Neonatal intensive care also influences the relationship between the parent and the infant. The particular strategies that comprise developmental care include that the infants are positioned in a comfortable and flexed position…
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Developmental care also calls for clustering of nursing care for instance carrying out blood pressure and temperature checks to ensure that the babies have longer periods for sleeping. The other strategies used in neonatal intensive care entails turning down the lights in the rooms and providing a quite and dark environment to ensure that infants are able to enjoy maximum sleeping time. In neonatal intensive care, parents are encouraged to visit the infants and adoption of kangaroo care. By adopting developmental care in neonatal intensive care units (NICUs), premature and sick child are able to make a smooth transition from the environment they were enjoying in the womb to the world easily (Abbott and Israel, 2008, p. 80). The area of developmental care within NICUs has been addressed by various bodies that authors and stakeholders in the sector. This paper will be a critical review of the various publications on the topic including a journal by Hamilton, Moore and Naylor; the Bliss initiative by Abbott and Israel and a journal by Sonya Louise. In addition, the paper will critically review the provisions under the Bliss Baby Charter, the Neonatal Toolkit and the British Association of Perinatal Medicine of 2010. Developmental care According to Hamilton, Moore and Naylor (2008, p. 190), developmental care should create a framework within which neonatal care processes are adapted and organised to ensure that they are able to support individual medical, developmental and psychological needs of premature infants and their families. Developmental care has been necessitated by the fact that despite the relentless efforts to prevent premature births; such births are still persistent recurrent with about 6 percent of all lives in UK being preterm in UK annually and these statistics are higher in USA where they are estimated to be 12 percent (Hamilton, Moore and Naylor, 2008, p. 190). Consequently, the demand for neonatal care has increased with more than 70 percent of NICUs admissions resulting from premature infants. In addition to the high costs of providing neonatal care among preterm infants, such infants experience developmental impairments compared to their counterparts. This is explained by the fact that the brain of preterm infants is usually undergoing rapid development and these kids are exposed to a strange environmental setting, repeated invasive assessments and protracted illness (Hamilton, Moore and Naylor, 2008, p. 190). This adversely affects their growth and organisation of hearing, vision and sleeping pattern having long term effects on the neuro-development of the infant. Developmental care exposes parents and premature infants to various stressors and negative feelings for instance guilt, anxiety, helplessness and depression (Hamilton, Moore and Naylor, 2008, p. 190). This is because the highly technical setting and the condition of the premature infant led to the disruption of parental roles and reduces parent-infant relationship. To deal with this problems Hamilton, Moore and Naylor (2008, p. 190) proposes the adoption of supportive care to optimise the development and reduce negative impacts of premature births. In light of this, developmental care must involve a range of interventions that will help reduce stress within NUICs including controlling the
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This is achieved through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems; including physical, psychosocial and spiritual problems. More often this approach doesn’t involve use of medicine to relieve pain but focuses on other aspects of treatment that connect with the mind, spirit and the physical aspects of the patients and their families (WHO, 2011).
Nurses conduct their activities in a wide variety of specialties working as independent individuals also being part of a working team to plan, implement and evaluate nursing care. A nursing care plan refers to the part of the nursing process which clearly outlines the main plan of action to be implemented in nursing and medical care of a specific patient.
The term developmental care describes broadly those interventions that support and facilitate the stabilization, recovery, and development of infants and families undergoing intensive care in an effort to facilitate optimal outcome. #1The nursing and medical management of infants and families within the intensive care environment Theoretical approaches to developmentally focused care encompass interventions that counteracts sensory-overload or deprivation such as minimizing stress responses or facilitating positive sensory experiences; interventions that pursue to help parents to resolve the emotional crisis of the pre-term birth and facilitate maternal-infant attachment; interventions that
A marked increase in the incidence of low and very low birth weight infants has been witnessed in the last several decades. The hospital care of premature, low birth weight infants requires appropriate technology and personnel, which is expensive; in the United States, the cost of care in the Neonatal Intensive Care Unit (NICU) and Intermediate ICU averages between $1,000 and $2,000 per day per patient.
Conduction is the direct heat loss from the infant to the surface with which he or she is in direct contact, such as infant to the mattress. Convection is heat loss from the infant to the surrounding air. The wind passing over the skin can absorb heat from the neonate if it is colder.
Low birth-weight (less than 2500g) has an adverse effect on child survival and development. Care of low birth-weight babies is expensive and requires specialist care. Kangaroo mother care (KMC) involves skin
Research studies indicate that KC is best used for full-term, healthy infants. However, new evidence supports the use of KC for stabilising the preterm ventilated infant. KC may best be started soon after birth, without any delay
The range of the defect varies from child to child. It can be extremely severe to mild but in any case it usually requires intervention within the first year of birth which was the case with the said infant. Since the 1950’s it has
ertheless, this period of reign of the Joseon Dynasty still remains the most influential period of the Korean social cultural framework to present day. It is during this rule that the Joseon rule managed to consolidate the area under the present day Korea, to such an extent that
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