Analysis Of ' Efficacy Of Swaddling And Heel Warming On Pain '

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.

Special care and attention must be given to infants in the Neonatal Intensive Care Unit (NICU) because of their small size and the health complications they face. One particular challenge faced by health care professionals in the NICU is the management of pain for preterm babies. Preterm infants must undergo a wide range of tests, procedures, and, often, life-saving measures during their hospitalizations, which not only subjects them to pain, but pain-related stress and anxiety. This has an impact on the infants themselves, as well as on the family members and friends who are involved in their care (Smith, Steelfisher, Salhi, & Shen, 2012). The purpose of this paper is to examine the problem of pain management among preterm NICU patients and propose the implementation of kangaroo care as a pain management technique.

In a study conducted by Hatfield and Young (2007), 1,727 procedures such as venipuncture, intravenous (IV) catheter placement, intramuscular (IM) injections, urinary catheterizations, and nasogastric tube placement in 1,210 children have been reviewed. Their findings reveal that almost none of the patients received pain management. Although traumatic for the patient, these procedures are considered to be minor by many nurses, and the culture of pain management has not been seen as the standard of care (Hatfield & Young, 2007). Nursing staff is encouraged to change the culture by embracing their role as patient advocate. Every patient deserves a triage pain assessment with ongoing assessments as necessary. Pain control measures must be implemented prior to beginning potentially painful procedures. Discussion must take place between the parents and healthcare staff in order to deliver the best comfort measures on a case-by-case basis.

Neonatal Nurse Practitioners (NNP) refers to and cares for newborns in their first 28 days of life. Neonatal nurse practitioners practice advanced skills in order to provide care for healthy newborns, as well as newborns who need individualized attention. These nurses care for premature and sick newborns in many different settings: neonatal intensive care units (NICU), emergency rooms, delivery rooms, or specialty clinics(Nurse). NNP’s level of care enables them to preform multiple duties consisting of: monitoring specialized equipment, providing education to the families of the sick newborns, administering medications, preforming diagnostic tests and other procedures in order to establish a treatment plan for the newborns,

In Nursing, one must provide the best patient care possible. Using evidence-based care when practicing is one way to ensure that a patient is receiving the best care. Research is often performed to find up to date evidence based care techniques in different articles. Processes have been developed to nurture the knowledge and guide nurses with research reviews, such as the PICO model. The first step to any type of research, is to develop a focused clinical question or hypothesis to reflect on throughout the evaluation of the information. This will help organize the research to provide better analysis and utilization of the PICO model. PICO stands for population, intervention, comparison, and outcomes. The purpose of this paper is to discuss the use of the PICO model in the article, A Systematic Review of the Interventions for Nipple Trauma in Breastfeeding Mothers.

Neonates were once thought to be too developmentally immature to experience pain, it has been now understood that neonates even if very premature are able to process pain sensations and respond to that pain (Boyle, 2011). Although it is now understood that neonates can sense pain, it has been found that procedures have not changed to adequately address pain in the neonate. It has been found that pain in neonates that is over a long period or multiple acute pain experiences has long term effects on how pain is perceived into childhood (Boyle, 2011). One intervention that has been found to decrease pain experienced by a neonate is sucrose. It has been found that sucrose takes about two minutes to take effect and provides an analgesic

There are several strengths to this study. This is the largest randomized, controlled, clinical trial comparing neonatal pain between Gomco and Mogen clamps. Furthermore, by having all the circumcisions be performed by a single provider group, the authors were able to control for provider confounders. Both procedure protocols were solely based on the most recent recommendations from the American Academy of Pediatrics. However, as the study was exclusive to healthy and term infants, the results can only be generalized to this population, not to premature infants or older males. Another limitation is that these observations are regarding short-term outcomes of the procedures, not long-term outcomes of Gomco and Mogen clamp circumcisions. Furthermore, the research nurses who scored the pain were not blinded to the treatment

Pediatric pain management is measured subjectively because it is based off of what the patient says or how the nurse interprets the pain scale. Pain is rated using different scales, unfortunately these different scales could yield different results. Nurses are trained to use pediatric pain scales to analyze and treat pain but parents are not supplied with the tools to manage pain when the patient goes home. With 84% of all pediatric surgical procedures performed on an outpatient basis, the importance of teaching parents how to assess for and manage pain has become more important than ever (Rony, Fortier, Chorney, Perret, & Kain, 2010). According to Rony’s et al. (2010) study, it is apparent that pediatric pain is not being treated effectively. The study showed that 58.8% of children were receiving less than the daily recommended does prescribed by the pediatrician (p.1). Results of the study also showed that parents had false assessments on if their child was actually in pain. 36% of parents believed that if their child was in pain, they would cry out for the parent , 30% agreed that their child would always tell them if they are in pain, while 22% said that the child would report their pain immediately (Rony, Fortier, Chorney, Perret, & Kain, 2010, ). Children do not always verbalize when they are in pain. Sometimes the pain can be so intense that a child is unable to talk. If the child catches on to the parents negative perception of pain medications, the child may not

Since the early 1980s it was found that neonates have the ability to understand the pain and do respond to it. Neonates compared to children and adults are more sensitive to pain. Neonates admitted to neonatal intensive care unit daily are under painful care and treatment. Faced with the pain not only causes acute psychological symptoms, but can cause changes in structure and function of neonates brain. There is evidence that untreated severe pain and long recovery may prevent or delay the healing process and therefore increase the cost of health care. This study aimed to determine and evaluate implementation of neonatal management of pain in NICUs.

As healthcare professionals, the goal is to relieve pain and suffering with little to no harm done1,2. While children suffer similarly from pain as adults do, there are different factors to take into account. Children might suffer from a heightened sense of fear and anxiety as compared to adults3 and as such, the age old concept of forced restraint is no longer acceptable and may even compound the child’s fear in hospitals and needles throughout life1,4. While distraction techniques, play therapy and mild analgesia might be sufficient in producing a cooperative and relaxed child4,5, for severe pain, this is not an option and general anaesthesia or sedation is often used instead1,6,7. Furthermore, given how the ‘gold standard’

Have you ever wondered if circumcision hurts your newborn? A research by Practice Application of Research was done to identify which analgesia was more effective. Circumcision is the surgical removal of the foreskin of the glans penis (Razmus, 2004). It is a procedure that usually does not take a long time. This procedure was done at the hospitals with no analgesia, but pain was still present when the newborn was getting circumcise. This procedure has become more popular than it was before in the United Stated (Razmus, 2004), but yet not all risk and benefits were clear. Some authors have reported that it decrease the number of urinary tract infections, it protected against penile cancer, against HIV infection and HPV (Razmus, 2004). Complications

Pain management in the neonatal intensive care unit (NICU) has always been a controversial topic. There are many misconceptions regarding if neonates feel pain. The importance of pain in newborns was first recognized in the 1980s. In the past, it was thought that they could not feel pain due to the immaturity of their peripheral and central nervous system. This was proven to be untrue and studies show that infants do indeed feel pain. Even with this being proven, neonates are often under treated or not fully recognized as being in pain. There seem to be gaps in-between clinical practice and actual knowledge regarding pain management. Many health care workers are unaware of how to most effectively manage pain in neonates and this is a major

The nurse must be mindful of each intervention initiated and the possible benefits of the intervention against its potential harmful effects for both mother and fetus. Not providing basic comfort measures for the mother can cause serious physical and emotional problems and could lead to possible fatigue and feelings of failure from the mother. The priority of this nursing intervention is to provide the mother and fetus with the least discomfort as possible and

Specific Purpose: To inform my audience about the different forms of pain management used during childbirth.

The purpose of this paper is to review the topic of heel warming and swaddling in the neonatal setting. Review of this topic will be completed through the utilization of a research study found in the Journal of Clinical Nursing, which tested the effectiveness both swaddling and heel warming have on reducing pain in the neonate following a heel stick. Through analysis of this research study, this paper aims to understand how certain interventions can be used to effectively alleviate pain in the NICU.