taf92

I also noticed that definitely has some developmental delays. At almost 9 months old isn't able to sit up at all without complete support and he cannot get into a sitting position on his own. He also is not able to eat or drink anything by mouth because of his history of aspiration and failed swallow evaluations.

I forgot to include the problem with the nursing diagnoses that I thought were good. O2 sat was good (96), respiration rate within normal limits, heart rate a little high at 178bpm. He did have some rhonchi and wheezes in both lungs. He was in the facility for vent weaning but all 3 times they began the weaning process he was not taking it well at all and they had to start from scratch. He had also had his GT placed a few days prior so he was there for feeding therapy. The surgical site looked good, no sign of infection or anything like that. He was tolerating feeds well.

I'm writing a careplan/case study on an 8 month old baby at long-term care facility for kids. My patient was an 8 month old who is on a vent and trached. His diagnosis was bronchopulmonary dysplasia/ chronic respiratory failure. He was born full term but this all stemmed from meconium aspiration syndrome. He also has a Gtube and is not being fed by mouth at all because of swallowing problems. I thought I'd have such an easy time picking the nursing diagnosis priorities here but it's harder than expected. Here's what I've got so far. I'd really appreciate some suggestions :) Impaired Gas Exchange R/T meconium aspiration and poorly functioning lungs, as evidenced by bronchopulmonary dysplasia and pulmonary hypertension Ineffective tissue perfusion Imbalanced nutrition: less than body requirements r/t poor feeding behavior/poor swallow and G-tube feedings