In the monarchy of newborn care, the nursing management of the newborn at risk positions as a beam of hope as dedicated healthcare professionals sail unexplored waters to protect the brittle lives entrusted to their care. Nursing management of the at-risk newborn is essential to equipping infinite and specialized care to vulnerable infants. These infants are born with numerous factors, increasing their susceptibility to health complications and requiring careful monitoring, assessment, and intervention by certified nursing professionals. The main goal of nursing management in this population is to enhance the newborn’s well-being, reduce possible complications, and facilitate their transition to gestation life (Hockenberry & Wilson, 2018). To achieve this, nurses play a crucial role in conducting thorough assessments, executing evidence-based interventions, and partnering with multidisciplinary teams, ensuring the best possible outcomes for these at-risk newborns. By closely observing crucial signs, administering appropriate medications, equipping necessary nutrition, and engaging in family-centered care, nurses contribute crucially to the comprehensive care of the newborn at risk, perfecting their chances for a healthy start in life. This article will explore a case study on nursing management of the newborn at risk, where a couple got a child, and they were unprepared to see that the baby had a severe left-sided unilateral cleft lip and cleft palate. From the case study, the essay will discuss the implications of bottle feeding and breastfeeding a baby with a unilateral cleft lip and if it is potential for Mandy to breast-feed her daughter, what to be involved in the surgical correction of the defect, other problems that may develop for Rose due to her type of defect, and lastly look at the ways of helping the family bond with Rose.
The surgical correction of a left-sided severe unilateral cleft lip and cleft palate consists of a series of processes performed by a particularized team of healthcare professionals involving plastic surgeons, oral and maxillofacial surgeons, and speech therapists. The main goal is to restore the cleft lip and cleft palate, permitting enhanced facial appearance, appropriate alignment of the oral structures, and restoration of normal speech and feeding capabilities. Typically, the first surgery to restore the cleft lip is done when the baby is around three to six months old (Shaw et al., 2019). This process involves creating incisions along the cleft edges and then accurately suturing the tissues together to redevelop the lip. The accurate method used may differ depending on the individual case. The cleft palate is customarily restored when the child is around nine to twelve months old (Zajac et al., 2021). This process involves rebuilding the mouth’s roof by closing the slit in the palate using surgical methods. This permits appropriate separation between the oral and nasal cavities, enhancing speech and swallowing abilities. While the surgical correction highlights the structural problems caused by the cleft lip and palate, more treatment may be needed to address connected concerns. These may involve speech therapy to assist the child in creating appropriate speech patterns and methods to overcome speech challenges resulting from the cleft. It is essential to note that each case is distinctive, and the timeline for acquiring a regular mouth facial characteristic can vary. The surgical correction is typically effectual in acquiring crucial enhancement, but more surgeries or processes may be needed as the child grows to refine the outcomes further. The main goal is to equip the child with a functional, aesthetic, and healthy mouth and facial appearance, but it may take numerous years of progressing treatment and support from a multidisciplinary team to acquire this outcome.
A unilateral cleft lip and cleft palate can indicate problems with bottle feeding and breastfeeding. In Mandy and baby Rose’s case, it is possible for Mandy to breastfeed Rose with some modifications and support. Breastfeeding a baby with a unilateral cleft lip may need additional methods and help because of the baby’s challenges in developing a proper seal around the nipple (Adekunle et al., 2020). The cleft lip can impact the baby’s ability to latch successfully, leading to insufficien
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