What are the Nursing Interventions for Trisomy 18?
Nurses play a crucial role in the multidisciplinary care team managing Trisomy 18. Key nursing interventions include:
Comprehensive Assessment: Regularly monitor vital signs, growth parameters, and developmental milestones. Assess for signs of respiratory distress, feeding difficulties, and other complications. Feeding Support: Many infants with Trisomy 18 have difficulty feeding due to poor muscle tone and congenital anomalies. Nurses may need to assist with specialized feeding techniques or coordinate with a speech therapist for feeding tube placement if necessary. Respiratory Care: Monitor for respiratory issues and administer oxygen therapy or other respiratory support as needed. Educate parents on signs of respiratory distress and provide training on home oxygen use if required. Family Support: Provide emotional and psychological support to families, helping them navigate the challenges associated with caring for a child with Trisomy 18. Offer resources for counseling services and support groups. Palliative Care: Given the poor prognosis, nurses should discuss and provide palliative care options, focusing on comfort and quality of life for the child. Coordinate with a palliative care team to develop an individualized care plan.
