00117 Provision To Improve The Organized Behavior Of The Infant

Domain 9: coping/stress tolerance
Class 3: neurocomported stress
Diagnostic Code: 00117
Nanda label: disposition to improve the organized behavior of the infant
Diagnostic focus: organized behavior
approved 1994 • Revised 2013

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « disposition to improve the organized behavior of the infant is defined as: Integrated pattern of modulation of physiological and neurocomportal functioning systems, which can be reinforced. >

Definite characteristics

  • The main caregiver expresses a desire to improve signal recognition
  • The main caregiver (a) expresses a desire to improve environmental conditions
  • The main caregiver (a) expresses a desire to improve the recognition of the self -regulatory behaviors of the infant

Suggested alternative diagnostics

Other examples

The infant will be able to:

  • Present normal blood glucose levels
  • Do not show abnormal or maladaptive compensatory behaviors
  • Show a normal pattern, quantity and sleep
  • Be awake at the right times

NIC Interventions

  • Care of the infant: Provision of care appropriate to development and family -centered for children under one year of age
  • Newborn care: neonate management during transition to extrauterine life and the subsequent stabilization period
  • Parent education: infant: instruction on food and the necessary physical care during the first year of life
  • Health Evaluation: Risk detection or health problems through anamnesis, exploration and other procedures
  • Anticipatory Guide: Prepare a patient for a situational or development crisis that is coming
  • Sleep improvement: facilitation of regular sleep-vigilia cycles
  • Newborn surveillance: measurement and interpretation of the physiological state of the neonate during the first 24 hours after childbirth

Nursing Activities


  • Monitor the pattern and amount of sleep of the infant
  • Evaluate the ability to regulate all physical and behavioral systems (for example, cardiac, respiratory, sleep-vigilia states, reciprocal interactions, self-regulation)

Patient and family education

  • Teach the family measures to facilitate sleep (for example, comforting treatment, lifestyle changes, fixed schedules)
  • Check the development needs of infants (for example, stimulation, need for sleep)
  • Help parents identify signs of overestimulation and infant stress
  • Model and teach parents to provide daily, visual, tactile, vestibular and gustative stimuli appropriate to the age of the infant; Here are some examples:
    • Auditory: classical music; Melodic voices, high tones
    • Visuals: face to face with visual contact; Toys and mobile blank, black and contrasting reddish colors
    • Tactile: physical to skin to skin; massage; soft and firm contact
    • Vestibular: Mecer
    • Gustative: Chupón, fingertips (non -nutritious suction)
  • Explain that stimulation for development should be provided when the infant is alert
  • Teach parents to provide stimulation for development frequently and for short periods instead of long
  • Model and teach parents to touch the infant gently, use a melodic and soft tone, and to look mutually
  • Teach parents to respond to all infant vocalizations

Collaboration activities

  • Program the administration of medicines and treatments to respect the dream of the infant
  • Propose policies that allow the closest people to be present whenever they wish


  • Adapt the environment (light, noise, temperature, mattress and bed) to facilitate sleep
  • Keep the usual sleep time routines (delete, packet)
  • Use massages, positions and physical contact to relax the infant and facilitate sleep
  • Program treatments to minimize interference with infant’s dream (allow a cycle of at least 90 minutes)
  • Promote infant self -regulation behaviors (for example, movements such as bringing your hand to the mouth, finger suction, limb flexion) to face the stimuli of the environment
  • (NIC) Infant care
    • Feed the infant with adequate food for its development
    • Place the railings when the infant is not watched
    • Talk to the child while the care is provided
    • Confort the infant after painful procedures
    • Motivate family visits
    • Maintain the daily routine of the infant during hospitalization

At home

  • The above interventions are suitable for home care