Nurses' Notes
1105: The nurse visits the client and infant eight days after birth. The client whispers that the infant was secretly replaced by another family's baby. The partner reports that the client cried when left alone yesterday but accepted comfort. The client asks for help with positioning the infant during the next feeding. The client says that worry about feeding feels excessive and counseling may help. The infant is sleeping safely in a bassinet beside the partner. The client suddenly states, a voice ordered the client to hide the baby from demons. After reassurance, the client sits calmly and drinks a cup of water. The client identifies the current date and complete home address correctly. The client then allows the partner to hold the infant during the discussion. The partner reports three sleepless nights with pacing and claims of unlimited power. The client says that the postpartum appointment is written on the calendar. The kitchen contains food and clean water. The client denies incisional drainage. The nurse remains with the family while arranging emergency evaluation. The infant has no visible injury. The partner agrees not to leave the client alone with the infant.
護理紀錄
1105:護理師於產後第八天訪視個案及嬰兒。個案低語說嬰兒被另一個家庭的孩子祕密調換了。伴侶報告個案昨天獨處時哭泣但接受安撫。個案請求協助下次餵食時嬰兒的擺位。個案表示對餵食的擔憂感覺過度,諮商可能會有幫助。嬰兒安全地睡在伴侶身旁的搖籃裡。個案突然說,有個聲音命令個案把嬰兒藏起來躲避惡魔。安撫後,個案平靜坐著喝了一杯水。個案正確說出今天的日期和完整的住家地址。個案接著在討論期間讓伴侶抱著嬰兒。伴侶報告三夜失眠伴隨踱步及宣稱擁有無限力量。個案說產後回診日期寫在月曆上。廚房裡有食物和乾淨的水。個案否認切口滲液。護理師在安排緊急評估期間陪伴家人。嬰兒無可見外傷。伴侶同意不讓個案與嬰兒獨處。