According to NANDA Diagnosis and NIC, Administration Nursing Care of Patient With Congenital Esophageal Atresia

Friday, 20 July 2018

Aylin Akca Sumengen
Koc Universty, Istanbul, Turkey

Esophageal atresia is the most common malformations of the esophagus anomalies which is life-threatening and requires lifelong treatment and care. There are five different subtypes of the disease as A, B, C, D and E. When the current literature is scanned; it is seen as one in 2400-4500. Laryngeal cleft is a rare congenital anomaly too. It causes the connection between the trachea and esophagus. The incidence of this disease is up to 7.6% in current studies. The reason for this change is thought to be the unspecified features of type I, lack of diagnosis and existence of unreported cases. And the last one that, tracheomalacia is defined as loosening or softening of the tracheal and bronchial lumen leading to the lungs and collapsing/contracting during airflow. Approximately 1 in every 2000 – 2100 births is affected. There are additional anomalies seen in these babies. In addition, laryngeal clefts and tracheobronchomalacia are similarly dangerous diseases that affect the respiratory tract in a major way and can often be fatal, requiring intensive care. Clinical manifestations of these diseases, though there are many different aspects of it, come together as nutrition and respiratory problems. Infants with these diseases experience developmental delays, recurrent respiratory infections, frequent intensive care hospitalizations. It is also seen that patients are at risk of being exposed to many complications due to their surgical treatment needs. In this study, it is presented a 5-month-27-day-old infant 'case M' with a diagnosis of esophageal atresia, laryngeal cleft, and tracheobronchomalacia. The anamnesis of Case M was taken and evaluated according to Marjory Gordon's Functional Health Patterns Model. As a nursing diagnosis; risk of infection, loss of fluid volume, imbalance in nutritional pattern, lack of self-efficacy, inability to maintain spontaneous ventilation, struggle in the mother's caregiver role loss of tissue integrity and risk of falling: were made in accordance with NANDA, and intervened according to the NIC, and the results were established according to the NOC.