Published Jan 13, 2011
nurse_withouta_purse
2 Posts
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
Maybe "Ineffective infant feeding pattern related to muscle weakness/hypotonia secondary to prematurity"....would be better fit?
dianah, ASN
8 Articles; 4,503 Posts
Perhaps this will help, not specifically with this issue but with the mindset or focus needed:
https://allnurses.com/nursing-student-assistance/health-assessment-resources-145091-page3.html
This may help as well (note request to not "borrow" for homework, but for stimulating thinking process ):
http://crystalblue.tripod.com/papers/orem.html
BittyBabyGrower, MSN, RN
1,823 Posts
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