Trauma Informed Care In The Nicu

This innovative book for Neonatal Nurses and NICU clinicians provides evidence-based clinical guidelines proven to mitigate and reduce the often profound trauma experience and subsequent developmental challenges for vulnerable hospitalized infants and their families. Each in-depth guideline includes the latest scientific research explaining the clinical rationale for the recommended practices, associated short-term and long-term outcomes, and implementation strategies to support practice improvement. The text reflects a trend —the provision of trauma-informed care in the neonatal intensive care unit--that has recently gained increasing momentum. With endorsements by respected transdisciplinary neonatal clinicians, it 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, Age-Appropriate Infant Guided Feeding, and Family-Integrated Care. The book also features downloadable sample competencies and parent teaching guides, along with additional eLearning modules with Nursing CE. A self-assessment checklist and teaching sheets, sample competencies, and sample algorithms add to the book’s utility. Key Features: Provides clinically relevant, evidence-based practice guidelines for minimizing trauma in neonates Encompasses the five core measures for age-appropriate care Includes proven implementation strategies to facilitate practice transformation Offers downloadable sample competencies and parent teaching guides and eLearning modules with Nursing CE Reviewed and endorsed by transdisciplinary neonatal clinicians [EN1] Not sure I like this word – maybe a development, awareness, etc.?

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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

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Studies of traumatic stress, attachment, and neurobiology confirm the importance of the mother and child bond for life-long health. Yet intergenerational cycles of childhood maltreatment and psychiatric vulnerability may endanger that bond to warrant a prevention approach. Trauma-informed care and interventions in maternity services may be needed.

"Although the benefits of psychological consultation in the pediatric setting are well established, a gap often exists between the demand for these services and funding. We have embarked on our longstanding goal to develop a group-based intervention model for parents of premature infants, adapting our manual of individual trauma-focused cognitive behavioral therapy to help reduce feelings of parental isolation. This book describes a more global approach to psychological consultation in the NICU integrating interventions that begin prior to the infant's conception and extend well beyond the NICU hospitalization. Chapter 1 provides a context and review of the medical aspects of the NICU environment and the neurodevelopmental consequences of prematurity. In Chapter 2 reviews the common psychological reactions of mothers of premature infants, including specific risk factors associated with maternal psychological distress. It also discusses the relationship between parental posttraumatic stress and infant outcomes as it relates to such issues as breastfeeding, maternal-infant interaction, attachment, and infant development. Chapter 3 describes the form and prevalence of symptoms of paternal psychological distress and outline a curriculum for a group-based intervention specifically designed to address fathers' concerns. Chapter 4 addresses developmental care interventions that overlap with interventions more narrowly focused on parental psychological distress. Chapters 5 and 6 describe our intervention model in both the individualand group therapy formats. Chapter 7 addresses vulnerable child syndrome, which is associated with adverse developmental outcomes in children as well as overutilization of health care resources. Application of the trauma model to the concept provides a framework to understand how parental behavior is altered in the context of trauma. Finally, Chapter 8 discusses how to implement a psychological intervention program in the NICU that includes screening the parents of premature infants for symptoms of psychological distress"--

The most comprehensive book available on neonatal intervention, this in-depth resource gives professionals the strong foundation of clinical knowledge they'll need to work with high-risk newborns. With a unique developmental and therapeutic perspective that sets it apart from other texts on the subject, the book is filled with research findings and practical guidelines clinicians will use to promote the well-being of infants in the NICU and to involve and support their families. In-service and preservice professionals will benefit from an exploration of different developmental models for neonatal intervention an overview of medical conditions of newborns and commonly used interventions a synopsis of the functional abilities of premature infants discussion of crucial elements within the NICU environment, including teamwork, equipment, and sources of support detailed guidelines for positioning and feeding a model for family-centered care guidance on assessing behavior and development suggestions for working with infants with prolonged NICU stays tips on easing the transition from hospital to home information on following up with high-risk infants The overviews, learning objectives, and case stories in each chapter make this an ideal textbook for new and future clinicians, and the guidelines for everyday practice make it a reference professionals will use again and again as they work with high-risk infants and their families.