of knowledge of mother/father/caregiver about parenting
Parenting (effective/impaired)
Risk of impaired parenting |
Identifying families at risk (domestic abuse, alcohol or drug addiction, lack of family support, adolescent parents with a fragile support network, etc.);
Promoting reflection with mother/father/caregiver on family relationships, demonstrating the importance for the infant's emotional maturation;
Conducting home visits by the health team;
Requesting family monitoring by a Community Health Agent. |
