Description of the Learner: Cecil Gabriel, a 21-year old first time mother has a child who is about 8 months

old. Based from assessment, her child has suffered weight loss from 7.5 kg to 6.9. Subjective reports say that she has introduced complementary feeding but only gives food with soup to the child when in fact she should have been giving more. Learning need: How to prepare a proper meal or complementary food for an 8-month old child Learning diagnosis: Knowledge deficit related to lack of information on complementary feeding Goal: the client will be able to prepare a meal which is appropriate for the childs age Learning Objectives a. Identify contributory factors that lead to weight loss b. Interpret the growth chart and identify the normal weight range for the childs age c. List 3 ways on how to feed the child properly d. Identify at least 2 supplements and their purpose e. Explain the importance of introducing one single food for one week f. Enumerate 5 ways to prevent foodborne illnesses Learning Contents a. Factors that would lead to weight loss in children b. Growth Chart interpretation Teaching Strategies One on one discussion Time allotment/Resources 2 minutes Method of evaluation

One on one discussion and demonstration

3 minutes

c. How to feed the child properly based on his age (IMCI) d. Supplements needed by children of age 8 months

One on one discussion

2 minutes INSTANT FEEDBACKING

One on one discussion

2 minutes

e. Assessing food allergies in children One on one discussion f. Ways to prevent foodborne illnesses One on one discussion 2 minutes 2 minutes

LEARNING CONTENT FACTORS THAT MAY LEAD TO WEIGHT LOSS 1. Periods of illness - can cause weight gain to slow 2. Developmental Milestones -Expect periods of slight loss just before or after milestones (ie: sleeping through the night, starting solids, starting to be able to push up or roll over, starting to talk, popping a tooth, starting to crawl, starting to be able to sit up, starting to walk..) regardless of whether or not that milestone is associated with increased activity.

3. Feeding practices Have you started objecting to pacifier sucking? that can cause weight loss. Have you introduced solids? That can cause weight loss. (And besides, solids shouldnt be introduced until 6mos at the soonest in breastfed babies.) Have you introduced bottles recently? 3. Genetics 4. Sleep

5. Activities GROWTH CHART INTERPRETATION (REFER TO IMCI GROWTH CHART) FEEDING THE CHILD PROPERLY Breastfeed as often as the child wants Add any of the following: Lugaw with added oil, mashed vegetables or beans, steamed tokwa, flaked fish, finely ground meat, egg yolk, and bite-sized fruits ***Feed three times a day if breastfed *** Feed five times a day if not Foods are generally introduced in the following order: cereals, fruits, vegetables, and strained meats At 7-9 months the infant is ready to chew and can begin to experience different textures of food. At this time the infant enjoys finger foods, such as skinless fruit, dry cereal and toast SUPPLEMENTS NEEDED BY CHILDREN OF AGE 8 MONTHS At about 6 months of age the infant requires iron supplementation to prevent iron deficiency anemia as Cows milk is low in iron until 18 months. ASSESSING FOOD ALLERGIES IN CHILDREN Foods are introduced one at a time, usually with only new one food every 5 days to ensure that the infant tolerates the food and demonstrates no allergy to it. WAYS TO PREVENT FOODBORNE ILLNESSES

1. Reinforce hygienic handling of food and dishes Wash hands before preparing foods Wash hands and all dishes and utensils with hot water and soap after contact with raw meats Defrost frozen foods in the refrigerator Cook beef, poultry and eggs thoroughly Refrigerate leftovers promptly and keep no more than 3-5 days Wash or peel raw fruits and vegetables Do not use foods from containers that have been damaged or have opened seals Follow the rules keep hot foods hot and cold foods cold and when in doubt throw it out 2. Instruct clients to seek medical attention for prolonged vomiting, fever, abdominal pain or severe diarrhea following a meal REFERENCES: Kozier, B., Erb, G., Berman, A., Synder, S., (2008). Fundamentals of Nursing: Concepts. Processes and Practice 8th edition, Pearson education South Asia Pte Ltd. Jurong, Singapore. World health Organization (2009). IMCI chart booklet: Integrated Management of Childhood Illness. How to Get My 9 Month-Old to Gain Weight | eHow.com http://www.ehow.com/how_8206789_9-monthold-gainweight.html#ixzz22LFJ9BJq
http://www.indiaparenting.com/childs-healthcare/37_205/underweight-child.html

Saint Louis University School of Nursing Level 4

TEACHING PLAN

Submitted to: Ms. Gracielle Lucero, RN

Submitted by: Chelsea Mae N. Nobleza