Assessment and Management Considerations for Oral Feeding of the Premature Infant on the Neonatal Intensive Care Unit

2006 ◽  
Vol 15 (3) ◽  
pp. 3-9 ◽  
Author(s):  
Amy S. Faherty
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Premature Infant ◽  
Neonatal Intensive Care ◽  
Oral Feeding

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

scholarly journals Using a behavior analytics approach to change nursing care of extremely premature infants: A pilot study

2018 ◽  
Vol 9 (5) ◽  
pp. 14
Author(s):  
Jenn Gonya ◽  
Jessica Niski ◽  
Nicole Cistone
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pilot Study ◽  
Neonatal Intensive Care Unit ◽  
Premature Infant ◽  
Premature Infants ◽  
Nursing Care ◽  
Neonatal Intensive Care ◽  
Extremely Premature Infant

The neonatal intensive care unit (NICU) is, inherently, a trauma environment for the extremely premature infant. This trauma is often exacerbated by nurse caregiving practices that can be modified and still remain effective. Our study explored how behavior analytics could be used to implement an intervention known as Care by Cues and how the intervention might, ultimately, impact infant physiologic stability.

scholarly journals Too Expensive to Treat? Non-Treatment Decisions at the Margins of Viability

2018 ◽  
Vol 27 (3) ◽  
pp. 461-481
Author(s):  
Tatiana Flessas ◽  
Emily Jackson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Premature Infant ◽  
Neonatal Intensive Care ◽  
Cost Effective ◽  
Treatment Decisions ◽  
Educational Needs ◽  
The State ◽  
Premature Babies

Abstract This article seeks to challenge the assumption that it is legitimate to consider the costs of premature babies’ future social and educational needs when deciding what treatment, if any, to provide in the neonatal intensive care unit (NICU) . It questions the elision that is made between the claim that a particular treatment is insufficiently cost-effective and the claim that a person will be a burden on the state in the future. It discusses a series of common misunderstandings about how treatment decisions are taken in the NICU and concludes by suggesting that the claim that premature babies are too expensive to treat may depend upon regarding a premature infant as if she were not yet a person, with rights and interests of her own.

Nurses' Living Caritas Processes as Described by Mothers, Fathers, and Grandmothers in a Neonatal Intensive Care Unit

2021 ◽  
Vol 25 (2) ◽  
pp. 78-88
Author(s):  
Dawn Marie Hawthorne ◽  
Marion Turkel ◽  
Charlotte D. Barry ◽  
Lisa Flack
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Premature Infant ◽  
Neonatal Intensive Care ◽  
Descriptive Analysis ◽  
Healing Environment ◽  
Loving Kindness ◽  
Qualitative Descriptive ◽  
Human Caring

Infants who are born premature require hospitalization in the neonatal intensive care unit (NICU). In this study, 10 parents and seven grandmothers were interviewed with the purpose of exploring their experiences of having a premature infant in the NICU being cared for by nurses whose practice was grounded in Watson's theory of human caring caritas processes. Qualitative descriptive analysis revealed expressions of the caring moment lived as an intentional presence, within the context of the caritas processes to care for the infant and family, with loving-kindness, helping trusting relationship, creating caring healing environment, and allowing for hope and miracles.

Pre and Perinatal Growth and Development: Implications of Music Benefits for Premature Infants

1998 ◽  
Vol os-31 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Jayne M. Standley
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Music Education ◽  
Neonatal Intensive Care Unit ◽  
Premature Infant ◽  
Neonatal Intensive Care ◽  
Neurological Development ◽  
Nutritive Sucking ◽  
Term Newborns

This article summarizes the current scientific knowledge on foetal and newborn neurological development and related research on beneficial uses of music with the premature infant. As technology and science advance, the survival rate of earlier and earlier premature birth increases with long-term implications for these children having impaired neurological development, delayed growth, and need for special education. Research in the neonatal intensive care unit has focused on uses of music to reduce stress, to promote homeostasis and weight gain, to reinforce non-nutritive sucking, to enhance developmental maturation, and to shorten length of hospitalization. Further, it is theorized that music benefits documented for full term newborns may also apply to the premature infant, i.e., lullabies promote language development; familiar music is recognized, reinforcing, and comforting; and infants orient to and avidly attend to music more so than other auditory stimuli. This burgeoning area of research provides exciting possibilities for the practice of music therapy in the neonatal intensive care unit and for music education in early childhood.

scholarly journals O-116 Premature Infant Pain Profile (pipp) In Neonatal Intensive Care Unit: A Pilot Study

2014 ◽  
Vol 99 (Suppl 2) ◽  
pp. A69.3-A69
Author(s):  
L Peipoch ◽  
S Breinig ◽  
S Pelluau ◽  
L Berthomieu ◽  
M Gineste ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pilot Study ◽  
Neonatal Intensive Care Unit ◽  
Premature Infant ◽  
Neonatal Intensive Care ◽  
Infant Pain ◽  
Premature Infant Pain Profile
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