| What's the Rating? | WTF- What's the Factor? | ...something's missing...... | What do I do next? |
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What is 2
INFANT HEALTH: Infant born @ term and is now 3 weeks
No complications and assessment is WNL. Responded to questions about gas drops, baby acne and baby's feeding patterns |
SUBSTANCE USE: 2
Mom states she has occasional glass of wine and has concerns about breastfeeding.
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Any history of depression/anxiety?
TIP: reminder that a history of postpartum depression with a first child qualifies as a history of depression.
Parent Well-Being.
Caregiver says she thinks she had the baby blues but is feeling a lot better. She is napping during the day and states she is intentional about some self-care. EPDS score was 7 |
Ask a peer, ask nursing supervisor, discuss at case conference, refer to Matrix Dictionary or other matrix rating resources
You compete a visit and you are unsure what to rate the matrix
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2- mild distress is WNL when an infant is crying. Education was provided and family was unaware of PEAK infant crying/PURPLE crying.
MANAGEMENT OF INFANT CRYING:
Caregiver states infant is fussier now. When you ask "what soothes the baby?" the caregiver states that swaddling and sucking help. She states it "breaks her heart" when she can't comfort the infant. You review the 5 S's, and teach how to do a square swaddle. The caregiver was unaware of PEAK infant crying (PURPLE), but has heard of SBS. |
Management of infant crying (2)
Mom said she is feeling overwhelmed because of baby’s gassiness. He is “very difficult to soothe”. You review the 5 S’s with her and she learns that the baby really likes the side lying position.
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Any history with CPS?
History of Parenting:
You are visiting a mother of 3. When asking about her own childhood, the caregiver denies any abuse or neglect. She states that she grew up in a 'happy home' and, besides frequent arguing, she doesn't have any concerns. |
talk to your supervisor, complete activities to prevent burn out and STS, perform SELF CARE!
You have a very difficult and stressful visit
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SCORE 2: only d/t hx of depression.
PARENT WELL BEING: Visit at 2.5 weeks
Mother states she is doing well. Is tearful at time but it is getting better EDPS is scored and is 6 Mother states she has a history of depression, but not engaged with therapy at this time. You provide general information regarding baby blues, review the s/sx of perinatal mood disorder and the list of community support from your resource folder incase it is needed in the future. |
Healthcare plans : 1
Mom’s health is WNL and she has her postpartum appointment scheduled in a few weeks. Infant has been added to her insurance. They had their pediatric appointment and have another one scheduled. When asking about a PCP, she states she sees her midwife for all primary care.
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Any history with drug/alcohol concern?
How does she define "drinking socially"?
Caregiver denies any concern with use of alcohol or drugs. CAGE screener was negative. She states she does drink socially.
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- Schedule a follow-up call when the partner will not be there
- Send screeners for caregiver to complete at a later time in privacy - When in person, you can have the partner show you where baby sleeps while caregiver completes screener in private.
You are completing a telehealth visit. The partner is involved in the visit (yay!). Then you get to where you need to screen for IPV......
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What is : 1
MATERNAL HEALTH: G1P1
Received adequate prenatal care and received immunizations Mom had gestational diabetes. Mom was taking metformin during pregnancy. Blood sugars are currently stable. Taking PNV. Mom has a 2nd degree tear and is healing well. Mom plans to get an IUD which she has had in the past |
Maternal Health-3
Caregiver had a 4th degree vaginal tear. She reports occasional incontinence and continued, but manageable soreness.
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Does caregiver have a PCP?
Has infant been added to insurance?
Health Care Plans:
Caregiver has insurance Caregiver has the 6 week appt scheduled Infant has completed scheduled appointments and has the next one scheduled. |
Look up the resource in your agency finder,
Talk to your community Alignment Specialist, nursing peers or the NS Discuss at Case Conference
You have a caregiver with a need for a resource, but you are unsure where to refer her....
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UNABLE TO RATE "0"- must have 2 out of the 3 assessments to rate as a 1. (observations, verbal, screener)
A co-worker comes to you and asks:
"the screener for the IPV is negative, I was unable to discuss with caregiver as the partner was in the next room, but not participating in the IHV. What do I rate Family & Community Safety in the matrix?" |
Childcare plan: 2
Baby is on waitlist for daycare. Caregiver is returning to work at 8 weeks. Strategized during the IHV on identifying alternative childcare for the baby and caregiver is planning to ask family members for help.
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How is the mother handling the crying? very distressed? mild distress?
management of infant crying is focused on the adult's response to crying.
Infant is 3 weeks old. Mom states that infant began crying “so much more” a few days ago. It is always in the evening and nothing seems to help him soothe. She is aware of 5 S’s. She did not know of the Period of PURPLE crying so you review this. She is usually alone in the evening, she is friends with her neighbors, and plans to try evening walks to help baby. Last night, he cried for 1.5 hours straight. She is aware of SBS
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Talk to the community alignment specialist and nursing supervisor.
Gather data- and take it to the CAB! :)
You identify a need in the community that does not have enough resources. For example: many families with mental health concerns and only 1 mental health provider. Or many caregivers without car seats and there are no places to distribute car seats
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