Developmental care for neonates 2016

Developmental Care for High Risk Neonates at NICUs

bull PRESENTED BYPRESENTED BYbull DrLamiaa Elsayedbull ASST Profof Pediatric Nursing

Lamiaa400yahoocom

Upgrading of Pediatric Nursing

Developmental Care for High Risk Neonates at NICUs

bull Introductionbull Future vision of pediatric nursingbull Concept of Developmental Care for

High Risk Neonates at NICUsbull Upgrading pediatric nursing in the

field of(Education Research Community services)

bull 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 tomorrowrsquos challenges

Upgrading of Pediatric Nursing

Developmental Care for High Risk Neonates at NICUs

bull High-risk neonate is newborn regardless of GA or birth wt who has a greater chance of morbidity amp mortality

bull Mortality rate of neonates is 118 per 1000 live births in Egypt Each year 15 million babies are born preterm around the world Premature baby(gt80) between 32 amp 37 wks of GA die for lack of simple essential care

Joy E Lawn etal(2013) Born Too Soon Care for the preterm babyPMC10(1)

NICUs EnvironmentEvidence based showed that unfavorable environment in the NICUs can negatively affect the infants growth with the brain being particularly vulnerable40 of neurodevelopment impairment in neonate occur at NICUs Optimal NICUs environment is crucial for the best neonatal outcome

bull Evidence based revealed that very

immature infant does not have the

developmental capacity to endure

environmental stresses that lead to

permanent harm amp increase morbidity

and possible mortality

Developmental care model is a way of nursing interventions for neonates at NICUs that focuses on neonate and familyrsquos needs that aimed to decrease neonatal stress at NICUs to allow optimal neurobehavioral development for neonate amp control of environmental stressors

Cochrane Database of Systematic Reviews 2006 - Systematic Reviews - Publisher John Wiley amp Sons Ltd athttpswwwevidencenhsukSearchq=developmentalcare of apreterm+newborn

Evidence benefits of developmental care for neonates

Improving high quality of care for neonatesReduce mortality and morbidity rate for

neonatesSupport physical mental and emotional

growthEnhance family social wellbeingEnhance physiological stability for neonates

amp protect sleep rhythms

Effect of Noise on

neonates at NICUs

Hazard of lightbull Neurological immaturity bull Brain impairmentbull Physiological instability bull Light affect on circadian

rhythm city and sleep bull GampDbull Retinopathy

Hazards of excessive handling

bull Physiological and behavioral disturbances

bull ICPamp ICHbull Increase REMbull Hypoxemia

RCochrane Database Syst Rev Symington A Pinelli J Developmental care for promoting development and preventing morbidity in preterm infants 2000)

Promoting Child Health

1-Kangaroo mother care (KMC)

2-(NNS) Non Nutritive sucking at the

Breast (pacifier

2-Massage

4-Parent Education amp Support

Upgrading of Pediatric Nursing

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 neonates at NICUs

Implementing developmental care can be challenging for pediatric nurse due to the large scope practices

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

Educational training center for advanced level nurses training necessary to provide developmental care at NICUs Continuous educational training program amp workshops to train specialized developmental care team

Role of pediatric Nurse

Role of pediatric NurseAchieve 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

FCC is the lsquogold standardrsquo 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

Encourage parents to provide supportive handling feeding positioning to minimize energy expenditure and technique of KCto enhance parentinfant bonding

Continues training program for nurses and parents amp administer booklets posters CD vediobrochures moduleshellip

SummaryThe nursing profession remains central to the interdisciplinary necessary to achieve care that is effective safe and efficientAll the change may not lead to progress there can be no progress without change

• Developmental Care for High Risk Neonates at NICUs
• Slide 3
• Slide 4
• Slide 5
• Slide 6
• Slide 7
• Slide 8
• Slide 9
• Slide 10
• Slide 11
• Slide 12
• Slide 13
• Slide 14
• Slide 15
• Slide 16
• Slide 17
• Slide 18
• Slide 19
• Slide 20
• Slide 21
• Role of pediatric Nurse
• Slide 23
• Health education
• Slide 25
• Slide 26