Feeding

Maddie Newman
* Some information is from outside sources

Introduction

Presented by : Maddie Newman

Mentor: Valerie Gray
Clear Lake Regional
Neonatal Intensive Care Unit
ISM Teacher: Mrs. Click
Independent Study Mentorship- Fall 2016

What is Independent Study

Mentorship? (ISM)

Independent Study Mentorship is a collegiate level course for students who

are wanting to have hands on experience in a field of work. The students in
the program have a mentor for the course of a semester. They shadow them
at their work place to gain information about their selected topic and other
information the student learns. Within the class we have multiple assignments
to help us get to our final project, and things that allow us to better
understand our selected profession

My Mentor

My mentor is Valerie Gray

Clear Lake Regional Hospital Medical Center

She has her Bachelors in Nursing

She graduated from UTMB Nursing School in Galveston in 1993
She currently works at Clear Lake Regional

My Mentorship Cite

Specifically in the Neonatal Intensive Care unit on the 3rd floor in the Central
tower

Why this topic?

I choose the topic of feeding because its something that is vital towards all

stages of life. Its also very underestimated the amount of work and effort that
goes into feeding a baby, even more so with a baby in the NICU.
Add brain storming on this slide (artifact)

Add pictures and captions (artifactx2)

Add picture of the formula and tubes and bottle and caption and
explanation of what the things mean on the label of the formula(artifact)

Pictures of equipment and schedule

Pictures of samples (formula)
Feeding Tubes
Pictures of getting tubes ready

Add the pictures of the process of getting ready to feed

Tube feedings are done with a syringe filled with either breast milk or formula (
in ccs) then connect to a tube, like the ones in the picture below, which will
connect to another tube that is comes out of the babies mouth or nose.

Add picture of ng tube measurement (artifact )

Add captions (artifact)

Tube Feedings

Complications of Feeding Tubes

It normal for babies for develop a nasal infection or irritation of the nose,
mouth or stomach. Minimal bleeding can occur within the stomach wall
because of irritation from the tube. The tubes may also lower the babies heart
rate, breathing rate and cause trouble if the baby tries to spit up.

Feeding Tube - Infants: MedlinePlus Medical Encyclopedia. Feeding Tube Infants: MedlinePlus Medical Encyclopedia, ADAM Inc., 14 June 2014,
02,Oct,2016 https://medlineplus.gov/ency/article/007235.htm.

chart/ dbm

Add picture of the feeding chart explanation

Add the dbm form with explanation of why its used/ when babies use it

(artifactx2)

Types of Bottles
Process of getting bottles ready

Add pictures (artifact)

A baby at normal gestational age for feeding is 32 weeks, this is the age that
babies start to have the rooting effect. The babies are rated on a scale called
Early Feeding Skill(efs) to see if they can start full bottle feeds. Bottle feeds
creates a physiologically and behaviorally challenges. They develop more
motor skills and more alertness. Starting bottle feeds is a positive movement
toward getting discharged, and becoming stronger and healthier. The nurses
may allow the parents to start kangarooing for the baby to get used to the
smell of the parents and later start feeding them.

Thoyre, Suzanne M., Catherine S. Shaker, and Karen F. Pridham. "The Early Feeding
Skills Assessment for Preterm Infants." Neonatal Network : NN. U.S. National Library of
Medicine, 2005. Web. 02 Oct. 2016.,
https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2828611/, Ogunlesi, and
Ogunfowora. The Influence of Method, Timing of Onset and Duration of Enteral
Feeding on the Duration of Hospitalization of Newborn Infants in a Nigerian Special
Care Baby Unit. Fact on File, National Institutes of Health, 1 Jan. 2015, 02, Oct, 2016
http://online.infobase.com/hrc/search/journalarticle/11?extarticleid=5307&sourceid
=1&q=neonatal%2 0feeding.

Add captions

Oral Feedings

Complications of Bottle Feedings

While bottle feedings the baby may get tired and become distressed, this s
commonly prevented by only letting the baby eat fro 30 minutes. The baby may
also have less breaths due to sucking in milk. The oxygenation is most common
to drop within the first few minutes while the baby gets used to breathing and
eating at the same time, this is called apnea and can lead to hypoxemia.
There may also be Negative cardiorespiratory responses when the baby focuses
on the eating aspect more then the heart function.
Thoyre, Suzanne M., Catherine S. Shaker, and Karen F. Pridham. "The Early
Feeding Skills Assessment for Preterm Infants." Neonatal Network : NN. U.S.
National Library of Medicine, 2005. Web. 02 Oct. 2016.,
https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2828611/.

Video of bottle fed

Edit video

Add flyer of breast feeding class, explain why its important (artifact)

Add a link that goes to weebly and a screen shot of the home page

Within this presentation we covered the topic of different feeding types and
their common complications.
Add more specified information

Upload video

Flyer

Weebly

Add a description of what the weebly is used for

Conclusion

Thank You!

I want to thank my mom who has helped me and encouraged me to

continue going , my dad who has been a rock when I thought it was all to
much and wanted to give up and my brother who made me laugh when I
was having a rough day.

I also want to thank my mentor, Valerie Gray, who has so willingly allowed me
to shadow her this semester, and answered all my random questions , and
helped me learning more about the Neonatal Intensive Care Unit.

I want to thank Mrs. Ellen who let me video and feed Grace a bottle for this
project.

Lastly, I want to thank Mrs. Click, my ISM teacher, who has given me the
opportunity to be in the field of work that I want to work in after college and
has given me the tools and work to make me successful for this year.

Work Cited

Ogunlesi, and Ogunfowora. The Influence of Method, Timing of Onset and Duration of
Enteral Feeding on the Duration of Hospitalization of Newborn Infants in a Nigerian Special
Care Baby Unit. Fact on File, National Institutes of Health, 1 Jan. 2015, 02, Oct, 2016
http://online.infobase.com/hrc/search/journalarticle/11?extarticleid=5307&sourceid=1&q=ne
onatal%2 0feeding.
Feeding Tube - Infants: MedlinePlus Medical Encyclopedia. Feeding Tube - Infants:
MedlinePlus Medical Encyclopedia, ADAM Inc., 14 June 2014, 02,Oct,2016
https://medlineplus.gov/ency/article/007235.htm.

Thoyre, Suzanne M., Catherine S. Shaker, and Karen F. Pridham. "The Early Feeding Skills
Assessment for Preterm Infants." Neonatal Network : NN. U.S. National Library of Medicine,
2005. Web. 02 Oct. 2016., https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2828611/.
"Feeding Your Baby in the NICU." Home. March of Dimes, Aug. 2014. Web. 02 Oct.
2016.http://www.marchofdimes.org/baby/feeding-your-baby-in-the-nicu.aspx
NICU Bottles. 2010. NICU Stay. Web. 10 Oct. 2016.
<https://bissingfamily.com/category/nicu-stay/>
Castelo, Conrad. Bottle-feeding NICU. 2009. Suggest-Keywords. Web. 10 Oct. 2016.
http://www.suggest-keywords.com/Ym90dGxlLWZlZWRpbmcgbmljdQ/
Clear Lake Regional Medical Center Logo. 2010. Clear Lake. Glass Door. Web. 10 Oct. 2016.
https://www.glassdoor.com/Reviews/Clear-Lake-Regional-Medical-Center-Reviews-E121022_
P4.htm
Clear Lake Regional Medical Center. 2016. Clear Lake. Chaparral Insulation Company. Web.
10 Oct. 2016. <http://chaparralinsulation.com/clear-lake-regional-medical-center>.

Work Cited Cont.