RISK FACTOR MATRIX INFANT Risk Factor on Infant Risk Possible

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RISK FACTOR MATRIX INFANT Risk Factor on Infant Risk Possible

Transcript Of RISK FACTOR MATRIX INFANT Risk Factor on Infant Risk Possible

Risk Factor on Infant Risk Screen
Abnormal conditions include one or more of the following: Assisted ventilation, NICU admission, newborn given Surfactant Replacement Therapy, hyaline membrane disease/respiratory distress syndrome, or seizure or serious neurological dysfunction

RISK FACTOR MATRIX INFANT

Possible Underlying

Possible Interventions

Situations and Related

(Provided by a qualified

Risks that Need Evaluation care coordinator or referred

 Increased risk of infant mortality
 Increased need for specialized medical care

out to a community
provider)  Educate on the
importance of following infant’s health care provider’s advice & recommendations

 Immunization compliance issues
 Increased risk of developmental delays

 Educate on the importance of keeping well child checkup appointments

 Increased risk for child abuse/neglect issues
 Increased stress
 Increased risk of depression
 Psychosocial issues for the family
 Increased risk of intimate partner violence issues
 Lack of knowledge regarding family planning methods and services

 Educate on SIDS/SUID, safe sleep environment and home safety
 Educate on specialized medical providers and refer to necessary medical case management services (i.e. Children’s Medical Services, Early Steps)
 Educate on the importance of all immunizations and monitor compliance

 Complete developmental assessments (Ages & Stages Questionnaires) on infants/toddlers and refer as needed

 Monitor abuse/neglect incidents and report any suspected abuse or neglect to the Abuse Registry

 Educate on shaken baby syndrome & coping with crying

Birthweight less than 2000 grams or less than 4 pounds, 7 ounces

 Stress management education

 Assess for perinatal depression (Edinburgh Postnatal Depression Scale) and refer as needed

 Psychosocial counseling

 Assess for intimate partner violence (Relationship Assessment Tool) and refer as needed

 Educate on intimate partner violence & how to obtain help

 Counseling on all types of family planning methods

 Linkages to family planning services

 Increased risk of infant

 Education on infant

morbidity/mortality

nutritional needs, feedings

 Lack of proper nutrition for

and the WIC program

infant

 Breastfeeding education

 Higher risk of SIDS/SUID

and support

 Immunization compliance  Refer to WIC

issues

 Educate on SIDS/SUID,

 Increased risk for developmental delays

safe sleep environment and home safety

 Increased risk for child abuse/neglect issues

 Educate on the importance of all immunizations and

 Increased stress

monitor compliance

 Increased risk of depression
 Increased risk of intimate partner violence issues

 Complete developmental assessments (Ages & Stages Questionnaires) on infants/toddlers and refer as needed

 Lack of support system

Infant transferred within 24 hours of delivery

 Lack of knowledge regarding family planning methods and services
 Increased risk of infant mortality
 Increased need for specialized medical care
 Immunization compliance issues

 Monitor abuse/neglect incidents and report any suspected abuse or neglect to the Abuse Registry
 Educate on parent child relationship/bonding issues
 Educate on shaken baby syndrome & coping with crying
 Stress management education
 Assess for perinatal depression (Edinburgh Postnatal Depression Scale) and refer as needed
 Assess for intimate partner violence (Relationship Assessment Tool) and refer as needed
 Educate on intimate partner violence & how to obtain help
 Identify support systems (social/emotional) & offer support via care coordinator
 Counseling on all types of family planning methods
 Linkages to family planning services
 Importance of following infant’s health care provider’s advice & recommendations
 Educate on the importance of keeping

 Increased risk of developmental delays
 Increased risk for child abuse/neglect issues
 Increased stress
 Psychosocial issues for the family
 Increased risk of intimate partner violence issues
 Lack of knowledge regarding family planning methods and services

well child checkup appointments
 Educate on the Educate on SIDS/SUID, safe sleep environment and home safety
 Educate on specialized medical providers and refer to necessary medical case management services (i.e. Children’s Medical Services, Early Steps)
 Educate on the importance of all immunizations and monitor compliance
 Complete developmental assessments (Ages & Stages Questionnaires) on infants/toddlers and refer as needed
 Monitor abuse/neglect incidents and report any suspected abuse or neglect to the Abuse Registry
 Educate on shaken baby syndrome & coping with crying
 Assess for perinatal depression (Edinburgh Postnatal Depression Scale) and refer as needed
 Stress management education
 Psychosocial counseling
 Assess for intimate partner violence

(Relationship Assessment Tool) and refer as needed

 Educate on intimate partner violence & how to obtain help

 Counseling on all types of family planning methods

 Linkages to family planning services

Mother unmarried

 Lack of support systems  Identify support systems

(social/emotional/financial)

(social/emotional) & offer

 Paternity/child support issues

support via care coordinator

 Lack of financial support

 Educate on public assistance

 Increased stress

programs/application process

 Lack of knowledge regarding family planning methods and services

 Educate on establishing paternity/procedures

 Educate on shaken baby syndrome & coping with crying

 Stress management education

 Psychosocial counseling

 Counseling on all types of family planning methods

 Linkages to family planning services

Principal source of payment  Transportation issues

 Educate on the

Medicaid

 Lack of prenatal care

importance of keeping well child checkup

 Lack of support systems

appointments

(social/emotional/financial)  Educate on the

 Increased stress

importance of following infant’s health care

 Intimate partner violence

provider’s advice &

issues

recommendations

 Alcohol/Substance abuse  Educate on transportation

issues

systems available/explore

 Increased risk for child abuse/neglect issues

alternative transportation options

 Educate on public

 Lack of adequate housing

assistance

programs/application

process

 Identify support systems (social/emotional) & offer support via care coordinator

 Stress management education

 Psychosocial counseling

 Assess for intimate partner violence (Relationship Assessment Tool) and refer as needed

 Educate on intimate partner violence & how to obtain help

 Assess for alcohol and substance use (Substance Use Risk Profile – Pregnancy Scale) and refer to a community provider for substance abuse assessment & intervention as needed

 Educate on the effects of alcohol/drug usage on unborn fetus

 Monitor abuse/neglect incidents and report any suspected abuse or neglect to the Abuse Registry

Maternal Race Black

 Increased risk of infant mortality
 More likely to experience poor birth outcomes such as premature delivery
 Higher SIDS/SUID incidence
 Lack of adequate health care or access to health care
 Increased stress

 Educate on subsidized housing programs and how to apply
 Educate on community resources to assist with housing
 Educate on the importance of keeping well child checkup appointments
 Educate on the importance of following infant’s health care provider’s advice & recommendations
 Education on infant nutritional needs and feedings
 Linkage to WIC
 Educate on SIDS/SUID, safe sleep environment and home safety
 Educate on the importance of choosing a pediatric health care provider for infant
 Educate on transportation systems available/explore alternative transportation options
 Stress management education
 Identify support systems (social/emotional) and offer support via care coordinator
 Educate on community health care resources/provider

Father’s name not present or unknown

 Lack of support systems  Identify support systems

(social/emotional/financial)

(social/emotional) & offer

 More likely to have a low birth weight baby

support via care coordinator

 Paternity/child support issues

 Educate on public assistance programs/application

 Increased stress

process

 Lack of knowledge regarding family planning methods and services

 Educate on establishing paternity/procedures
 Stress management education

 Educate on shaken baby syndrome and coping with crying

 Counseling on all types of family planning methods

 Linkages to family planning services

Mother used tobacco in one  Increased risk for

or more trimesters

SIDS/SUID

 Infant respiratory problems

 Second hand smoke exposure

 Increased stress

 Increased risk of depression

 Lack of motivation to quit using tobacco

 Assess for tobacco use (SCRIPT Tobacco Assessment)
 Provide SCRIPT smoking cessation counseling (See Chapter XX Tobacco Education and Cessation)
 Refer to the Tobacco Free Florida Quitline
 Provide tobacco cessation resources
 Educate on SIDS/SUID, safe sleep environment and home safety

 Educate on the needs for a smoke free environment for infant and family

 Provide second hand smoke education

Prenatal visits less than 2 or  Lack of knowledge

unknown

regarding the importance

of medical care

 Lack of adequate health care or access to health care

 Transportation issues

 Alcohol/substance abuse issues

 Intimate partner violence issues

 Lack of knowledge regarding family planning methods and services

 Stress management education
 Assess for depression using (Edinburgh Postnatal Depression Scale) and refer as needed
 Provide positive feedback for decreasing daily intake or quitting
 Educate on the importance of regular health care for mother and infant
 Educate on community health care resources/provider
 Educate on transportation systems available/explore alternative transportation options
 Assess for alcohol and substance use (Substance Use Risk Profile – Pregnancy Scale) and refer to a community provider for substance abuse assessment & intervention as needed
 Educate on the effects of alcohol/drug usage on unborn fetus
 Assess for intimate partner violence (Relationship Assessment Tool) and refer as needed
 Educate on intimate partner violence & how to obtain help

Maternal age less than 18 or unknown

 Interconception care education

 Counseling on all types of family planning methods

 Linkages to family planning services

 Lack of parenting skills

 Parenting education

 < 12th grade education  Lack of financial stability

 Educate on SIDS/SUID, environment and home safety

 Lack of support systems  Educate on the

(social/emotional/financial)

importance of

 Lack of adequate nutrition

education/how to obtain a GED

 Lack of transportation  Increased risk for child

 Identify support systems (social/emotional/financial)

abuse/neglect issues

and offer support via care

 Increased stress

coordinator

 Possible intimate partner violence issues

 Childcare services education

 Lack of knowledge regarding family planning methods and services

 Educate on nutritional eating habits for infant and mother

 Linkage to WIC

 Educate on transportation systems available/explore alternative transportation options

 Monitor abuse/neglect incidents and report any suspected abuse or neglect to the Abuse Registry

 Educate on shaken baby syndrome & coping with crying

 Stress management education
RiskPartner ViolenceKnowledgeFamily Planning MethodsEnvironment