a little guidance on nursing diagnosis for premature infant

  1. Hi,
    I've gotten myself all jacked up on nursing diagnosis for some reason. First year nursing student here. Sometimes struggling with nursing diagnosis's....

    I had a premature infant that did not have the sucking reflex and was being fed via nasogastric tube. I am not looking for entire nursing care plan....but would like advice:

    Is Altered nutrition related to difficulty of neonate to attach or suck secondary to prematurity a valid nursing diagnosis? I wonder because I am not allowed to use Risk for XXXX in my care plan ....but it seems it would be more of a risk for, because the issue is being addressed via nasogastric tube.

    ....Or is the feeding by nasogastric tube simply the intervention to the altered nutrition diagnosis. Hope I am explaining where my confusion lies clearly.

    I've asked my instructor but it's late....and I'm wondering if I could get guidance here before I "hear" back from her.....to get this done.

    Thanks!
    Kevin
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  2. 4 Comments

  3. by   nurse_withouta_purse
    Maybe "Ineffective infant feeding pattern related to muscle weakness/hypotonia secondary to prematurity"....would be better fit?
  4. by   dianah
    Perhaps this will help, not specifically with this issue but with the mindset or focus needed:

    Health Assessment Resources, Techniques, and Forms
  5. by   dianah
    This may help as well (note request to not "borrow" for homework, but for stimulating thinking process ):

    http://crystalblue.tripod.com/papers/orem.html
  6. by   BittyBabyGrower
    Our careplan says :
    Ineffective feeding patterns due to prematurity. Then add your interventions

    Nipple infant for x minutes 2x per day, gavage feed rest
    Follow appropriate labs
    Weight every 3 days
    Administer TPN/IL as ordered
    OT/PT consult

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a little guidance on nursing diagnosis for premature infant