Permanent inability to tolerate dietary gluten in the small intestines.
Manifestation:
Retarded growth
Laboratory Data:
Small bowel biopsy indicates abnormal mucosa
Nursing Diagnosis:
Altered Nutrition
Interventions:
Lifetime avoidance of:
Barley
Rye
Oats
Wheat (gluten-free diet)
Food which are allowed: corn, cereals, soybeans, rice. If the patient attends a party instruct th mother to prepare a homemade cake for the child to bring to the party since commercially prepared cakes are made of wheat. Refer the patients to geneticist.
Sample Question: Which of the following statements, if made by a parent of two-year-old child recently diagnosed with celiac disease, supports a nursing diagnosis of knowledge deficit?
A “I won’t have to make any major dietary changes until my child reaches puberty.”
B. “I have to keep my child on a gluten-free diet to prevent episodes of diarrhea.”
C. “I should read the labels on any processed foods I offer to my child.”
D. “I will need to notify my child’s school about the special diet.”
Answer: (A)