COLEGIO SAN AGUSTIN - BACOLOD

NURSING PROGRAM
B.S. Aquino Drive, Bacolod City
Contact Number: (034) 434 - 2471 Local 162
Email Address: csab.chap@gmail.com

Patient’s Name: Patient D Chief Complaints: Difficulty in Feeding

Age: 35 y.o. Patient’s Sex: Female

Room / Bed Number: 209 Attending Physician: Dr. J.L.

NURSING CARE PLAN

CUES 5 NURSING 5 RATIONALE SPECIFIC INTERVENTIONS RATIONALE 10 EVALU5ATION

DIAGNOSIS 10 OBJECTIVES5 10

Subjective Cues Within 72 hours 1.) Monitor the Serves as a Within 72 hours
Newborn of nursing care, infant's vital baseline of nursing care,
The mother Ineffective babies are the parents will signs. information, the parents was
breastfeeding born with a be able to: any changes able to:
verbalized: number of key
related to will help
“I am in much poor infant reflexes that 1. Verbalize indicate the 1. Goal met.
pain after the suckling will aid them understanding infant's Verbalize
delivery but I am reflex in their earliest about the condition. understanding
healing”. weeks and importance of of importance of
months. These suckling 2.) Provide a To obscure any infant suckling
“Looking at him,
reflexes are reflexed of an calm and quiet distractions reflex
he does not look infant environment that may
like he has a involuntary for the mother interfere with “I understand
down motions that 2. Demonstrate while the feeding. now that this
occur either techniques of breastfeeding. infant reflex is
syndrome”. naturally or as effective infant really important
“I was very a result of feeding. 3.) Teach the To promote because without
anxious before certain mother the correct feeding it my baby can't
he was born; I actions. When 3. Set goals to correct procedure and suck or even
kept on saying ‘I the roof of a accompany the positioning prevent swallow my
hope he is OK.’”. baby's mouth eating lifestyle during regurgitation. breastmilk.”
is touched, for of the infant. breastfeeding.
“I think not
example, the “Rooting reflex
having my baby sucking 4.) Assess which To find an is as important
next to me is response easier and as the sucking
alternative
really hard”. occurs. When method of more efficient reflex, they
“I am not coping this area is feeding is feeding pattern must be
with the situation stimulated, the most effective suitable for the together so that
really well”. baby will (eg. bottle, infant. my baby can
begin to suck, syringe, etc.) easily consume
The father
which will aid the milk by
verbalized: in nursing or sucking it.”
“There are a lot bottle feeding.
of massive During the 6th “I also learned
changes after to 8th month that poor or
having him but of pregnancy, absent of suck
we don’t blame the suckling reflex usually
reflex have moderate
him”.
develops. In or significant
the last two perinatal
Objective Cues months before hypoxic
AOG: 34 weeks a full term ischemic
and 5 days birth, the encephalopathy
capacity to
APGAR SCORE: or the lack of
8 coordinate the oxygen around
Low oxygen and suck and the time of
swallow (to be birth.” as
need to be able to take verbalized by
incubated milk) the mother
Heart rate develops. In
plummeted right our case
down however, a 2. The mother
Low muscle tone baby is born demonstrated
with down effective infant
Face is very
syndrome and feeding
fluffy has shown techniques.
Has hole in the difficulty in
heart (one of the suckling. Followed the
valves of the Human milk step by step
heart is leaking) and nursing instruction of
Lungs filled with have the nurse on
significant how to
fluid
health and breastfeed.
Experienced developmental
different benefits for
infection after newborns with 3. Set and
surgery Down planned goals
Assessment of syndrome. with the
the cardiologist: However, due guidance of the
to unidentified nurse to
- X-ray is sucking accommodate
clear problems, they the eating
- ECG is often have lifestyle of the
great shorter infant.
- Baby nursing
periods. Due
 crying well The mother
to delayed knows that
Weight oro-motor breast milk is
- 1.8 kg at development, the primary
birth newborns with food of her baby
- 2.5 kg Down and she is
syndrome may responsible for
after 6 have low the nutritional
weeks intraoral content of it.
- 3.75 kg vacuum and
after 10 poor nutritive The mother
weeks suckling for verbalized, “I
- 4.45 kg at several should eat
months. When nutritious food
3 months
milk as well as avoid
Breastfeeding production is smoking and
through feeding promoted with drinking when I
frequent and am still
tube
appropriate breastfeeding.”
breast
expression,
human milk
feeding can
persist in the
absence of
effective
suckling.
Infants with
Down
syndrome who
do not have
any other
health
problems can
eventually
establish
complete
breastfeeding.
Mothers who
want to nurse
their Down
syndrome
baby need
advance
planning, as
well as
ongoing
lactation and
family
support.

Congenital
heart disease,
gastrointestin
al diseases,
otitis media,
and obesity
are common
complications
of the
syndrome, as
are global
developmental
delays and
impaired
intellectual,
immunological
, thyroid, and
sensory
functioning.
Speech and
feeding issues
can be
exacerbated
by a big
tongue,
hypotonia, and
abnormal oro-
motor
development,
with
disorganized
and
dysfunctional
sucking
patterns
recorded. The
incidence of
pharyngeal
dysphagia and
oral dysphagia
in infants and
children with
Down
syndrome who
have clinical
symptoms of
feeding or
drinking
problems or
suspected
aspiration is
as high as 58
and 64
percent,
respectively.