A family wants to begin oral feeding of their 4-year-old son, who is ventilator-dependent and currently tube-fed. They ask the home health nurse to feed him the baby food orally
The nurse recognizes a high risk of aspiration and an already compromised respiratory status. The most appropriate nursing action is to:
a. refuse to feed him orally because the risk is too high.
b. explain the risks involved, and then let the family decide what should be done.
c. feed him orally because the family has the right to make this decision for their child.
d. acknowledge their request, explain the risks, and explore with the family the available options.
ANS: D
Parents want to be included in the decision making for their child's care. The nurse should discuss the request with the family to ensure this is the issue of concern, and then they can explore potential options together. Merely refusing to feed the child orally does not determine why the parents wish the oral feedings to begin and does not involve them in the problem solving. The decision to begin or not change feedings should be a collaborative one, made in consultation with the family, nurse, and appropriate member of the health care team.
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