Please help with an N DX

[pinkdiamonds713]

I have the nursing DX as Risk for alteration in nutrition; less than body requires. I'm not quite sure what the R/T should be, the pt is a 2 day old infant and his mother is brestfeeding, but not enough. The baby went for 5 hours with out eating yesterday. The mother seems like she was more interested in her friends being there instead of her newborn!

Thanks

[Daytonite, BSN, RN]

I would diagnose this as Ineffective Breastfeeding R/T maternal knowledge deficit and irresponsibility.

[pinkdiamonds713]

That works for the mother but I have to have N dxs for the infant too. I also have risk for impaired parent/infant attachment and no R/T for this one either. Thank You

[Daytonite, BSN, RN]

Ineffective Breastfeeding R/T maternal knowledge deficit and irresponsibility can also be used for the infants care plan as well. The AEB is that the infant is not getting adequate amounts of feeding because of the mother's immature behavior and lack of knowledge about how to breastfeed properly. This, the baby isn't getting enough to eat.

As for Risk for Impaired Parent/Infant Attachment, it sounds like the same etiology applies--mother's immaturity and/or irresponsibility about her role as mother. How about Risk for Impaired Parent/Infant Attachment R/T inability to put child's needs before own? That's what she's doing when she is spending more time with her friends than with her baby when she should be spending it with her baby. You could use the same wording with the Ineffective Breastfeeding: Ineffective Breastfeeding R/T inability to put child's needs before own.

[pinkdiamonds713]

Thank you very much this really helps!

[jschut, BSN, RN]

Daytonite strikes again!