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Developmental care for neonates 2016

Developmental care at NICU

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Developmental care for neonates 2016

  1. 1. Developmental Care for High Risk Neonates at NICUs • PRESENTED BYPRESENTED BY: • Dr.Lamiaa Elsayed • ASST. Prof.of Pediatric Nursing Lamiaa400@yahoo.com Upgrading of Pediatric Nursing
  2. 2. Developmental Care for High Risk Neonates at NICUs
  3. 3. • Introduction. • Future vision of pediatric nursing • Concept of Developmental Care for High Risk Neonates at NICUs. • Upgrading pediatric nursing in the field of(Education ,Research, Community services)
  4. 4. • Health and wellbeing of our children is an investment in our field for generations to come. Investing in child health is an investment upstream. pediatric nurses graduates should be well prepared for tomorrow’s challenges. Upgrading of Pediatric Nursing
  5. 5. Developmental Care for High Risk Neonates at NICUs
  6. 6. •High-risk neonate is newborn regardless of GA or birth wt. who has a greater chance of morbidity & mortality.
  7. 7. • Mortality rate of neonates is 11.8 per 1,000 live births in Egypt. Each year 15 million babies are born preterm around the world. Premature baby(>80%) between 32 & 37 wks of GA die for lack of simple essential care. Joy E Lawn etal.,(2013): Born Too Soon: Care for the preterm baby.PMC.,10(1)
  8. 8. NICUs Environment Evidence based showed that unfavorable environment in the NICUs can negatively affect the infant's growth, with the brain being particularly vulnerable.40% of neurodevelopment impairment in neonate occur at NICUs. Optimal NICUs environment is crucial for the best neonatal outcome.
  9. 9. • Evidence based revealed that very immature infant does not have the developmental capacity to endure environmental stresses that lead to permanent harm & increase morbidity and possible mortality.
  10. 10. Developmental care model is a way of nursing interventions for neonates at NICUs that focuses on neonate and family’s needs that aimed to decrease neonatal stress at NICUs to allow optimal neurobehavioral development for neonate & control of environmental stressors. Cochrane Database of Systematic Reviews 2006 - Systematic Reviews - Publisher: John Wiley & Sons, Ltd at: https://www.evidence.nhs.uk/Search?q=developmentalcare of apreterm+newborn
  11. 11. Evidence benefits of developmental care for neonates
  12. 12. Improving high quality of care for neonates Reduce mortality and morbidity rate for neonates. Support physical, mental, and emotional growth. Enhance family social wellbeing. Enhance physiological stability for neonates & protect sleep rhythms.
  13. 13. Effect of Noise on neonates at NICUs
  14. 14. Hazard of light • Neurological immaturity • Brain impairment • Physiological instability • Light affect on circadian rhythm city and sleep • G&D. • Retinopathy Hazards of excessive handling • Physiological and behavioral disturbances • ICP& ICH • Increase REM • Hypoxemia R.Cochrane Database Syst Rev Symington A, Pinelli J. . Developmental care for promoting development and preventing morbidity in preterm infants.. 2000).
  15. 15. Promoting Child Health
  16. 16. 1-Kangaroo mother care (KMC). 2-(NNS) Non Nutritive sucking at the Breast (pacifier 2-Massage. 4-Parent Education & Support
  17. 17. Upgrading of Pediatric Nursing
  18. 18. SO we observe: Little attention was giving to environmental stressor and developmental care benefits in nursing curricula.  Growing awareness of the importance of developmental care for
  19. 19. Implementing developmental care can be challenging for pediatric nurse due to the large scope practices.
  20. 20. Role of pediatric Nurse Designs Developmental Care Guidelines for Used in the Newborn Intensive Care Unit (NICUs). Prepare Pediatric nurses through improving awareness knowledge and practices regarding benefits of developmental care for neonates. Training core group who will become developmental care model trainers
  21. 21. Educational training center for advanced level nurses training necessary to provide developmental care at NICUs.  Continuous educational training program & workshops to train specialized developmental care team. Role of pediatric Nurse
  22. 22. Role of pediatric Nurse Achieve core developmental care competencies for pediatric nurses and documented at procedures log book. Support child Family-centered care - child and their families are considered integral components of the healthcare decision making.
  23. 23. FCC is the ‘gold standard’ of care that working as a team with parents and involve parents in babies care and guide them to make decisions. Work in interdisciplinary teams - cooperate, ,communicate, and integrate care in teams to ensure that care is continuous.
  24. 24. Encourage parents to provide supportive handling, feeding, positioning to minimize energy expenditure and technique of KC.to enhance parent/infant bonding. Continues training program for nurses and parents & administer booklets ,posters, CD, vedio,brochures, modules…
  25. 25. Summary The nursing profession remains central to the interdisciplinary necessary to achieve care that is effective, safe, and efficient. All the change may not lead to progress, there can be no progress without change.

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Developmental care at NICU

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