A Randomized Control Trial, Usher, Alcock, And Petra

Hypothermia can be prevented by maintaining a neutral thermal environment and reducing heat loss. For prevention in reduction of heat consider the four ways by which the neonate experiences heat loss and intervene appropriately.

After the delivery, the heat from the mom’s body can warm the baby and maintains the baby’s body temperature. For instance, when nursing students were at the operating room at Saint Peter’s Hospital during the C-section delivery, as soon as the baby was out, the doctor placed the newborn on the mother’s chest. When the mother was alert and awake during the C-section made it possible for the baby to stay on her chest on the first hours after the birth. It was one of the most beautiful moments in life. Nevertheless, there was another C-section birth of diabetic mother. She was not fully awake during the C-section and the doctor only did not promote skin-to-skin mother and the newborn. The doctors and nurses at Saint Peter’s Hospital support and encourage skin-to-skin for mother and newborn right after the birth if there is no complication on mother or baby or when the condition is possible. Saint Peter’s Hospital has policy for vaginal delivery, “all infants that meet the criteria for initiate skin-to-skin care shall have skin-to-skin care implemented as the standard of care immediately after birth and as needed thereafter regardless of feeding preference”. They promote skin-to-skin contact between mother and baby immediately after delivery. However, mothers and babies have a physiologic need to be together during the minutes, hours, and days following birth, and this time together significantly improves maternal and newborn outcomes.

Articles discussing the accurate recordings of pediatric patient’s body temperature were cited in this article. A logical sequence is followed in the literature review. It begins with a general overview of the historical importance of accurately recording a patient’s body temperature. The authors get more specific and cite studies on temperature recording techniques in children. For instance, in justifying conflicting data, the researchers cite a similar study conducted on new born babies by Polit & Beck (2008), where the recordings from the two methods were

Temperature regulation is key at this stage of their life. You want to ensure that your baby doesn’t overheat but also isn’t too cold. Find a sleeping bag or blanket that is appropriately sized.

In this article Munro, Watson, and McFadyen, (2006) conduct a controlled trial in which assesses the significance of the training personnel who work directly with people who possess mental health and substance e abuse problems receive. The sample was administered in a NHS mental health service and incorporated a sample size of 49 (27.8%) mental health nurses, either in adult generic mental health or addictions services, out of 176 nurses who were initially invited to take the survey. 24 of the nurses were assigned to the experimental group (receiving training) and the rest (25) of the nurses were sent to the control group (receiving no training). Data was retrieved at three different times using surveys. The first survey was taken before training , training would last for 4 days, and then the latter two surveys were allotted following right after and then again 6 months later.

In a study done by Emadedin et al. in 2012, they injected MSC from each respective patients bone marrow, into six female volunteers with evidence of knee OA that was severe enough to require joint replacement surgery. The authors described a detailed, meticulous procedure in how they obtained the MSC from the patient’s bone marrow, and made it into the cells they needed for the procedure. They injected the patient’s affected knee joints with the stem cells and followed up with them in one year. At the one year mark, Emadedin et al. (2012) found that overall, the study was successful in decreasing pain and increasing the patients walking distance for the first 6 months. However, they discovered that 3 of the

"Up to 12% of deliveries in developed countries are preterm." This is approximately 500,000 premature births per year. In 2009, my cousin was born ten weeks prematurely, weighing merely two pounds, four ounces. After spending a copious amount of time in and out of the Neonatal Intensive Care Unit (NICU) with my family over the course of a month, I developed an interest in its operation. Being a neonatologist became my leading occupation of interest. I chose to further research this topic in hopes of finding out whether or not this is the career path for me. In my research paper, I plan to go into further detail about the Neonatal Intensive Care Unit (NICU), common medical conditions found in premature infants, how to react and treat these medical conditions, and necessary education to become a neonatologist.

Take a second to imagine you are a father, who has an infant admitted to the neonatal intensive care unit (NICU) for the first time. How are you feeling? Afraid? Confused, even? If your baby is admitted to the NICU, your first question probably will be: What is this place? With equipment intended for infants and medical staff specially qualified in newborn care, the NICU is an intensive care unit created for sick newborns who require specialized treatment. A common example for parent’s

•NANDA diagnoses: Fluid Volume Deficit R/T failure of regulatory mechanism, risk for impaired parent/infant attachment R/T neonates physical illness and hospitalization, hyperthermia R/T inflammatory process AEB an increase in body temperature, warm skin, and tachycardia, ineffective tissue perfusion R/T impaired transport of oxygen across alveolar and on capillary membrane, and interrupted breastfeeding R/T neonate’s present illness AEB separation of mother to infant.

In article, Immediate and Delayed Cord Clamping in Infants Born Between 24 and 32 Weeks: A Pilot Randomized Controlled Trial, Mercer reported possible issues regarding methodological assessment of the preceding research involving the capability to perform a meta-analysis of the seven studies. However, a pilot randomized controlled trial (RCT) aggregates on the present day literature on cord clamping by considering the feasibility, recruitment strategies, and key outcomes of the possible increases in blood volume as a result of delayed cord clamping (DCC) (Mercer et al., 2003). In the pilot RCT, Mercer and the team wanted to assess credibility of DCC and the study protocol in the authors’ institution. In addition, they wanted to test and generate hypotheses in order to set up the groundwork for funding for a larger RCT. The first hypothesis stated that DCC in very low-birth-weight (VLBW) infants would have an outcome of higher mean blood pressure after reaching the neonatal intensive care unit (NICU). The second hypothesis stated that VLBW infants would have higher hematocrits, fewer clinical acuity indicated by fewer days of ventilation and fewer days of oxygen use when compared to ICC (Mercer et al., 2003). The focus of the study was to establish feasibility of a protocol for DCC against ICC at preterm birth and, also to inspect its outcomes on initial blood pressure and other events. This kind of study was the first one to observe the outcomes of DCC in

c. Generally speaking, the question do not differ in relationship to the type of study

The primary disadvantage of randomised controlled trials would be ethics. There must be sufficient belief that the intervention will be safe. Moreover, clinical equipoise is very important. Clinical equipoise is the assumption that there is not one intervention better than the other during the design of a randomised controlled trial. (Cook and Sheets, 2011). Participants must be aware that they are taking part in a study and they should be informed of the risks and benefits of the trial - this is informed consent. It is also imperative that a data monitoring and safety committee review results and a closed and confidential data monitoring and ethics committee reviewed results for this trial. Ethics approval was granted by the northwest multicentre research ethics committee and each centre had to achieve local approval.

The use of the warmer has decreased the amount of infants and children we have had difficulty in regulating their body temperatures. Even our local flight team was happy to have access to the warmers while transferring a patient. Through my research and learning, it has changed the way I treat my pediatric patients and their families. I no longer avoid these patients and I now advocate for them. I now understand these are tiny humans but their treatment must be tailored to them much differently than their adult counterparts. I have learned that children can sense fear quicker than adults can. I have also learned the parents are typically the best medicine. If possible, let the child stay with or in the parents lap for procedures. In addition, I have learned that taking care of children is quite rewarding. To see them get better and know you had a part in that feels amazing. I look forward to continue growing, learning, and expanding the knowledge to my co-workers in the field. Optimal and excellent patient care should be provided to all no matter the age.

First, I would try and convince the nurses by pointing out that the randomized controlled trials are not perfect but they are objective and eliminate the responsibility and difficulties of making a more subjective decision. Any other alternatives would take longer, and this research is time-sensitive: the sooner we know the most effective intervention, the better for all the patients.

The limitations of these studies are that many were not generalized to operative patients only instead were constructed around one type of surgery. Some of the findings can be argued that to be not applicable for patients undergoing a different type of surgery. The population of the studies can also be disputed in each study. Two studies concentrated on either neonates or adult participants, which can lead to limitations due to different hypothermia definitions. Because neonates and infants are at higher secondary health risks due to hypothermia, appropriate rewarming techniques are essential to reducing the risk of morbidity and mortality. Lastly, temperature monitoring was completed differently in each study resulting