Cleft Palate Case Study

She was a happy teen who shared pictures of her baby shower and also some pictures of the baby’s room. She was accompanied by her mother and her boyfriend who was not the father of her child. Both of them were very supportive during labor and everything progressed smoothly. Once the she delivered the baby, we saw that the baby was born with a cleft lip. The mood in the room changed completely and the patient’s family was distraught by the baby’s deformity. The patient’s boyfriend left without saying anything to her. The patient refused to hold the baby and give her new baby girl skin-to-skin touch. The patient’s mother was holding the baby in her arms with tears in her eyes. Without drawing any conclusion we talked to her about the situation. Although it was hard to get her to share her feelings, we waited patiently while we did the routine assessments on the mother and the baby. This enabled us to connect with our patient to better understand her feelings. After about an hour after our persistent effort the patient wept and told us that she was more disappointed that her boyfriend had left after seeing the baby. This had in turn created an aversion towards the baby. Later, I was able to find the boyfriend in the waiting area. I explained to him the patient’s feelings and he later decided to join the patient in her room. The patient felt much better seeing her boyfriend and

It is vital for the nurse to understand all aspects of human growth and development, such as nutrition and pregnancy complications in order to be prepared for any situation.

David Page, who’s information was gathered by The Journal of the Canadian Dental Association, wrote a book titled “Your Jaws ~ Your Life.” Within this book Dr. Page writes about what his research on this subject has concluded and what exactly happens dentally to the oral cavity of infants when using a bottle or pacifier as opposed to natural breastfeeding, according to what his studies have found. Dr. Page’s research could in turn possibly explain the theory researches have concluded with the connection that has been found between the malformations occurring on infant jaw development with a bottle or pacifier versus the strict practice of natural breastfeeding and the absence of jaw imperfections that come with it. In Dr. Page’s research, he

Very much like other first-time mothers, I didn’t give too much thought to breastfeeding before I had a child. But moments after my one and only son, Johnathan, was born, he latched on, and for the next four years and seemed pretty determined to never let go. I was lucky, for in many ways breastfeeding came easily for me. As much as I loved my baby and cherished the bond that breastfeeding gave us, it was, at times, overwhelming. I was unprepared for the magnitude of my love for him, and for the intensity of his need for me and me only—for my milk. “Don’t let him turn you into a human pacifier,” a nurse had warned me just days after Johnathan’s birth, as he sucked for hour after hour. But I would run through all the possible reasons for his crying gas? wet? under stimulation? overstimulation? Mostly I’d just end up feeding him again. I wondered if I was doing the right thing.

In addition to the Nursing Code of Ethics, the National Council of State Boards of Nursing (NCSBN) states that one of the standards related to the RN scope of practice is that nurses evaluate the patient’s response to nursing care. They do this by evaluating: the patient’s response to interventions, the need for alternative interventions, the need to consult with other team members, and the need to revise the plan of care (NCSBN, 2012). When Ms. W saw that the patient was not compliant, she should have reevaluated her plan of care. Ms. W can delegate to the LVN, who is experienced in prenatal education, and would be able to explain the importance of finishing antibiotic therapy or performing tests that are essential for a healthy pregnancy. If Ms. W is too busy to educate, then she is responsible for finding someone

A cleft lip is an opening or split in the upper lip that occurs when developing facial structures in an unborn baby that doesn't close completely.

The cause is typically unknown, yet most are believing it is linked to genetic or environmental factors.

The power to change someone’s life is right in our own hands. There’s needs for children that we can reach. Cleft lip and palate children need the support from the community, family, friends, and from the medical professionals. The improvements for support is crucial to a better future.

According to MedicineNet, “cleft lip is an opening extending through the upper lip. It may be in the midline, left, or right side of the lip. A cleft palate is an opening of the hard palate or the soft palate. Similar to a cleft lip, a cleft palate may be midline or to either right of left side of the palate. A cleft palate may extend from the upper jawbone to the rear of the throat. Since development of the lip and palate occur at different times during gestation, an infant may have either a cleft lip or cleft palate or clefting of both regions.”

The second patient that I assisted in taking care, both thee parents were in the room when I arrived. The mother was holding the infant and was doing her best to try and calm the infant. However, the father was simply sitting in a chair in the room, on his phone, and was not helping the mother. Whenever myself, the nurse, respiratory therapist, or physician entered the room the mother would be the only one to answer and ask questions, while the father was not really paying much attention. In addition, when it came time to administering the nebulizer treatment, the mother was the one who was holding the infant and the mask. Therefore, it was clear that the mother was involved in her sons care, but the father not so much.

A cleft palate (CP) occurs during the embryonic stage of life and is a craniofacial malformation (Masih et al., 2014). This oral malformation varies within babies as well as in severity. CP can range from an opening at the back of the soft palate (the soft portion on the roof of the mouth), to a nearly complete separation of the roof of the mouth (Masih et al., 2014). During the time of development CP and cleft lip (CL) are results of the maxillary prominence not joining together with the frontonasal properly (Mahboubi, Truong, & Pham, 2015).

In the United States a resounding 74% of hospitals offer formula as a supplement to newborn infants. This common action taken by health care providers directly undermines the campaign of supporting breast-feeding during the first 6 months of life. On the hand, reports indicate hospitals are successful in training and techniques of breastfeeding. Nevertheless, the first hurdle is overcoming obstacles set in place at the hospital during a crucial period when mother and new baby should be bonding. Hospital policies and procedures need to reflect supportive measures that assist new moms in breastfeeding such as time spent with baby, restrictive use of pacifier, as well as follow-up support upon leaving hospital.

Form the data collected the nurse, in direct consultation with Kelly will evaluate the assessment data gathered, and create nursing diagnosis that identify actual and potential nursing problems(Crisp, & Potter, 2013, p.86). NANDA International, Inc. provides a framework for developing nursing diagnosis and this is used by the nurse to provide a framework for developing appropriate diagnosis (Herdman, & Kamitsuru, 2014). A full list of Kelly’s nursing diagnosis is located in appendix one table four. The nurse identifies the following three priority nursing diagnosis.

Wide cleft palate is the most severe type of congenital cleft palate disease and palatal fistula remains a significant problem for clinicians regardless of the type of repair. Various local flaps have been used to achieve primary closure in wide cases of cleft palate(1-3). Even though the surgeon performs complete closure, secondary oronasal fistula and severe scar contracture and subsequent growth disturbance can develop because of the large area of raw bone surfaces. How to decrease complications and improve surgical results is the main task that the cleft surgeon faces.

and/or palate. Ottis Media can affect a child’s ability to hear. Therefore, speech sound acquisition can be difficult for children with cleft lip and/or palate. Eustachian tubes are typically needed in children with cleft lip and/or palate to limit the number of ear infections and help drain the child’s ears (Chapman, Hardin-Jones, Halter, 2003).