00271 Ineffective Food Dynamics

Domain 2: nutrition
Class 1: ingestion
Diagnostic Code: 00271
Nanda label: ineffective feed dynamics
Diagnostic focus: Food dynamics
Approved 2016 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « ineffective feeding dynamics P>

Definite characteristics

  • Rejection of food
  • Inappropriate appetite
  • Inadequate transition to solid foods
  • Supercharging
  • Ingest less than needs

Related factors

  • Abusive interpersonal relationships
  • Linking problems
  • Disacked parenting style
  • Intrusive parenting
  • Lack of confidence in the child to develop healthy eating habits
  • Lack of trust in the child’s proper development
  • Lack of knowledge of adequate infant feeding methods in each state of development
  • Lack of knowledge of the nursing states
  • Lack of knowledge of parental responsibilities in infant feeding
  • Influence of the media in the use of unhealthy caloric foods in infant feeding
  • Influence of the media on the knowledge of unhealthy caloric foods
  • Multiple caregivers
  • Non -compromised parenting

Risk population

  • Abandoned infants
  • Infants born in families at economic disadvantage
  • Infants that experience indigence
  • Infants that experience vital transitions
  • Infants that experience prolonged hospitalization
  • Infants living in orphanages
  • Low weight infants for gestational age
  • Infants with hospitalization history in neonatal intensive care units
  • Infants with a history of non -safe nutrition and food experiences
  • Premature infants

Associated problems

  • Chromosomal disorders
  • LEPORINO LABIO
  • Paladar cleft
  • Congenital heart disease
  • Congenital genetic diseases
  • Neural tube defects
  • Parental psychiatric disorder
  • Physical challenge with meals
  • Physical challenge with food
  • Parental physical health problems
  • Prolonged enteral food
  • Parental psychological health problems
  • Dysfunction of sensory integration

Suggestions of use

  • This label describes a baby with suction or swallowing problems.
  • It focuses on the nutritional needs of the infant, rather than the interaction between the mother and the baby. The objective of nursing activities is to avoid weight loss and favor their increase. The defining characteristics that arise in Table 8 (diagnosis of ineffective breastfeeding) should be used to distinguish between this label and the suggested alternative diagnoses. If inadequate nutrition is caused by factors not related to a food problem, use the nutritional imbalance diagnosis (specify).

Suggested alternative diagnostics

  • disproportionate growth, risk of
  • Nutritional imbalance: intake less than needs
  • INEffective maternal breastfeeding
  • Breastfeeding, interruption of

NOC Results

  • Establishment of breastfeeding: Neonate: The child turns on to the mother’s chest and sucks to feed, during the first three weeks of breastfeeding
  • Deglution status: oral phase: preparation, deposit of and subsequent movement of liquids and other solids in the mouth
  • Maintenance of breastfeeding: continuation of breastfeeding for the feeding of a baby or child

Evaluation objectives and criteria

Examples with the use of terms no c

  • Demonstrates breastfeeding: Neonate, as manifested by the following indicators (specify from 1 to 5: no, slightly, moderately, substantially or totally adequate):
    • Adequate placement and grip
    • Pressure and appropriate areola grip
    • Suction and correct placement of the tongue
    • Audible swallowing
    • Daily urination appropriate at your age
  • Sample Maintenance of breastfeeding, as manifested by the following indicators (specify from 1 to 5: no, slightly, moderately, substantially or totally adequate):
  • Normal infant growth and development
  • Techniques for preventing chest pain

Other examples

  • The infant coordinates suction and swallowing with breaths, while keeping the color and heartbeat
  • The intake of food and liquids orally is adequate

NIC Interventions

  • Busk feed: preparation and administration of fluids to an infant through a bottle
  • Breastfeeding advice: use of an interactive support process to help maintain successful breastfeeding
  • Help in breastfeeding: preparation of a mother to breastfeed her baby
  • Nutrition control: patient data collection and analysis to prevent or reduce malnutrition
  • Parent education: infant: instruction on food and the necessary physical care during the first year of life
  • Non -nutritious suction: Offer of infant suction possibilities

Nursing Activities

Valuations

  • Assess the preparation of the infant for bottle feeding:
    • Coordination of suction, swallowing and breathing (34 weeks)
    • Presence of pharyngeal reflex (32 weeks)
    • Presence of term suction reflection (32-34 weeks)
    • Presence of search reflex (28-36 weeks)
  • Value daily if the infant is ready to move forward. Consider the use of a diagram to facilitate assessment; Write down the infant status, oxygen needs, preferred bottle, position, temperature and type of milk, the amount of food ingested during the first ten minutes, the total intake, the total intake time, the daily weight and the evacuations pattern
  • In each shot, assess bottle feeding skills when determining if the infant:
    • It starts the swallowing actively and in a coordinated manner with the suction
    • Actively suck the bottle liquid
    • Finish food in an acceptable time
    • Coordinates suction, swallowing and breathing
    • It loses a minimum amount of liquid in the mouth
  • In each shot, assess respiratory function and behavioral state, as well as monitor the infant to detect problems such as regurgitation, abdominal distension and increased waste
  • If you need to use a probe:
    • Monitor the correct placement of the probe (for example, check of gastric waste or application of the relevant protocol)
    • Watch if there are abdominal noises
  • (NIC) Advice for breastfeeding:
    • Determine the knowledge base on breastfeeding
    • Determine the mother’s desire and motivation to breastfeed
    • Evaluate the mother’s knowledge about infant feeding signals (for example, search, suction, alert state)
    • Monitor the mother’s abilities to get the baby to turn to the nipple

Patient and family education

  • Teach the following to increase the success of bottle feeding:
    • Avoid techniques that interrupt infant learning by letting passively liquidly pass without the active participation of the baby (how to shake the bottle, move it up and down, take out and put the bottle in the mouth of the infant, move The mouth of the infant up and down, etc.)
    • Make the infant to frequently built
    • Select the most appropriate bottle (take into account the size, shape, hardness, hole size)
    • Consider a change of milk (for example, thickness, taste, temperature)
    • Calm the infant before food and, during feeding, extract the bottle to the first sign of state change or breathing
    • feed the premature infant when it is completely alert and arranged
    • Fill the bottle above the specified amount to facilitate suction and reduce air suction
    • Place the infant in a semi -greened position, with a slightly tilted head and the chin down
    • Provide consistent caregivers to increase the recognition of infant signals and facilitate their learning; Involve the mother at the first opportunity
    • Stay relaxed and patiently during feed /li>
    • Use facilitation techniques (for example, before food, increase oral sensitivity by caressing the lips, cheeks and infant tongue; during feeding, placing the fingers on both cheeks and under the jaw, between the chin and throat, to offer support to cheeks and tongue)
  • If the infant must feed through a probe, inform parents about the importance of covering the suction needs of the infant
  • (NIC) Advice for breastfeeding:
    • Demonstrate training for suction, according to proceed
    • Offer information about the patterns of urination and evacuations, as required
    • Inform about the indications of problems that must be communicated to the doctor

Collaboration activities

  • Establish a support network to ensure that the mother has help during daily breastfeeding or breastfeeding problems when they occur
  • Channel to a breastfeeding specialist or a breastfeeding support group, according to proceed
  • Channel to a physical or occupational therapist when the infant does not progress in food, or if it has oral motor or structural defects
  • If the infant cannot make the oral intake, perform an enteral food by probe, according to the protocol
  • Consult with a doctor or nutritionist with respect to the type and amount of enteral feeding

Others

  • Confert a home visit 72 hours after discharge
  • Determine the most appropriate feeding method (for example, with a bottle, intermittent probe, continues by nasogastric probe or NG, gastric probe or gastrostomy)
  • If a probe must be used to feed the baby:
    • Raise the bed header or load the infant during diet
    • Offer a pacifier to infant during diet
    • Talk to infant during feeding
    • Perform daily dermatological care in the surrounding area of ??the feeding device, keep the food place dry
    • Change containers and feeding probe every 24 hours

At home

  • above interventions can be applied in home care
  • If food problems occur or suspect before hospital discharge, channel the family to community resources for a prompt intervention
  • Teach parents to monitor liquid balance and hydration state