Specific      Duratio                          Content                               Teacher         AV aids        Evaluation
SNo   Objectives        n                                                                   /learning      B/B activity
1   Introduce the    3 min      INTRODUCTION                                             Student teacher                  The group
     topic                       Breast feeding alone is adequate to maintain growth     introduces the                   listens the
                                and development up to 6 months. And complementary topic with a                            story
                                feeding should be given to maintain their growth and story
                                development according to age. So it is necessary to
                                introduce more concentrated energy riched nutritional
                                supplements by this age. Infant also need iron
                                containing    food   supplements   to   prevent   iron
                                deficiency anemia
                                DEFINITION
                                Complementary feeding                                                                     What is
                                                                                         Student defines
     Define
2                    2 min      Complementary feeding or weaning is the process of                                        complementary
                                                                                         the
     complementary
                                giving an infant other foods and liquids along with                                       feeding?
                                                                                         Complementary
     feeding
                                breast milk after the age of 6 months as breast milk
                                                                                         feeding
                                alone is no longer sufficient to meet the nutritional
                                requirements of growing baby. It is the process by
                                which the infant gradually becomes accustomed to
                                adult diet.
         Specific       Duratio                               Content                                    Teacher      AV aids        Evaluation
SNo     Objectives        n                                                                             /learning   B/B activity
3                      2 min      WHY AT 6 MONTHS
      Discuss why at
                                         Infant’s          intestinal        tract    develops
      six months?
                                          immunologically with defense mechanisms to
                                          protect the infant from foreign proteins.
                                         The infant’s ability to digest and absorb
                                          proteins, fats, and carbohydrates, other than
                                          those in breast milk increases rapidly.
                                         The infant’s kidneys develop the ability to
                                          excrete the waste products.
                                         The      infant    develops     the     neuromuscular
                                          mechanisms needed for recognizing and
                                          accepting variation n the taste and color of
                                          foods.
                                  SIGNS      WHEN           BABY         IS     READY     FOR Student teacher                      When is the
                       1 min
                                  COMPLEMENTARY FEEDING                                       explains the                         signs when
4
      Explain the                                                                                 signs when                       baby is ready
      signs when                         Hold his/her head straight when sitting down            baby is ready                    for
      baby is ready                      Opens his/her mouth when others eat                     for                              complementary
      for                                                                                         complementary                    feeding
                                         Is interested in foods when others eat.
      complementary                                                                               feeding
                                         Receives frequent breast feed but appear
      feeding
                                          hungry soon after.
                                         Is not gaining weight adequately.
       Specific         Duratio                         Content                     Teacher                AV aids        Evaluation
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5   Discuss the        5 min      GUIDELINES         FOR          COMPLEMENTARY Student teacher                         What are the
     guidelines’ for              FEEDING                                                 discuss the                   guidelines for
     complementary                     Practice exclusive breast feeding from birth up guidelines for                  complementary
     feeding                            to 6months and introduce complementary complementary                            feeding
                                        feeding after 6 months of age.                    feeding
                                       Continue frequent on demand breast feeding
                                        until 2 years of age
                                       Feed infant slowly and patiently and encourage
                                        them to eat but do not force them.
                                       Practice good hygiene and proper food
                                        handling to reduce the risk of diarrhea.
                                       Start with small amounts of food and increase
                                        the quantity as child gets older
                                       Gradually increase food consistency and
                                        variety as the child grows older.
                                       Increase the number of times the child is fed
                                        complementary food, as the child gets older
                                       Feed a variety of nutrient rich foods to ensure
                                        that all needs are met.
                                       Give micronutrient rich complementary foods
                                        or vitamin and mineral supplements to the
                                        infant as needed.
         Specific      Duratio                        Content                                 Teacher         AV aids       Evaluation
SNo     Objectives       n                                                                   /learning      B/B activity
                                      It is advisable to start one or two teaspoons of
                                       new food at first which should be given when
                                       baby is hungry, just before regular feeding,
                                       during the day time.
      Explain the      1 min
6                                PREPARATION OF WEANING FOOD
      preparation of                                                                      Student teacher                  What are the
      weaning food                    Wash hands.                                        explains the                     preparation of
                                                                                          preparation of                   weaning food
                                      Keep food in clean utensils                        weaning food
                                      Separate raw and cooked food
                                      Cook food thoroughly.
                                      Keep food at safe temperatures
                                      Use safe water and raw material
                                      Give freshly prepared food.
                                      Keep the cooked food covered
      Discuss the   1 min        QUALITIES OF COMPLEMENTARY FOOD
7
      qualities of                                                                  Student teacher                        What are the
      complementary                                                                 discusses the                          qualities of
      food                            Weaning food should be liquid at first, then qualities of                           complementary
                                       semi solid and solid food to be introduced complementary                            food
                                                                                    food
                                       gradually.
                                      Clean, fresh and hygienic, so that no infection
                                       can occurs.
                                      Easy to prepare at home with the available
                                       food items and not costly.
       Specific    Duratio                           Content                              Teacher      AV aids      Evaluation
SNo   Objectives     n                                                                   /learning   B/B activity
                                   Easily    digestible,    easily   acceptable   and
                                    palatable for infants.
                                   High in energy density and low in bulk
                                    viscosity and contains all nutrients necessary
                                    for the baby.
                                   Based on cultural practice and traditional
                                    beliefs
                                   Well – balanced, nourishing and suitable for
                                    the infant
                                 6 – 8 Month -200 Kcal/day
                             Start with liquid and proceed foods 2 – 3 times per day
                             Start with 2 - 3 table spoons per feed and increase to
                             about 125 ml
                                 9 – 11 months 300 Kcal/day
                             Finely chopped or mashed foods. 3 – 4 times a day
                             Half cup of 250 ml cup. 
                                 12 – 23 months 550 Kcal/day
                             Solid family foods chopped or mashed. 3 – 4 times a
                             day 1/4 th to full 250ml cup
         Specific     Duratio                          Content                                   Teacher         AV aids        Evaluation
SNo     Objectives      n                                                                       /learning      B/B activity
                                COMPLEMENTARY                    FEEDING                AT
8     Explain the     5 min                                                                  Student teacher
                                DIFFERENT AGE                                                                                 What are the
      complementary                                                                          explains the
                                4 to 6 months                                                                                 complementary
      feeding at                                                                             complementary
                                Weaning to be initiated with fruit juice. Within one to                                       feeding at
      different age                                                                          feeding at
                                two weeks new food to be introduced with suji, biscuit                                        different food
                                                                                             different food
                                socked with milk, vegetable soup, mashed banana,
                                mashed vegetable. Each food should be given with
                                one or two teaspoon at first for 3 to 6 times per day
                                6 to 9 months
                                Food item to be given at this period include soft
                                mixture of rice and dal, khichri, pulses, mashed and
                                boiled potato, bread or roti soaked with milk or dal,
                                mashed fruits, egg yolk, curd. Amount of food should
                                increase gradually
                                9 to 12 months
                                More variety of household food can be added. Fish,
                                meat, chicken can be introduced. Food need not to be
                                mashed but should be soft and well cooked
                                12 to 18 months
                                The child can take all kind of cooked food. The
                                amount and frequency should increase gradually.
       Specific      Duratio                          Content                    Teacher                    AV aids       Evaluation
SNo   Objectives       n                                                        /learning                 B/B activity
9   Explain the     3min       PROBLEMS DURING WEANING                       Teacher                                     What are the
    problems                                                                 explains the                                problems
                                  If on starting weaning, breast feeding is problems
    during                                                                                                               during
    weaning?                       stopped suddenly, it can have adverse during weaning                                  weaning?
                                     psychological effect on the child.
                                    Weaning food, if prepared unhygienic ally or
                                     not digested properly can cause diarrhea.
                                    If weaning food are not nutrient rich, the child
                                     can develop malnutrition.
                                    Children may develop indigestion, abdominal
                                     pain, diarrhea or rashes if they are allergic to
                                     certain foods.
                               ADVANTAGES:-  
                                                                                         Teacher                         What are the
10   Explain the    1 min           Promotes growth.                                    explains the                    advantages and
     advantages and                 It prevents deficiency diseases, e.g.anemia.        advantages and                  disadvantages
     disadvantages                                                                       disadvantages                   of weaning?
     of weaning?                    It prevents malnutrition.                           of weaning
                               DISADVANTAGES:-
                                    Negligence in choosing nutritious weaning
                                     food can lead to calorie, protein, vitamin or
                                     mineral deficiencies.
                                    It may lead to diarrhea, if the food is preparing
                                     an unhygienic way.
       Specific    Duratio                       Content                         Teacher    AV     B/B activity   Evaluation
SNo   Objectives     n                                                          /learning   aids
                             BIBLIOGRAPHY
                               1. Nikki. L. Potts, barbara l mandleco,
                                    pediatric nursing, caring for children
                                    and their families, 1st edition, delmer
                                    thomson publications (2002), new york.
                                    Pageno:19 – 24
                               2.    text book of pediatric nursing, editors
                                    by “wong and whaley’s”, published by
                                    “n.r.broyhers”, 4th edition, page no:244-
                                    249
                               3.      dorothy r. Marlow, “text book of
                                    pediatricnursing”      6th      edition,
                                    published by elsevien, page no:284-290.
                               4. Text book of “ essential pediatric
                                    nursing”,editors by “piyush gupta”,
                                    published by “a.p. jain and co”, 1st
                                    edition, page no:302- 305.
                               5.      The short text book of “pediatric
                                    nursing”, editors by “suraj gupte”,
                                    published by “jaypee brothers”, 10th
                                    edition, page no: 735-737.
COMPLEMENTARY
                  FEEDING
SUBMITTED TO                SUBMITTED BY
Dr.Shweta Joshi             Jasmine Ouseph
Professor,DYCON             F.Yr.MSc Nursing
                        PERFORMA FOR LESSON PLAN
TOPIC                             : COMPLEMENTARY FEEDING
SUB TOPIC                         : CHILD HEALTH NURSING
UNIT                              : IX
DATE                              : 13-7-2021
TIME                              : 9.30 am
VENUE                             : PEADIATRIC WARD
METHOD OF TEACHING                : LECTURE CUM DISCUSSION
AUDIO VISUAL AIDS                 CHART.FLASH CARD
PREVIOUS KNOWLEDGE OF THE GROUP   : THE GROUP HAS SOME KNOWLEDGE ABOUT THE
                                  COMPLEMENTARY FEEDING
General Objective
At the end of the class, the group will gain knowledge regarding complementary feed
Specific Objectives
At the end of teaching group will be able to,
- Define complementary feeding
Discuss why at six months?
Explain the signs when baby is ready for complementary feeding
Discuss the guidelines’ for complementary feeding
Explain the preparation of weaning food
Discuss the qualities of complementary food
Explain the complementary feeding at different age
Explain the problems during weaning?
Explain the advantages and disadvantages of weaning