Kangaroo Care Hypothermia

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 this article published in the journal Dyanmics, also known as the journal for the Canadian Association of Critical Care Nurses, the authors review a retrospective cohort regarding the barriers for time to target temperature management in cardiac arrest patients who are treated with therapeutic hypothermia. The article authored by a both registerd nurses and medical doctors open by reviewing the benefits of therapeutic hypothermia. The article reviews two randomized controlled trials that showed that therapeutic hypothermia when compared to no intervention correlated with improved neurological survival in patients after cardiac arrest. Therapeutic hypothermia has a direct relation to patient survival with intact neurologic function; however

To help prevent this issue I have created a program for the Fairfax hospital Neonatal Intensive Care Unit (NICU) to facilitate the bond between mother and child while both are recovering and being cared for. The pilot program called “rooming-in” allows mother and child to be on the same private room where other family can also stay. The room will be designed to give maximum support to both mother and baby by having all resources in room as well as a private team of nurses.

Prematurity is the primary cause of increasing infants’ serious illnesses and deaths in the United States (CDC, December 2014).Preterm infants are more likely to have developmental delays, impaired cognitive growth, and behavioral problems as compared to their normal counterparts. Also, the expenditure for the care of premature babies is constantly increasing due to their extended stay in Neonatal Intensive Care Unit (NICU). Previous studies have estimated that the Average daily expense of NICU stay is over $ 3000 for each preterm infant (Muraskas& Parsi 2008). The longer the stay, more will be the cost. The length of NICU stay depends upon the gestational age and complications associated with prematurity. The

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

Evidence proves that breast feeding healthy newborns skin to skin within the first hour of life can have a direct impact on decreasing hypothermia, hypoglycemia and increasing exclusivity then babies dried and swaddled.

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.

Some of these interventions are as simple as waiting a few more seconds before clamping the cord at delivery and/or milking the umbilical cord, to more advanced interventions such as mechanical ventilation. With any medical intervention, there are side effects and long-term disabilities that may occur in relation to the intervention itself. In the high-intensity NICU, it comes down to weighing the positives and negatives, and choosing the option that will give the neonate the greatest outcome and the best fighting chance of survival. More research needs to be done to determine the long term effects of some of the interventions mentioned in this paper, and how the formerly preterm neonates are living with a disability they may have acquired as a result of those interventions. All medical professionals can hope for is that when a patient comes through the door, they receive the best and most up-to-date care possible, while also remaining free of long term negative effects. As with any population, premature infants - especially those born before 28 weeks of gestation, require strong-willed support from the staff, as well as from their families. It is not easy to care for such fragile human beings, but in the end, when the interventions work, and those neonates are healthy enough to move on with their lives and go home, it all becomes worth

"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.

On 06/02/16, on the Cardiovascular Intensive Care Unit (CVICU) care was provided for a patient with induced hypothermia and re-warming status post cardiac arrest. The patient had arrived to the hospital on 06/01/16 for a planned operation. Patient went into cardiac arrest while at the operation room and was brought into the CVICU the same day. Orders for adult induced hypothermia and re-warming were made and the patient was started on this procedure. On 06/02/16 the doctor was reviewing the notes about the patient, and noticed that the process of initiating hypothermia (goal temperature 33 degrees Celsius) had taken longer than the time frame protocol stated.

In this article, DiBlasi argues that the conventional method used to provide ventilatory support to preterm neonates with respiratory distress syndrome; nasal continuous positive airway pressure (CPAP) is ineffective. The author bases the claim on the fact that almost half of the infants supported by this technique often develop respiratory failure that warrants invasive ventilatory support and endotracheal intubation that is injurious in nature. According to the author, invasive ventilatory procedures should be avoided to minimize the excessive complications that are usually associated with them.

Parents of premature infants are also provided the opportunity to participate in Kangaroo Care – a form of skin-to-skin contact that encourages bonding, interaction and cuddling between parents and small babies. In addition to the emotional and psychological benefits of Kangaroo Care, this technique encourages breastfeeding, helps baby to sleep better and contributes to being released from hospital earlier. At Sharp Mary Birch’s hospital the NICU has a multidisciplinary team which consists of lactation specialists, neonatal nurse practitioners, nurses, nutritionists, occupational and physical therapists, physicians, respiratory care practitioners and social workers. Whether a baby was born prematurely is with other complications, this specialty care unit is a place where babies can grow, heal, and receive the highest quality medical care and attention. The Maternal Infant Services (MIS) Unit at Sharp Mary Birch provides care for women after their delivery of their babies. They monitor the mothers and babies physical recoveries and provide education and practice in caring for the new baby. Sharp Mary Birch has some of the best combination of technology, medical services and the healing arts programs for their patients, which also include cord blood banking. Sharp HealthCare has partnered

For the past two decades, the limit of gestational viability has been 22-24 weeks (Bhat, Weinberger, & Hanna, 2012). Around 50 years ago, a premature infant born between 22-24 weeks was not considered viable and resuscitation was only considered at 27-28 weeks (Kushchel & Kent, 2011). Medicine and technology advances have improved neonatology drastically and infants are surviving at lower gestational ages. However, many studies show very low survival rates of 22-week neonates and some physician refuse to resuscitate and provide only comfort care. In the NICHD Neonatal Network between 2003 and 2007, infants that were incubated and resuscitated had a 6% survival rate at 22 weeks and a 55% survival rate at 24 weeks (Bhat et al, 2012). Another study followed a hospital for many years were they delivered 85 infants at 22-week

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

Hospital personnel will need to show mothers of newborns the proper use of cribs with emphasis laid on supine positioning of infants, and to ensure that no soft beddings or bumpers are used. Mothers need to know the right room temperature to keep their infants in. Knowing that infants lose heat mostly from their heads