In: Nursing
Develop a brief case study for an infant either pre or post cleft palate repair. Complete the following components:
Past medical history
Family medical history
Social history
Present medical history and plan of care: treatments? Nutrition? Medication? Family support?
Use all your knowledge of family-centered and atraumatic care to discuss at least 2-3 nursing diagnosis in the context of your case study
As a part of my clinical posting an infant admitted with the diagnosis of cleft palate.
Name :X
Age :8months
Sex: female
Cleft lip and palate refers failure of fusion of fronto nasal process with the maxillary process.
Past medical history
Infant has no relevant major illnesses and disease.
Family medical history
Her family consists of her mother, father and elder brother age-4year. Family has no history of major illness.
Social history
She belongs to middle class family. Her father is earning member of his family. Her parents maintain good relationship with each other and neighbors.
Present medical history
Child has feeding problem due to ineffective sucking resulting undernutrition.
Child has planned for plato plasty. Mother is primary care giver. She look after her child very carefully.
Nursing diagnoses