Nursing Diagnoses Help for 3m Down's Baby

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I need to come up with 5 in order from most important to least. I'm drawing a blank!!

3 month old with DS

adm for FTT

G-tube inserted

protuding tongue

under weight 2.86 kgs

language barrier with mother no english

alert responds to stimuli, calms by mother's talking and holding

low set ear and eyes

good cap refill

P 140-150

bp67/45

temp97.6

R 45-55

appears in no pain

HELP !

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Specializes in med/surg, telemetry, IV therapy, mgmt.

What other information do you have? What are this patient's symptoms of his/her failure to thrive beside the obvious of not eating and the underweight? Were there any electrolytes and other labwork done? What are some of the medications and treatments that were ordered? What did the doctor have to say in his history and physical as well as his progress notes? What is the doctor hoping to achieve by hospitalizing this child?

The most obvious nursing diagnosis to use would be Delayed Growth and Development R/T developmental delays secondary to Down's syndrome AEB

    . That, however, does not cover your failure to thrive problems.
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a couple of thoughts to get you started....was he admitted for the g-tube surgery? If so he would be at risk for infection r/t surgical procedure, how about failure to thrive r/t down's syndrome, parental learning deficit r/t language barriers.

This kiddo doesn't have as many "medically" specific things wrong as he does other things that feed into the medical stuff....so gear towards your Erickson's heirarchy of needs when looking for others.

Good Luck!

Jamie

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Specializes in med/surg, telemetry, IV therapy, mgmt.

when looking at medical diagnoses you always want to break them down into their symptoms and work from there. the op has pm'd me with other specifics about this patient. there are congenital heart problems here as well.

failure to thrive

developmental tasks of the 3-month old

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Thanks for your help!

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