Impaired Swallowing and Altered Family Processes r/t Newborns with Esophageal Atresia

Nursing Diagnosis and Interventions for Newborns with Esophageal Atresia

Nursing Diagnosis : Impaired Swallowing related to mechanical obstruction.

Goal: Patient getting adequate nutrition.

Outcomes: The baby gets enough nutrients and showed satisfactory weight gain.

Intervention:

• Give fed through gastrostomy in accordance with the provisions.
• Continue oral feeding as applicable, under the conditions of infants and surgical repair.
• With strict observation.
• Monitor input and output weight.
• Teach families about proper feeding techniques.

Rational:

• To meet the nutritional needs of infants
• To assess the adequacy of nutrient inputs.
• To make sure the baby is able to swallow without choking.
• To provide nutrients to allow oral feeding.
• To prepare for the return.

Nursing Diagnosis : Altered Family Processes related to babies with physical defects.

Goal: patient (family) prepared for child care at home.

Outcomes : Families demonstrate the ability to provide care to infants, understanding the signs of complications, and appropriate action.

Intervention:
Teach the family about the skills and needs of nursing home observations:

• Give position.
• Signs of respiratory distress.
• Signs of complications; refusing to eat, dysphagia, increased cough.
• The need for tools and materials needed.
• Gastrostomy care if the infant had surgery, including techniques such as suction, feeding, or ostomy care operasidan side, and a replacement bandage.

Rational

• To prevent aspiration.
• To prevent delays in action.
• So that practitioners can be notified.
• To ensure proper care after discharge.

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