I am writing a care plan for a 3 week old child diagnosed with pyloric stenosis. We need two diagnoses, 1 short term goal and 1 long term goal, and 3 independent interventions for each goal.
I have already chosen dehydration as the top priority, I have that care plan finished.
I am now working on the second care plan, on which I chose nutrition; less than body requirements r/t forceful vomiting AEB pyloric sphincter obstruction.
My short term goal is: patient will consume adequate nourishment within 6 hours postop, have 2 interventions for it and need one more. The two I have - "watch for s/s of infection, institute feedings shortly after surgery"
My long term goal: patient will be free of signs of malnutrition by discharge. I also have 2 interventions for this, and need 1 more. The two I have - "weight and emasure length of child and utilize a growth chart, recognize severe protein calorie malnutrition can result in septicemia and organ failure"
Our nursing diagnosis book is NOT tailored towards infants - so these care plans have been very difficult. Under the "Nutrition, lessthan body requirements, imbalanced" section, everything is about people who dont WANT to eat, not someone who physically cant because of vomiting.
Does anyone have suggestions of what my last 2 interventions should be?