Noise Mitigation In The NICU

Music Therapy is used for many reasons and can be helpful in many ways. Music has been proven to be a therapeutic service to people because it’s helped people to contain themselves and even express themselves through the music that they listen to. This treatment is beneficial to many humans because it’s a good way to help one’s emotions without any medication (American Music Therapy Association). For example, music is used to treat pain and reduce stress. In Amy Novotney’s article about music therapy, she says, “The beep of ventilators and infusion pumps, the hiss of oxygen, the whir of carts and the murmur of voices as physicians and nurses make rounds — these are the typical noises a premature infant hears spending the first days of life in the neonatal intensive care unit (NICU). While the sounds of such life-saving equipment are tough to mute, a new study suggests that some sounds, such as lullabies, may soothe pre-term babies and their parents, and even improve the infants' sleeping and eating patterns, while decreasing parents' stress (Pediatrics, 2013)” (Novotney). Another example of how music is a reliable therapeutic resource is for people with autism. In Catherine Ulbricht’s article, she states that “People who have autism spectrum disorders often show a heightened interest and response to music. This may

When we visited other homes and closed spaces, it is likely to be unconditioned and violate some of the above recommendations, so that we will be attentive to each step of the baby.

Music Therapy has had numerous clinical studies to suggest that not only musical therapy is an effective means of treatment, but the sound of music is soothing and comfortable, and it lowers cortisol, a stress hormone, as much as 25%. The music can reduce pain for patients who have come out of surgery, decreases nausea with patients who are receiving chemotherapy, and increases awareness of self and environment. A study conducted at Yale University School of medicine proved that patients who were awake during a surgical procedure listening to their favorite music need lower doses of pain medication than patients who did not listen to music (Syed, 2006).

The human life span is from conception to death and can be divided into eight different developmental periods. This essay will focus on the early childhood period that ranges from two to five or six years of age. Firstly, this essay will describe the typical developmental milestones during early childhood and how they play an important role in each developmental stage that follows. Secondly, it will analyse how the home and educational environments influence early childhood. Finally, it will define Auditory Processing Disorder and the characteristics of a child with this condition. This essay will demonstrate the significant impact Auditory Processing Disorder can have significant effects on development and in the future.

The first source is a non-experimental design that took place in both an open ward and SFR NICU at Cabell Huntington Hospital. Two hundred and forty infants were monitored in this study. One hundred and thirty-three infants were observed in an open ward, and one hundred and seven were kept in single family rooms (SFRs). This study quantitatively measured the noise level, illumination, air quality, temperature, growth and development of the infant, the amount of respiratory support needed, and the baby’s nutritional progress in each environment. The findings of this study show that humidity particulates, noise, and exposure to bright light were decreased in the SFRs. In the SFRs there are also reduced ventilator needs, a reduction in days that infants were on total parenteral nutrition

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

By exploring sources that address the topic of premature infants and music therapy, the author of this paper discusses about the effect of music on specific common issue that the NICU can cause to premature infants. The effect of music therapy on stabilizing premature infants’ breathing and heart rate is addressed. The author also points out that music can be a stimulus for premature infants to learning life-matter skill such as the sucking behavior.

The NICU is often cluttered with loud, unpredictable noises from a variety of sources; such as cardiorespiratory alarms, ventilators, phones, opening and closing of portholes on incubators, and staff conversation. Simple caregiver tasks such as running water, opening packages inside an incubator, disposing of trash in a metal container, and placing formula bottles on a bedside table, all can produce sounds well over recommended levels, some as loud as 75.3 decibels (Johnson, 2003). However, an optimal physical, psychological, and social environment is a necessity for the preterm

Premature babies are greatly helped by skin to skin contact even when they are on oxygen since it reduces their need for oxygen and hence keeping them more stable. According to In Macones, through the contact, the baby is able to feel the love of the mother and her expectations, and hence get the courage to improve on his/her health ten times faster in the incubator (2015).

When babies start to cry, parents tend to resort straight to the bottle or breast to soothe baby. Before feeding the crying newborn, ask yourself these questions; is the baby over tired, does baby need to burp, does baby need a diaper change, is baby uncomfortable? My goal is to teach the new mother of a baby girl different approaches and techniques to soothing a crying baby. I will be demonstrating some of the techniques right here in her hospital room. Mother and father are English speaking African American’s. The mother has gotten her prenatal care through the local clinic. Patients of this clinic are to have their babies delivered by the residents of the facility. The knowledge of how to soothe a baby is needed in almost any expectant

My dream is to not only promote healing for such vulnerable patients, but also inspire hope in the families of these premature infants. I am continuously striving to become the best nurse and patient advocate that I can be, by implementing more than just conventional treatment within each of my patient’s plan of care. My interest in the use of alternative therapies led me to develop the following question: In hospitalized preterm infants, does the use of massage therapy promote overall adaptation and development? Massage therapy is defined as, “a systematic touch by human hands, which stimulates the tactile sense of the infant and which has been documented for several decades to have a positive effect on both full term and preterm infants” (Abdallah et al., 2013, p. 663). The goal of this paper is to describe the transition from intrauterine to extrauterine life and identify normal adaptation for the newborn and how these adaptations can affect a preterm infants development, identify different nonpharmacological interventions, including massage therapy and determine whether these techniques are effective in promoting adaptation and development of the preterm infant and if so, how do these therapies impact the preterm infant’s overall development.

This study is a clinical trial that aims to find out the effect of massage on behavioral state of neonates with respiratory distress syndrome. The participants were 45 neonates who hospitalized in neonatal intensive care unit of Afzalipour hospital in Kerman. Parental consent was obtained for research participation. The inclusion criteria included all infants born with respiratory distress syndrome, less than 36 weeks gestational age and without of any the following conditions: contraindication of touch, skin problems, hyperbilirubinemia, anemia, respirators, chest tube, addicted mother, congenital and central nervous system disease. Infants entered the massage protocol during the second day after starting enteral feeding, because the

Play, in the NICU setting, was quite different than the general hospital floors, as the patients should not be exposed to substantial amounts of stimuli, noise, or light. The general goal of the NICU is to permit the infants to grow and develop in an appropriate environment. Despite the variances, I incorporated play into my delivery of care in four ways – therapeutic touch, toys, movement, and communication. Therapeutic touch played a major component in the NICU, as these infants still desire the security and comfort that their mother’s womb provided. With healthy infants, tapping or softly rubbing an arm would be appropriate, but these actions could overstimulate infants in the NICU, as their brains still needs time to develop. Rather, therapeutic touch entails firmly placing your hand on the infant’s body, creating a sense of security and closure.

In light of this, music treatment can and regularly is utilized as a part of a wide assortment of utilizations. One basic application for music treatment is in working with mentally unbalanced people since research has found that music can help extremely introverted kids to convey what needs be. Moreover, music treatment has been found to help people with physical handicaps to grow better engine

The introductory unit to occupational therapy services in the neonatal intensive care unit (NICU) was highly informative and interesting along with being complex. A majority of the content from the Jane Case-Smith and Jane Clifford O’Brien chapter and the Dr. Pamela J. Kling lecture was very new for us and, therefore, was also very exciting. Our knowledge regarding the NICU has now grown after reading and listening to these great resources and we can now understand the specific causes, manifestation, diagnostic procedures and symptoms of a baby in need of spending time in a NICU. Additionally, we can figure out how daily occupations are possibly impacted by experience in a NICU along with the interventions that are commonly utilized by an OT in a NICU.