Nursing Diagnosis : Impaired Swallowing related to mechanical obstruction.
Goal: Patient getting adequate nutrition.
Outcomes: The baby gets enough nutrients and showed satisfactory weight gain.
Intervention:
- Give fed through gastrostomy in accordance with the provisions.
- Continue oral feeding as applicable, under the conditions of infants and surgical repair.
- With strict observation.
- Monitor input and output weight.
- Teach families about proper feeding techniques.
Rational:
- To meet the nutritional needs of infants
- To assess the adequacy of nutrient inputs.
- To make sure the baby is able to swallow without choking.
- To provide nutrients to allow oral feeding.
- To prepare for the return.
Nursing Diagnosis : Altered Family Processes related to babies with physical defects.
Goal: patient (family) prepared for child care at home.
Outcomes : Families demonstrate the ability to provide care to infants, understanding the signs of complications, and appropriate action.
Intervention:
Teach the family about the skills and needs of nursing home observations:
- Give position.
- Signs of respiratory distress.
- Signs of complications; refusing to eat, dysphagia, increased cough.
- The need for tools and materials needed.
- Gastrostomy care if the infant had surgery, including techniques such as suction, feeding, or ostomy care operasidan side, and a replacement bandage.
Rational
- To prevent aspiration.
- To prevent delays in action.
- So that practitioners can be notified.
- To ensure proper care after discharge.
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