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Neonatal Network: NN

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https://www.readbyqxmd.com/read/27636700/news-of-the-academy-of-neonatal-nursing
#1
(no author information available yet)
No abstract text is available yet for this article.
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636699/continuing-education-course
#2
(no author information available yet)
No abstract text is available yet for this article.
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636698/adding-to-our-practice-toolkit-using-the-acts-script-to-address-stigmatizing-peer-behaviors-in-the-context-of-maternal-substance-use
#3
Lenora Marcellus, Elizabeth Poag
Infants with neonatal abstinence syndrome (NAS) are a growing population in the NICU setting, and nurses report that caring for families can be challenging. Women who are pregnant and newly parenting who use drugs and alcohol typically face significant negative attitudes, judgment, and stigma within their communities and from providers when they access health care. When nurses witness biased behavior or communication from their peers, they may feel distressed and unprepared to address the situation. Using script guides or structured communication frameworks (e...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636697/drug-screening-in-neonates
#4
Susan Givens Bell
Gestational substance exposure continues to be a significant problem. Neonates may be exposed to various substances including illicit drugs, prescription drugs, and other legal substances that are best not used during pregnancy because of their potential deleterious effects as possible teratogens or their potential to create dependence and thus withdrawal in the neonate. Screening the newborn for gestational substance exposure is important for both acute care and early intervention to promote the best possible long-term outcomes...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636696/pharmacotherapy-for-neonatal-abstinence-syndrome-choosing-the-right-opioid-or-no-opioid-at-all
#5
Christopher McPherson
Neonatal abstinence syndrome (NAS) from in utero opioid exposure has reached epidemic levels in the United States. Although nonpharmacologic therapies form the foundation of care, many neonates require pharmacotherapy. Morphine represents the most widely used first-line agent and effectively treats the symptoms of withdrawal. However, methadone or buprenorphine may facilitate earlier discharge. Although phenobarbital is traditionally used when opioids fail, clonidine may be a more appropriate adjunctive agent to minimize negative neurodevelopmental impact...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636695/nonpharmacologic-management-of-neonatal-abstinence-syndrome-an-integrative-review
#6
Lindy Edwards, Lisa F Brown
Neonatal abstinence syndrome (NAS) affects 3.39 in every 1,000 live births. A literature review was conducted to determine the varying types of nonpharmacologic management being used currently and its effect on the treatment of NAS symptoms. Fourteen articles were found that used nonpharmacologic management in the treatment of NAS. Therapies included breastfeeding, positioning, rooming-in, acupuncture/acupressure, and beds. Each of the nonpharmacologic therapies in these articles, with the exception of rocking beds, was shown to have a positive effect on the newborn with NAS...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636694/characteristics-of-maternal-infant-interaction-during-treatment-for-opioid-withdrawal
#7
Denise J Maguire, Susan Taylor, Kathleen Armstrong, Emily Shaffer-Hudkins, Rita DeBate, Aaron M Germain, Sandra S Brooks
PURPOSE: The purpose of this study was to describe the interactions between mothers in a methadone treatment program and their infants during a bottle feeding and compare the findings with normed data. DESIGN: A comparative-descriptive design was used. SAMPLE: Data from 12 opiate-exposed mother-infant dyads were compared with normed data. MAIN OUTCOME VARIABLE: Nursing Child Assessment Satellite-Training Scale scores...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636693/nicu-culture-of-care-for-infants-with-neonatal-abstinence-syndrome-a-focused-ethnography
#8
Monica Marie Nelson
PURPOSE: The purpose of this focused ethnography was to describe the culture of care and nonpharmacologic nursing interventions performed by NICU nurses for infants with neonatal abstinence syndrome (NAS). METHOD: Roper and Shapira's framework for the analysis included participant observation, individual interviews, and examination of existing documents. SAMPLE: Twelve full-time nurses were observed and interviewed. RESULTS: Results described the culture of care provided to infants with NAS by NICU nurses as evidenced by six themes: learn the baby (routine care, comfort care, environment, adequate rest and sleep, feeding), core team relationships (support, interpersonal relationships), role satisfaction (nurturer/comforter, becoming an expert), grief, making a difference (wonderful insanity, critical to them), and education and care of the mother...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636692/advertising-index
#9
(no author information available yet)
No abstract text is available yet for this article.
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636691/long-term-outcomes-of-infants-with-neonatal-abstinence-syndrome
#10
Denise J Maguire, Susan Taylor, Kathleen Armstrong, Emily Shaffer-Hudkins, Aaron M Germain, Sandra S Brooks, Genieveve J Cline, Leah Clark
Parents of infants with neonatal abstinence syndrome (NAS) in the NICU may have questions about the long-term consequences of prenatal exposure to methadone, both asked and unasked. Although the signs of withdrawal will abate relatively quickly, parents should be aware of potential vision, motor, and behavioral/cognitive problems, as well as sleeping disturbances and ear infections so their infants can be followed closely and monitored by their pediatrician with appropriate referrals made. Furthermore, this knowledge may inspire parents to enroll their infants in an early intervention program to help optimize their outcomes...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636690/ethical-considerations-for-perinatal-toxicology-screening
#11
Mindy G Kohsman
Neonatal nurses frequently care for babies who have been exposed in utero to potentially harmful substances, both licit and illicit. The risks to the fetus from nicotine, marijuana, alcohol, and opiates are significant. Adverse effects from environmental factors may confound pharmacologic effects of substances. Nurses are called to shift the perception of substance use disorder from that of willful harm to the fetus to that of an opportunity to provide treatment assistance that can positively affect child health and development...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636689/special-issue-on-neonatal-abstinence-syndrome
#12
Lenora Marcellus
No abstract text is available yet for this article.
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27636688/neonatal-abstinence-syndrome-a-growing-problem
#13
Karen D'Apolito
No abstract text is available yet for this article.
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27461205/news-of-the-academy-of-neonatal-nursing
#14
(no author information available yet)
No abstract text is available yet for this article.
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27461204/continuing-education-course
#15
(no author information available yet)
No abstract text is available yet for this article.
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27461203/postpartum-mood-disorders-screening-in-the-nicu
#16
Patricia Scheans, Rebecca Mischel, Margi Munson, Katya Bulaevskaya
Maternal depression is increasingly recognized as the leading complication of childbearing. A mother's mental health impacts the well-being and long-term outcomes of her children. This column will discuss a systematic approach to screening for maternal postpartum mood disorders (PPMDs) and referring women to resources according to an established algorithm. This work was undertaken in a tertiary referral NICU and performed by dedicated NICU personnel with the goals of optimizing NICU infants' outcomes and supporting maternal and family health and well-being...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27461202/systemic-corticosteroids-for-the-prevention-of-bronchopulmonary-dysplasia-picking-the-right-drug-for-the-right-baby
#17
Sara E Rostas, Christopher McPherson
Bronchopulmonary dysplasia is a morbidity of prematurity with implications into adulthood on respiratory and neurologic health. Multiple risk factors contribute to the development of bronchopulmonary dysplasia leading to examination of various strategies of prevention. Systemic corticosteroids are one prevention strategy with a large body of data, creating an ongoing controversy regarding the risks and benefits of therapy. Careful consideration of the available data along with the clinical characteristics of the individual infant is required before using this powerful therapy...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27461201/neoseal-to-prevent-nasal-injury-in-preterm-infants-receiving-oxygen-therapy
#18
Lina Kurdahi Badr, Mirvat Hasan Zeineddine, Hanan Abbas, Lama Charafeddine
PURPOSE: To determine if a foam septum protector prevents nasal injury in preterm infants receiving nasal heated humidified oxygen. DESIGN: A retrospective before and after comparative design was used. SAMPLE: Medical records of 101 preterm infants receiving either nasal continuous positive airway pressure (NCPAP) or nasal intermittent positive pressure ventilation (NIPPV) were reviewed; 50 were in the control group and 51 were in the intervention group that had the NeoSeal septum protector applied...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27461200/eating-in-sinc-safe-individualized-nipple-feeding-competence-a-quality-improvement-project-to-explore-infant-driven-oral-feeding-for-very-premature-infants-requiring-noninvasive-respiratory-support
#19
Stacey R Dalgleish, Linda L Kostecky, Noreen Blachly
Oral feeding is a developmental task for all premature infants. often, independent nipple feeding is the last barrier to discharge home from the NICU. A relationship exists between consistent, infant-driven feeding management practices and improved feeding performance. Conversely, a random approach to feeding may contribute to poor short-term and long-term clinical outcomes. We report a quality improvement project that was undertaken across five NICUs in an urban setting. our aim was to safely initiate and advance nipple feeding for very preterm neonates (born at <32 weeks gestation) who had a respiratory morbidity requiring nasal continuous positive airway pressure therapy...
2016: Neonatal Network: NN
https://www.readbyqxmd.com/read/27461199/an-integrated-review-of-intestinal-microbiota-in-the-very-premature-infant
#20
Melissa C Dollings, Lisa Brown
BACKGROUND: The intestinal microbiota is important for optimal intestinal function and protection against infection. Disruption of the intestinal microbiota has been linked to necrotizing enterocolitis (NEC) and late-onset sepsis (LOS). OBJECTIVES: To determine what is known about the intestinal microbiota of very premature infants. We describe the relationship of the intestinal microbiota to NEC and LOS and provide an overview of the effect of environmental factors...
2016: Neonatal Network: NN
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