FORUM 1 (for grp 1)- CARE OF THE INFANT

Care of the Infant: Case of Ms. Maria and her baby, Joshua

Care of the Infant: Case of Ms. Maria and her baby, Joshua

by Mary Adrinne Abejo -
Number of replies: 1

Care of the Infant: Case of Ms. Maria and her baby, Joshua

Client Maria is planning to shift to bottle feeding for her 4-month-old baby. She also plans to provide multivitamins for her infant. Since she will be starting a new office job, she made arrangements to have her younger sibling babysit her baby since her husband is absent and her children are still young.

Upon observation, the baby is also seen wearing different accessories. For this case study, we were asked to create a Nursing Care Plan and a Health Teaching Plan.

As gist, my NCP focused on the following problems:

  • Interrupted Breastfeeding
  • Caregiver Role Strain
  • Risk for Ineffective Childbearing Process
  • Risk for Injury
  • Readiness for Enhanced Parenting

Each of the problems have their respective defining characteristics and related factors. As such, I have provided my rationale, goals and outcomes, and nursing interventions.

Meanwhile, my health teaching centered on the Golden Standard of Infant Feeding — Breastfeeding. Although it is not advisable for the client to shift to bottle feeding, especially with the child’s age, it is essential to provide support and necessary suggestions to the client. As such, other than focusing on the nature and hows of breastfeeding, I provided information on how to manually eject breast milk for the baby’s consumption.

This linked file is my detailed NCP and health teaching plan.

In reply to Mary Adrinne Abejo

Re: Care of the Infant: Case of Ms. Maria and her baby, Joshua

by Joseph Emmanuel Resano -

Hello, Adi! You made good points in your care and teaching plans. I agree that encouraging Ms. Maria to continue breastfeeding should be the priority intervention. For mothers who want to return to work, milk pumping and safe storage should be one of their options to promote exclusive breastfeeding for their babies up to 6 months old. It is also worth mentioning that even in the workplace, they can have an extra 40-minute break for breastfeeding purposes, as mandated by the Expanded Breastfeeding Act. Maybe these resources can also be useful for your client (CDC, n.d.; Enger & Hurst, 2021).

I think it is also important to reassure her that her baby is within the expected range of growth. She should know that formula feeding increases the risk of the infant being overweight later in life and that there seem to be no indications for her baby Joshua to take multivitamins, so she should try to care less about their neighbor’s baby.

I also like your plans for addressing the mother’s caregiving role strain. Having multiple roles and responsibilities with limited help is really difficult, and giving her the opportunity to openly express her feelings about this can help.

 

References:

Centers for Disease Control and Prevention. (n.d.). Pumping breast milk. https://www.cdc.gov/nutrition/infantandtoddlernutrition/breastfeeding/pumping-breast-milk.html

Enger, L., & Hurst, N. M. (2021, October 19). Patient education: Pumping breast milk (Beyond the basics). UpToDate. https://www.uptodate.com/contents/pumping-breast-milk-beyond-the-basics#H2