Decreasing Pharmacotherapy and Transforming Care of Infants with Neonatal Opioid Withdrawal Syndrome PDF Download
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Author: Glen R. Dopp (Jr)
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Opioid addiction has become an issue throughout the United States. The prevalence ofpharmacotherapy treatment in newborns withdrawing from opioids remains high in theUnited States, and each year millions of funds are spent caring for infants impacted byNeonatal Opiate Withdrawal Syndrome (NOWS). The nurse practitioner (NP) identifiedand implemented a system change for the care and treatment of infants with NOWS alsoknown as Neonatal Abstinence Syndrome (NAS). He also addresses complications withthe current Finnegan Neonatal Abstinence Syndrome assessment tools and treatmentprotocol in a Midwest health care facility. The NP implemented a new system changecalled Eat, Sleep, and Console that included the creation of policies, protocols, andalgorithms; education of clinicians and families; and the formation of communitycollaborations to improve and support families of infants impacted by NOWS. Educationfor staff to break down biases and judgements was also provided and resulted in deliveryof effective, high quality, and culturally congruent care in an improved environment. Thenursing theory utilized to guide this system change was Dr. Leininger's Theory ofCultural Care Diversity and Universality, also known as the Cultural Care Theory. Theimplications of this system change resulted in reduction in pharmacotherapy and lengthof stay for infants suffering from NOWS.Keywo' rds: NOWS, NAS, neonatal abstinence syndrome, drug-addicted newborn,treatment of NAS, neonatal opioid withdrawal syndrome, MAT, suboxone/methadoneprogram, ESC, eat sleep console.
Author: Glen R. Dopp (Jr)
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
Opioid addiction has become an issue throughout the United States. The prevalence ofpharmacotherapy treatment in newborns withdrawing from opioids remains high in theUnited States, and each year millions of funds are spent caring for infants impacted byNeonatal Opiate Withdrawal Syndrome (NOWS). The nurse practitioner (NP) identifiedand implemented a system change for the care and treatment of infants with NOWS alsoknown as Neonatal Abstinence Syndrome (NAS). He also addresses complications withthe current Finnegan Neonatal Abstinence Syndrome assessment tools and treatmentprotocol in a Midwest health care facility. The NP implemented a new system changecalled Eat, Sleep, and Console that included the creation of policies, protocols, andalgorithms; education of clinicians and families; and the formation of communitycollaborations to improve and support families of infants impacted by NOWS. Educationfor staff to break down biases and judgements was also provided and resulted in deliveryof effective, high quality, and culturally congruent care in an improved environment. Thenursing theory utilized to guide this system change was Dr. Leininger's Theory ofCultural Care Diversity and Universality, also known as the Cultural Care Theory. Theimplications of this system change resulted in reduction in pharmacotherapy and lengthof stay for infants suffering from NOWS.Keywo' rds: NOWS, NAS, neonatal abstinence syndrome, drug-addicted newborn,treatment of NAS, neonatal opioid withdrawal syndrome, MAT, suboxone/methadoneprogram, ESC, eat sleep console.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309486483
Category : Medical
Languages : en
Pages : 175
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Book Description
The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309459540
Category : Medical
Languages : en
Pages : 483
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Book Description
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Author: World Health Organization
Publisher:
ISBN: 9789241548731
Category : Medical
Languages : en
Pages : 37
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Book Description
These guidelines have been developed to enable professionals to assist women who are pregnant, or have recently had a child, and who use alcohol or drugs or who have a substance use disorder, to achieve healthy outcomes for themselves and their fetus or infant. They have been developed in response to requests from organizations, institutions and individuals for technical guidance on the identification and management of alcohol, and other substance use and substance use disorders in pregnant women. They were developed in tandem with the WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy.
Author: John N van den Anker
Publisher: Elsevier Health Sciences
ISBN: 1455747386
Category : Medical
Languages : en
Pages : 255
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Book Description
The need for safe and effective use of medicines in children and WHO's initiative "Make Medicines Child Size" have boosted research and educational activities in the area of pediatric clinical drug research. This issue focuses on both general and specific aspects of neonatal and pediatric clinical pharmacology including ethics, pharmacogenomics, metabolomics, adverse drug reactions, pain medication, pulmonary hypertension and several other hot topics. The editors have been able to find outstanding authors for the different parts on neonatal and pediatric pharmacology.
Author: Connie Lillas
Publisher: National Geographic Books
ISBN: 0393704254
Category : Psychology
Languages : en
Pages : 0
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Book Description
A groundbreaking neuroscientific understanding of infant and child development, including a CD-ROM with supplementary worksheets, figures and tables. When early interventions with children fail, clinicians wonder: How could things have been different? The answers seem obvious at first, but a little reflection begins to unveil just how complicated this question really is. Who should have been included in the treatment? With what professionals and using what approaches? When should intervention have occurred? Each question involves a spectrum of both personal and societal issues, which is perhaps why problems that are so widely acknowledged remain so widely ignored. Often, a family is not aware that their story could have had a different ending. So, in response to the critical need for a more cohesive system of care for our youngest patients, this book presents a conceptual framework for interdisciplinary collaboration. Examining the issues of infant mental health and early intervention from a brain-based perspective—one that cuts across all domains—addresses the need for individual practitioners to incorporate the whole picture in relation to their part in assessing and intervening with each individual child and parent, and provides a global framework for team collaboration.
Author: Alan David Kaye
Publisher: Cambridge University Press
ISBN: 1107682894
Category : Medical
Languages : en
Pages : 547
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Book Description
Edited by internationally recognized pain experts, this book offers 73 clinically relevant cases, accompanied by discussion in a question-and-answer format.
Author: Jacqueline Burchum
Publisher: Elsevier Health Sciences
ISBN: 0323370004
Category : Medical
Languages : en
Pages : 321
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Book Description
Complex pharmacologic information is simple to learn with this complete study resource! Designed to accompany Lehne’s Pharmacology for Nursing Care, 9th Edition, this robust workbook features critical thinking study questions, case studies, and patient teaching scenarios that help you connect pharmacology concepts with their impact on patient care. Plus, an emphasis on priority nursing care with NCLEX examination-style review questions prepares you for success on the exam. NCLEX Examination-style questions are included in each chapter. NEW! NCLEX-style alternate format questions including prioritization questions, bolster your readiness for the NCLEX Exam while supporting review of core pharmacology content NEW! Increased emphasis on patient safety features questions on safe patient care that challenge you to select appropriate actions to prevent or remediate medication errors. NEW! Detailed rationales for all prioritization questions are included in the answer key and encompass explanations for both correct and incorrect responses.
Author: T. Berry Brazelton
Publisher: Routledge
ISBN: 0429920512
Category : Psychology
Languages : en
Pages : 144
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Book Description
Never before has research on newborn behavior and parent-infant interaction been fully integrated with psychoanalytic insight into parents' emotions and fantasies. This book provide a vivid glimpse of the parents' daydreams and narcissistic wishes which grow into a desire for a child, and they show how these feelings develop into important attachments to the unborn infant during pregnancy. The "power and competence" of the newborn born then challenges parental fantasies, desires, wishes and expectations, creating the beginnings of the bond between parent and child. Using the latest research, the authors clarify all the ways the infant participates in the dawning relationship and the ingredients of very early communication and interaction. They then unveil the "imaginary interactions" which lend meaning and drama to each gesture and expression. We see the baby as Tyrant, as Savior, or as the reincarnation of lost relationships. Everyone who cares for mothers and babies-pediatricians, developmental and clinical psychologists, psychiatrists, early childhood specialists, nurses and social workers-as well as interested parents, will find this book of immediate value.
Author: Stanley Zaslau
Publisher: Lippincott Williams & Wilkins
ISBN: 1469825996
Category : Medical
Languages : en
Pages : 319
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Book Description
Lippincott's Illustrated Q&A Review of Pharmacology offers up-to-date, clinically relevant board-style questions—perfect for course review and board prep. 1,000 multiple-choice questions with detailed answer explanations cover frequently tested topics in pharmacology, including questions related to clinical topics and divided by body systems. The book features full-color illustrations and offers flexible study options with online access to the questions and answers on a companion website.
