Problem

I. Physiologic deficit

Ng. Diagnosis

Scientific Basis
Cleft palate usually makes breastfeeding difficult because the infant has difficulty sucking properly. The palate prevents food and liquid from going up the nose when swallowing. An opening in the palate makes it impossible for the baby to seal off his mouth and make the suction typically used to keep the breast (or bottle) in place and pull the nipple to the back of his mouth.

Objective of care
After 1 month of holistic ng. care, the child will be able to: 1. Acquire adequate nutrition.

Implementation
1.surgery -Cleft lip repair- bet. Birth and 3 months -cleft palate repairby 1 yr of age -follow up surgerybet. Age of 2 and late ten yrs. 2.wear prosthetic palate called obrerator 3.when feeding, hold infant in upright position 4.Provide special nipples or feeding devices (eg, soft pliable bottle with soft nipple with enlarged opening) for a child unable 5.speech therapy(first 6 months)

Rationale
1.repair cleft lip and palate

Risk for imbalanced nutrition; less than CUES: body requirements Objective r/t feeding problems caused by cleft lip -a small notch in the and palate. lip and extend from the lip through the upper gum and palate. -baby is not able to suck the nipple of her mother -change in nose shape

2.to aid proper eating 3.to help keep the food from coming out of the nose 4.to suck adequately in standard nipples (nursingcrib.com) 5.to provide an overview of the treatment and suggest specific language and speech stimulation gains to play with the baby 6.help align the teeth

6.dental care