Question

Chapter 42: Nursing Care of the Child With a Gastrointestinal Disorder

1. Ghalib Moghadam, 3 years old, and his family are recent immigrants from Somalia. He has been referred to the local children’s hospital to be seen at the craniofacial clinic for an unrepaired cleft lip and palate. Ghalib’s parents do not have a good understanding of the English language. (Learning Objectives 2, 5, 6, 7, 8, and 10)

a. What would the nurse know to include in the health history of Ghalib?

b. What would the nurse include in the teaching plan for Ghalib and his parents?

c. What resources could the nurse give the parents to help with emotional support?

d. What would be a major challenge in the nursing care of Ghalib and his family?

Answer 1

a. The nurse should know the family history,history of parents about the risk factors that may contribute to cleft lip and cleft palate such as obesity,diabetes mellitus, smoking, alcohol abuse and use of certain medications like drugs used in the treatment of seizure, history of hearing,history of speeching, history of feeding problems and past medical history.

b. The nurse should teach the parents about the

• feeding methods and positions. Use breck feeder and upright position while feeding.
• Importance of repair or surgery for cleft lip and cleft palate
• Post operative care
• Continuous observation of baby for swallowing and aspiration problems.
• Provide mental support to baby
• Teach about dental speech appliance.

c. The nurse should psychologically support the parents.but here language is a big problem.so the nurse should arrange or make some helpful pamphlets or information booklet regarding the overall management of cleft lip and cleft palate in the language that can understand by the parents. Otherwise find a translator.

d. The major challenge in the nursing care of ghalib and his family is language barrier. It will totally affect the communication between nurse and parents, in the nursing care also. She should observe the nonverbal communication such as gestures or expressions of baby and parents.