Care Coordination In The Nicu

Focuses on nurturing the emotional health of patients and families to ensure improved outcomes This innovative clinical practice resource for neonatal nurses embodies family-centered care strategies for optimal outcomes through every phase of the NICU experience. While rigorous programs provide the knowledge and skills to care for the physical needs of high-risk mothers and neonates, NICU practitioners often find themselves unprepared to support the emotional health of these patients and their families. Care Coordination in the NICU provides the education, inspiration, and resources to NICU health professionals so they can learn how to be emotionally supportive to their patient’s entire family unit. The book addresses a variety of challenging patient and family issues that occur in the NICU as they relate to care coordination throughout the process. Each chapter focuses on a particular area of the perinatal/neonatal family journey, and includes current medical research, clinical examples, and recommendations for best practice alongside case studies that depict families experiencing a perinatal challenge. Most valuable of all, each chapter also includes stories directly from the source, the families, who have experienced the fear, isolation, and uncertainly of an NICU experience, and have greatly benefited from the emotional support of caring practitioners. Key Features: Examines the gamut of challenging patient and family issues that occur in the NICU as they relate to care coordination throughout the process Helps practitioners to incorporate family-centered care into their daily practices Discusses effective listening and communication strategies for families in crisis Includes examples of practice improvement strategies to improve clinical outcome and reduce the risk of re-hospitalization Provides a Case-Based Learning section depicting real-world scenarios for discussion and problem-solving Includes links to abundant resources and educational material Contains chapters on palliative care and bereavement and supporting patients with special challenges.

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Our understanding of the management of diseases in the premature infant has changed dramatically in recent years, and it can be quite difficult to remain up-to-date on changes in this highly scientific field. Dr. Brodsky and Ms. Ouellette have worked together to create a comprehensive reference that covers both the pathophysiology and epidemiology of problems occurring in premature babies in the Neonatal Intensive Care Unit, and the management of these problems once the infant has been released from the NICU to a community practice. The book emphasizes specific diseases that affect premature infants and focuses on two primary categories: background and management in the NICU, and management of specific illnesses after discharge from the NICU. Find information quickly using an up-to-date summary of the problems that are likely to affect the premature infant.Review helpful guidelines on feeding and growth, neurologic outcomes, developmental problems, retinopathy of prematurity, bronchopulmonary dysplasia, and much more. Use easy-to-follow management algorithms to help diagnose and manage common issues in premature infants after discharge.Make effective decisions about screening, immunizations, counseling of parents, and more..Help families deal with the emotional impact of caring for a premature infant..Access a list of disease-specific websites for clinicians and families.

A comprehensive examination of neonatal nursing management from a physiologic and pathophysiologic approach. The book features a complete physiologic and embryonic foundation for each neonatal system as well as coverage of associated risk factors, genetics, critical periods of development, nutrition and parenting.

Written for neonatal nurses and NICU clinicians, this innovative book provides evidence-based guidelines and clinical practice recommendations that have been proven to mitigate the trauma experience of the hospitalized infant–family dyad. Including updated, evidence-based, age-appropriate care core measure attributes and criteria, these in-depth guidelines transform the NICU culture of care for measurable and sustainable results. Featuring the latest scientific research to support and explain the best practice recommendations and clinician and parent resources, the text outlines implementation strategies to support the adoption of trauma-informed, age-appropriate care in the NICU. The text reflects a growing awareness of the impact of early life adversity on the developing human being in the NICU. Substantiated by the converging multidisciplinary research on the science of human development, the provision of trauma-informed care in the NICU reduces the strain on the hospitalized infant and family. With endorsements by respected transdisciplinary neonatal clinicians, this text provides guidelines that encompass the five core measures for age-appropriate care, including the healing environment, pain and stress, protected sleep, activities for daily living, and family collaborative care. The book also features downloadable sample competencies, algorithms, and parent teaching guides, along with additional e-learning modules for continuing nursing education. A self-assessment checklist, allowing the rating of current practice related to the core measures for age-appropriate care, adds to the book's utility. KEY FEATURES: Provides clinically relevant, evidence-based practice guidelines aimed at minimizing the trauma experience of the hospitalized neonate and family Presents evidence-based updates to the five core measure sets for age-appropriate care in the NICU Introduces proven implementation strategies to facilitate practice transformation Offers downloadable sample competencies, algorithms, parent teaching guides, and e-learning modules with CE credit Reviewed and endorsed by transdisciplinary neonatal clinicians

"The availability of services provided by psychologists in perinatal care is a relatively recent event. It remains uncommon for a neonatal intensive care unit (NICU) to have a psychologist as a dedicated staff member, although the number of NICU psychologists is increasing. This volume is primarily concerned with perinatal services provided by psychologists. I do, however, want to make note at the beginning of the valuable role of social workers as a complement to the care offered by psychologists. Social workers have been available in NICUs since the mid-1960s. The National Association of Perinatal Social Workers (NAPSW) was founded in 1980 to help standardize training and services. The initial focus of perinatal social workers was service delivery in the NICU, but social work services soon spread to antepartum care and follow-up. NAPSW has published an excellent set of standards for a variety of activities including fertility counseling, bereavement, obstetric settings, adoptions, field education, and surrogacy. Some activities of social workers overlap with those of psychologists, but each discipline has its own set of unique skills. Social workers are often involved in case and crisis management, bedside family support, and discharge planning in the NICU"--

This book examines the role of Neonatal Intensive Care Units (NICUs) and follow-up clinics in addressing the complex developmental, behavioral, social, and medical needs of at-risk infants through early intervention and medical subspecialties. It describes the necessary functional components of follow-up clinics and challenges in establishing and running multidisciplinary clinics in an area of difficult heath care financing. Chapters provide essential guidelines for determining which neonates will need follow-up care, evaluating for neurodevelopmental delays and medical and behavioral impairment and disability, and estimating how long intervention and further follow-up will be required. Chapters also discuss organization, staffing, funding, testing protocols, and coordination with other programs and care facilities, particularly early intervention and the medical home. In addition, the book offers best practices for fostering optimal development for individual infants and high-risk populations while raising standards for neonatal care and creating a smooth transition to appropriate subsequent care. Topics featured in this book include: Developmental care in the nursery. Utilizing neonatal brain imaging to predict neurodevelopmental outcomes of NICU infants. Genetic considerations in infants with congenital anomalies. The HRIF clinic organization model. Issues common in neurodevelopmental testing of premature infants. The impact of environmental risks, such as parental distress and in-utero drug exposure, to infant neurodevelopment. Follow-Up for NICU Graduates is a must-have resource for researchers, practitioners, and graduate students in developmental psychology, pediatrics, neuroscience, obstetrics, nursing, and related disciplines.

This edition of the Manual of Neonatal Care has been completely updated and extensively revised to reflect the changes in fetal, perinatal, and neonatal care that have occurred since the sixth edition. This portable text covers current and practical approaches to evaluation and management of conditions encountered in the fetus and the newborn, as practiced in high volume clinical services that include contemporary prenatal and postnatal care of infants with routine, as well as complex medical and surgical problems. Written by expert authors from the Harvard Program in Neonatology and other major neonatology programs across the United States, the manual’s outline format gives readers rapid access to large amounts of valuable information quickly. The Children’s Hospital Boston Neonatology Program at Harvard has grown to include 57 attending neonatologists and 18 fellows who care for more than 28,000 newborns delivered annually. The book also includes the popular appendices on topics such as common NICU medication guidelines, the effects of maternal drugs on the fetus, and the use of maternal medications during lactation. Plus, there are intubation/sedation guidelines and a guide to neonatal resuscitation on the inside covers that provide crucial information in a quick and easy format.