Caring for the Infant with Neonatal Abstinence Syndrome PDF Download
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Author: Jen Farestad
Publisher:
ISBN:
Category : Alternative medicine
Languages : en
Pages : 68
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Book Description
Author: Jen Farestad
Publisher:
ISBN:
Category : Alternative medicine
Languages : en
Pages : 68
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Book Description
Author: Jeanne Franza
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
"Neonatal Abstinence Syndrome (NAS) is a multisystem disorder that occurs in newborns after birth when the mother has been taking addictive drugs, usually opiates, during pregnancy. These infants experience withdrawal symptoms and require prolonged hospital stays. When and infant with NAS requires treatment with medication, the length of stay is greatly prolonged due to the need to slowly taper the medication before discharge. Patrick et al. (2012) found that the incidence of NAS increased from 1.2 per 1000 live births in 2000 to 3.39 per 1000 live births in 2009, and the mean hospital cost for an infant with NAS increased from $39,400 in 2000 to $53,4000 in 2009. NAS has become a costly epidemic. Nurses who care for these infants require specialized knowledge. The RNs and APRNs in a community hospital expressed uncertainty regarding assigning Finnegan scores, which indicate the level of withdrawal symptoms. Many of these nurses were very experienced but had not had recent education focused on NAS or addiction, or experience in addiction medicine or behavioral health. The nurses required tools to be able to establish a therapeutic relationship with mothers who have addiction issues. A recently updated clinical practice guideline was in place, but education had not been provided to the RNs and APRNs regarding the updated guideline for the care of these infants, achieving accuracy in Finnegan scoring, or the establishment of a therapeutic relationship with the mother. The purpose of this evidence-based practice change was to increase nurses' knowledge in the care of these infants and their mothers. The plan included an educational program consisting of three parts; a PPT presentation on NAS, an interactive DVD session to achieve reliability in Finnegan scoring, and journal club style discussions focused on establishing a therapeutic relationship with mothers who have addiction issues. A pre/post test survey was done to measure increase in knowledge. All participants showed an increase in knowledge, with a change in score of 36.21%, well over the 10% increase benchmark. This change represents 71.92% growth. This outcome is statistically significant. The RNs and APRNs also overwhelmingly agreed in the program evaluations that they had increased confidence in their ability to care for infants and communicate effectively with their mothers, as a result of the educational program. The outcome of this project supports the provision of education focused on NAS for RNs and APRNs who care for these infants and their mothers. " -- Abstract.
Author: Tricia E. Wright
Publisher:
ISBN: 1108400981
Category : Health & Fitness
Languages : en
Pages : 155
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Book Description
Gain guidance and support when treating the high-risk population of women confronting (or battling) opioid-use disorders during pregnancy.
Author: Kristin Klutz
Publisher:
ISBN:
Category : Complementary Therapies
Languages : en
Pages : 0
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Book Description
The incidence of Neonatal Abstinence Syndrome (NAS) is increasing across the United States (Davidson and Schub, 2014). Researchers who performed a retrospective analysis of national hospital discharge data found that the annual rate of maternal opioid use increased nearly fivefold, and the incidence of NAS increased nearly threefold during the period 2000 to 2009 (Davidson and Schub, 2014). The onset of withdrawal symptoms in infants is dependent on what substances the infant was exposed to in utero as well as the amount. Infants that experience Neonatal Abstinence Syndrome require specialized care that includes pharmacologic and nonpharmacologic management. The current practice at Winchester Medical Center is to care for these infants on the post- partum unit while they room in with their mothers. Once the infant scores high enough to be started on pharmacologic treatment, they are then moved into the newborn nursery. This standard of practice is not beneficial to the infant because of the negative effects it has on the infant. Current research shows that non- pharmacologic management is just as important in the recovery of infants with Neonatal Abstinence Syndrome as pharmacologic management. Davidson and Schub (2014) discussed the importance of reducing sensory stimulation, which included dimming the lights, swaddling, and prone positioning. Their study showed that breastfeeding for at least 72 hours after birth reduces the severity of Neonatal Abstinence Syndrome symptoms and decreases the need for pharmacologic treatment (Davidson and Schub, 2014). This project will attempt to determine the effects of pharmacologic versus nonpharmacologic treatment on infants with Neonatal Abstinence Syndrome. The implementation will begin by educating patients and all staff affected by this change. Regular meetings will be held with management and staff, as well as the implementation team in order to ensure all questions are answered. Doing so will ensure that all questions are addressed and suggestions are able to be made. The practice change of improving the environment of infants with Neonatal Abstinence Syndrome will then take effect with constant monitoring and evaluation by the implementation team. Results will be evaluated each month and changes will be made as necessary to guarantee that the unit is following best- practice.
Author: Robert A. Hoekelman
Publisher: Mosby Incorporated
ISBN: 9780323008297
Category : Medical
Languages : en
Pages : 1936
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Book Description
-- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.
Author: Mary Brown
Publisher: CreateSpace
ISBN: 9781511864251
Category :
Languages : en
Pages : 100
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Book Description
When a baby is born with neonatal abstinence syndrome (NAS) as a result of drug exposure while in the womb, finding an appropriate setting for the newborn is essential to its survival. Lily's Place, a recovery center serving the Huntington, West Virginia, area, focuses on working with both child and mother to help heal the family from chemical dependence. Offering the highest level of care in a nurturing, home-like atmosphere, Lily's Place also operates at a fraction of the cost of a hospital stay. In How to Create an NAS Center: A New Model of Care for Neonatal Abstinence Syndrome, the cofounders of Lily's Place provide a comprehensive set of guidelines for creating a low-stimulus, medically appropriate environment for the care and treatment of infants born with NAS. Including detailed information on setting up nonprofit status, bylaws, articles of incorporation, and staffing, this book details the entire process of creating a nuturing residential treatment facility for babies experiencing withdrawal. Full of wisdom and insight from a team of specialists with over sixty years of experience in the NICU arena, this book is an essential resource for anyone hoping to establish a thriving NAS center in their community.
Author: Carole Kenner, PhD, RN, FAAN, FNAP, ANEF
Publisher: Springer Publishing Company
ISBN: 0826109764
Category : Medical
Languages : en
Pages : 1022
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Book Description
"This book provides a complete look at neonatal healthcare delivery. This edition includes discussions of contemporary topics of interest, such as informatics, genetics, global health, and family-centered care, which are vital to providers caring for neonates today. The case studies and the evidence-based practice dialogues at the end of each chapter provide great opportunities for further reflection. The book is useful to a wide audience in nursing, including undergraduate and graduate nursing students, practicing neonatal and pediatric nurses, and advanced practice nurses who care for neonates." Score: 92, 4 Stars.--Doody's Medical Reviews This 'classic' has been thoroughly updated to incorporate the most up-to-date research findings and strategies for providing cost-effective and evidence-based care. New chapters address emerging infections, the late preterm infant, and neonatal care from a global perspective. Included are updated neonatal care protocols and procedures, neuroprotective risk factors, new treatments, and new trends in developmental care. Text integrates the Institute of Medicine's (10M) five competencies, reflects the Affordable Healthcare Act and the Robert Wood Johnson and 10M report "The Future of Nursing." The text continues to provide neonatal care from a physiologic and pathophysiologic approach, with a major emphasis on nursing management at the bedside and advanced practice level. Each neonatal body system is presented, along with E-B interventions to assist in understanding the 'why' behind what is seen in the clinical area. Integrative management is threaded through the text along with extensive research findings to support practice strategies and rationales for sound clinical decision-making. Topics of recent interest include iatrogenic complications, neonatal pain, use of computers or other technology in neonatal care, and neonatal AIDS. Case studies enhance understanding of both common and rare neonatal conditions. New to the Fifth Edition: New chapters: emerging infections, the late preterm infant, and neonatal care from a global perspective Updated neonatal care protocols and procedures, neuroprotective factors, new treatment modalities and new trends in developmental care Tackles the UN Millennium Development Goals (MDGs) Addresses the expansion of the nurse's role in the US and worldwide Provides case studies that lead the reader through the identification, diagnosis, treatment, and evaluation of common and rare neonatal conditions
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: Colleen Ovelman
Publisher: RTI Press
ISBN:
Category : Medical
Languages : en
Pages : 6
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Book Description
This paper summarizes the published Cochrane Review, “Non-pharmacological Care for Opioid Withdrawal in Newborns,” by A. Pahl, L. Young, M. E. Buus-Frank, L. Marcellus, and R. Soll (https://doi.org/10.1002/14651858.CD013217.pub2), and discusses it through a treatment policy and practice lens. The study population in the review included infants born at term (37 weeks’ gestation or greater) and late preterm (34 weeks’ gestation to 37 weeks’ gestation) who had a known or suspected prenatal exposure to opioids or who were exhibiting symptoms consistent with opioid withdrawal in the first 7 days of life. Nonpharmacological interventions included a wide range of care and were broadly categorized as: modification of environmental stimulation, feeding practices, and support of the mother-infant dyad. The review found that randomized controlled trials, identified in searches conducted in October 2019, did not provide enough evidence regarding clinically meaningful outcomes. However, recently published trial data suggest that “Eat, Sleep, Console,” an individualized, trauma-informed, family-centered nonpharmacological approach to care, can reduce the number of days an infant experiencing symptoms consistent with opioid withdrawal requires in-hospital care.
Author: Cynthia Woods
Publisher:
ISBN:
Category : Drug abuse in pregnancy
Languages : en
Pages : 0
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Book Description
Neonatal Abstinence Syndrome (NAS) is a condition affecting neonates who have been exposed to illicit or prescription drugs while in the womb. NAS, also known as newborn withdrawal syndrome, is a serious concern as the incidence of drug abuse in pregnancy is increasing, with a corresponding rise in infant withdrawal cases. The symptoms of NAS range from excessive crying and irritability to seizures and death; the average hospital stay is from one week to several months, depending upon the gravity of the symptoms. There is a lack of evidence-based practices and standardized protocols to guide the management of care for these babies. Nonpharmacological nursing interventions, in addition to pharmacological treatments, are vital in the care of these infants. Non-pharmacological nursing interventions have been shown to decrease the severity of neonatal abstinence syndrome and reduce the amount of days in the hospital. Non-pharmacological treatments include: providing a quiet, dimly lit environment; swaddling; the use of pacifiers; holding the infant vertically when rocking; rubbing the baby instead of patting; kangaroo mother care; breastfeeding; and encouraging the rooming in of mother and child whenever feasibly possible. Establishing standardized nursing intervention protocols and providing appropriate training for the nursing staff are effective ways to treat NAS infants resulting in the positive outcome of decreased days in the hospital.
