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 …show more content…
The baby was then placed in a supine position for the subsequent kinesthetic stimulation phase. This phase contained five minutes, one-minute segments of six passive flexion/extension movements lasting approximately 10 seconds apiece for each arm, then each leg, and finally both legs together. The infant was then brought back to a prone position for the final tactile stimulation phase in which the procedure was repeated. The massage provided to infants according to the tactile/kinesthetic stimulation protocol used by Field et al. [13]. The massage was immediately discontinued if the infant showed signs of physiological distress ( heart rate less than 100 or greater than 200 beats per minute for 12 minutes or more, or arterial oxygen saturation levels less than 90% for longer than 30 minutes) [14]. This study planned that there is at least an hour delay before repeating the message after signs of distress, but none of the infants exhibited signs of physiological distress during the massage periods. Data collection was always initiated 1 hour after feed in the afternoon. The infant did not receive any procedure or handling for at least 10 minutes before the beginning of data collection, because the handling
Special care and attention must be given to infants in the Neonatal Intensive Care Unit (NICU) because of their small size and the health complications they face. One particular challenge faced by health care professionals in the NICU is the management of pain for preterm babies. Preterm infants must undergo a wide range of tests, procedures, and, often, life-saving measures during their hospitalizations, which not only subjects them to pain, but pain-related stress and anxiety. This has an impact on the infants themselves, as well as on the family members and friends who are involved in their care (Smith, Steelfisher, Salhi, & Shen, 2012). The purpose of this paper is to examine the problem of pain management among preterm NICU patients and propose the implementation of kangaroo care as a pain management technique.
There are more than 70% of premature babies that are born between 34 and 36 weeks gestation a year. When a baby is born early, or born with birth defects, the Neonatal Intensive Care unit is its first home. The nurse’s in the NICU have the difficult job of preparing baby’s and parents for a health life together. A baby who has been put into the NICU will stay there until it is healthy enough to go home.
The purpose of this to explore the published research to critically analyse the evidence around the topic of perineal massage in the intrapartum period, and why it is important for midwives to use evidence based practice in order to provide the best possible care.
This assignment describes my own reflective experience while caring for a sick neonate with Respiratory Distress Syndrome (RDS) in the neonatal unit. This has enabled me to explore the meaning and significance of my clinical practice and to recognise the complexities within it. The experience raises a number of issues frequently encountered in daily nursing practice. Within this assignment, I will be discussing a particular pre term baby with RDS and critically analyse the use of nasal continuous positive airways pressure (NCPAP) and surfactant therapy and possible effects on baby’s outcome. Pseudonyms will be used to maintain patient confidentiality in order to keep in with the nursing and midwifery council code of conduct. (NMC 2004)The
Every expecting mom-to-be loves a good massage. In fact, prenatal massages can prove themselves to be beneficial for easing many of the physical and emotional changes pregnancy brings about. A massage session can relive everything from stress to weight gain-related discomfort to anxiety. While there are some areas that are safe to massage during pregnancy – like tired, achy, overburdened legs, there are a few areas and pressure points that should be avoided. Let’s take a look at the benefits and at the areas to avoid.
Skin to skin contact immediately after birth provides comfort and stability for both mother and infant. Doing skin to skin contact immediately after birth in the
About a year ago, I came home from work one night and walked into the kitchen to where my mother was standing. There was a feeling of uneasiness and the panic began to clench my stomach. She looked so sad, so stressed; maybe it was the frizzy hair, the bags beneath her eyes, the way her back slouched in a low negative curve, or her eyes. Her eyes looked at me before she turned them away, but in that fragment of a second, it’s almost like I could look inside her narrow eyes and search until I would come upon this thing. This thing has no name, but it scares her. She wouldn’t exactly explain to me what it was but I felt the sudden movements of uncertainty with the way she shifted her body and
Respiratory therapists have one of the most exciting and gratifying careers within the medical field. Unfortunately as with any other job or career, it doesn’t come without having challenging times. Respiratory therapists work along-side physicians and are highly trained to treat patients with any sort of lung concern or breathing complications. This job requires hands on care, and deals with life and death daily. One specific scope of this field involves caring for patients (of all ages) attached to mechanical ventilation. It is the respiratory therapists’ responsibility to remove assistive ventilation to patients with written order from the doctor; which ultimately results in death of the patient (Keene, Samples, Masini, Byington).
I have always felt that the simple action of human touch is an underrated aspect of our lives. Only now, with the advances in neuroscience, we are finally able to prove the science behind why touch is so important in our lives. For the purposes of this paper, I will be focusing on the benefits of touch for infants and small children. I think that a lot of people don’t realize how important it is to have touch in our lives. I have always been interested in the ways the simplest of human contact like a hand on a shoulder or a hug can change people’s lives for the better. It is easy for those of us who have lots of physical touch in our lives to imagine that there are people out there who don’t get any
By entering the field of respiratory therapy, one is entering a growing field of opportunity. There are continually emergent job opportunities in this field whereas there is also a rise of growth in the technology and developments in the field such as medicines, techniques, and other aspects.
There are seven main principles in the Neonatal Integrative Developmental Care Model: a healing environment, partnership with family, positioning and handling, safeguarding sleep, minimizing stress and pain, protecting skin, and optimizing nutrition. These seven measures are used to provide optimal health care, both long term and short term, for premature infants. One of the most important elements of healing for premature infants is skin to skin contact. The Neonatal Integrative Developmental Care Model includes neuroprotective techniques to produce a combination of neurological, physical, and emotional development and avoid the development of disabilities. Parents are able to restore their parent-infant attachment, in this model, which helps both infants and parents health. NICU staff are not taught the neuroprotective skills during their training but have to be further educated. In order to ensure an optimal NICU, all NICU staff should be taught these skills during their training. Developmentally supportive care should be seen as a necessity not as an option. Optimal health care for premature infants also depends on the leadership and passion of NICU staff. There needs to be role model staff members that will train and set a high standard for other NICU member. (Altimier, L., & Phillips, R.
After the delivery, the heat from the mom’s body can warm the baby and maintains the baby’s body temperature. For instance, when nursing students were at the operating room at Saint Peter’s Hospital during the C-section delivery, as soon as the baby was out, the doctor placed the newborn on the mother’s chest. When the mother was alert and awake during the C-section made it possible for the baby to stay on her chest on the first hours after the birth. It was one of the most beautiful moments in life. Nevertheless, there was another C-section birth of diabetic mother. She was not fully awake during the C-section and the doctor only did not promote skin-to-skin mother and the newborn. The doctors and nurses at Saint Peter’s Hospital support and encourage skin-to-skin for mother and newborn right after the birth if there is no complication on mother or baby or when the condition is possible. Saint Peter’s Hospital has policy for vaginal delivery, “all infants that meet the criteria for initiate skin-to-skin care shall have skin-to-skin care implemented as the standard of care immediately after birth and as needed thereafter regardless of feeding preference”. They promote skin-to-skin contact between mother and baby immediately after delivery. However, mothers and babies have a physiologic need to be together during the minutes, hours, and days following birth, and this time together significantly improves maternal and newborn outcomes.
I then needed to carry out a respiratory assessment. I observed Mr Brown’s chest for any visible signs of scars or trauma. This appeared normal.
Respiratory Therapy is a health profession that specializes in Cardio Pulmonary functions and health. Respiratory therapists help with prevention, assessing patients, treatment, diagnostic evaluation, education, and care. They treat patients from all ages, from babies to the elderly. The requirements in becoming a Respiratory Therapist are taking Human Anatomy, Chemistry, Pharmacology, Microbiology, and Mathematics at a high school or college level. To begin the Respiratory Therapy Program out of high school you have to have a C or better in Chemistry, Anatomy, Algebra 2 minimum, and English. If these courses were not taken in high school, they would need to be taken at the college level to complete the prerequisites to apply for
Mothers and newborns also seem to gain from massage; for example, mothers that massage their infants may feel less depressed and have a stronger emotional bond with their babies. Plus, newborns who receive massage from their mothers tend to cry less, be more alert, active, and sociable. Premature babies who are given massage therapy may gain weight faster than preemies that are not given this type of therapy. Also, infants who receive massage frequently tend to sleep better, be less gassy or colicky, have better body awareness, and a more regular digestion. Studies have also shown that massage may be a helpful treatment for young children and adolescents with a wide range of health problems, including: Autism, Eczema, Attention deficit hyperactivity disorder,