The Relationship Between Hospital Construction and High-Risk Infant Auditory Function at NICU Discharge: A Retrospective Descriptive Cohort Study PDF Download
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Languages : en
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Author: Kristen L. Mauk
Publisher: Jones & Bartlett Learning
ISBN: 1284203999
Category : Medical
Languages : en
Pages : 456
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Designed to be a student-friendly textbook for faith-based schools, this first edition text focuses on nursing as ministry, not just spiritual care.
Author: Liza Michelle Creel
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Languages : en
Pages :
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Hearing loss affects approximately 1-3 live births per 1,000. Infants admitted to the NICU are at greater risk of hearing loss than infants in the newborn nursery. Family history, as well as very low birth weight and exposure to certain therapies such as assisted ventilation, are also risk factors associated with hearing loss. Many states mandate newborn screening for hearing loss after birth due to evidence that early diagnosis and intervention improve communication skills and school performance, but following these infants over time can be challenging. This retrospective study describes temporal trends in primary screening outcomes including screening rates, loss to follow-up, and screen sensitivity and specificity. It also evaluated the likelihood of newborn hearing screening, loss to follow-up, false-positive and false-negative results, as well as hearing loss diagnosis among at-risk infants. Time-to-diagnosis for infants with and without screening was also assessed. The study utilizes a database of births and follow-up encounters for infants born in a large Texas integrated health system between 1996 and 2007. Most newborn hearing screening program outcomes have improved since implementation in 1996. Outcomes differ by group, with black infants having higher probabilities of being lost to follow-up and receiving a false-positive result, but a lower probability of hearing loss than the overall study population. Infants diagnosed with persistent pulmonary hypertension had a higher probability of a false-negative result. Infants with craniofacial anomalies and neonatal infections have 5-7 times higher probability of hearing loss than those without the diagnoses. The overall incidence of hearing loss among the study population was 5%. Survival estimates demonstrate that infants identified through screening have a higher probability of early diagnosis. Infants with false-negative screens have the same probability of early diagnosis as infants with no screen. The study findings can inform both policy and practice. Newborn hearing screening leads to earlier diagnosis of infants with hearing loss, but improving targeted follow-up of high risk NICU infants may lead to earlier diagnosis of infants with delayed onset of hearing loss. Community-based providers can monitor high risk NICU infants after discharge for potential hearing loss.The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/155380
Author: Lynn G. Spivak
Publisher: Thieme
ISBN: 9780865776999
Category : Hearing disorders in infants
Languages : en
Pages : 296
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Following the NIH recommendations of 1993, most U.S. hospitals now carry out Universal Newborn Hearing Screening. This new book-the first complete guide to this expanding field-provides detailed information on staff training, data collection, quality control measures and other UNHS issues. Practical and up-to-date, the book is a must for all specialists concerned with the development and management of newborn screening programs. The only book to combine specific management tips with the first-hand experience of seasoned UNHS professionals, this book should be in the collection of all audiologists, physicians, nurses and hospital administrators.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030910159X
Category : Medical
Languages : en
Pages : 791
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The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.
Author: Cynthia Leigh Ault
Publisher:
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Languages : en
Pages : 0
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"Parents often feel ill-prepared to care for their high-risk infant after discharge from the neonatal intensive care unit (NICU). The discharge process at the project facility was unscripted, disorganized and lacked centralized documentation of parent education, making continuity of care more difficult. Without a structured discharge process, parents and staff struggled with discharge readiness. Successful discharge from the neonatal intensive care unit was hindered when parent education was delayed until imminent discharge. Best practices for the discharge planning process identified qualitative descriptive studies to gain a better understanding of parent perspectives and perceived ideology of the discharge process. Emerging themes included parents seeking clarity of parent role within NICU, parent empowerment, and a structured discharge process. The purpose of the quality improvement project was to increase parent discharge readiness by creating a standardized family-centered discharge checklist outlining timelines for parents to perform specific infant care. The timeline on the checklist provided opportunities for early parent participation in infant care and provided a structured discharge planning process. Parent's adherence rates of performing infant care were measured against timelines outlined on the family-centered discharge checklist. Overall, early parent participation in infant care improved. Prior to project implementation, most of the discharge teaching was achieved on the day of discharge. It is imperative that best practices for NICU infant discharge continues to benefit the parent's readiness in the home setting and optimize health outcomes for the infant. Key words: neonate, medically complex infant, discharge planning, family teaching, transition in care, parent education " -- Abstract
Author: C. Rudolph
Publisher: Praeger
ISBN:
Category : Family & Relationships
Languages : en
Pages : 234
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Within the past two decades, dramatic advances in medical technology have led to a complete restructuring of medical care services for pregnant women and their newborns. Regionalization provides a full accountant of this new system known as regionalized perinatal care. Perinatologists, epidemiologists, public health administrators, and anyone involved with maternal-child care will find in this book, practical answers to their questions.
Author: Deborah Hayes
Publisher: Singular
ISBN:
Category : Family & Relationships
Languages : en
Pages : 432
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CONTENTSForeword by Marion P. Downs, D.H.S. Perspectives on Infant Hearing. The Quest for Early Identification of Hearing Loss. Components of an Infant Hearing Program. Clinical Aspects of Hearing in Infants. Clinical Genetics. Human Development Before Birth, Care of Premature and Critically Ill Newborns. Disorders Affecting Newborns and Infants. Evaluation and Management. Hearing Screening. The Hearing Evaluation of Infants. Comprehensive Assessment of Infants with Hearing Loss. Habilitation and Amplification for Infants. Index.
Author: Jacquelyn Fuentes Stonnell
Publisher:
ISBN:
Category :
Languages : en
Pages : 96
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Author: Sandra E. Trehub
Publisher: Springer Science & Business Media
ISBN:
Category : Medical
Languages : en
Pages : 260
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The small but growing body of information about auditory processes in infancy is a tribute to the ingenuity and persistence of investigators in this realm. Undeter red by the frequent expressions of boredom, rage, and indifference in their subjects, these investigators nevertheless continue to seek answers to the intrigu ing but difficult questions about the course of auditory development. In the spring of 1981, a group of leading scholars and researchers in audi tion gathered to discuss the topic, Auditory Development in Infancy, at the 11th annual psychology symposium at Erindale College, University of Toronto. They came from both sides of the Atlantic and from various disciplines, including audiology, neurology, physics, and psychology. They shared their views on theory and data, as well as their perspectives from the laboratory and clinic. One unexpected bonus was an unusually distinguished audience of researchers and clinicians who contributed to lively discussion within and beyond the formal sessions.
