Mother care for procedural pain in infants

Author(s):  
Celeste Johnston ◽  
Marsha Campbell-Yeo

A major role of maternal care is to protect their infant from harm, including pain. The aim of this chapter is to review the evidence on the effectiveness of maternal strategies that are efficacious in managing procedural pain including breastfeeding, kangaroo mother care, and facsimiles of maternal presence such as voice recordings, odour, and other care providers. The mechanisms, as currently understood, underlying the efficacy of maternal care, will be presented. Finally, pragmatic issues, such as feasibility, will be discussed.

Author(s):  
Marsha Campbell-Yeo ◽  
Britney Benoit ◽  
Brianna Richardson ◽  
Celeste Johnston

A major role of mothers is to protect their infant from harm, including pain. The aim of this chapter is to review the evidence on the effectiveness of maternal strategies that are efficacious in managing procedural pain. These strategies are naturally occurring and have been used for millenia by mothers, but only recently have been systematically studied. Breastfeeding, holding the baby on the bare chest, known as kangaroo mother care, are such strategies. Whilst providing care in this close manner, other components of the mother’s presence may play a role, such as her voice and her odor. Facsimiles of maternal presence such as a recording of mother’s voice and materials containing her odour have been examined as potential strategies to relieve pain in the infant. The question of the potency of pain relieving strategies provided by caregivers, other than the mother, has been addressed to some extent and will be included in this chapter. The mechanisms underlying the pain relieving effects of maternal care, as they are currently understood, will be presented. Finally, pragmatic issues in implementing maternal strategies for decreasing pain will be discussed


Vaccine ◽  
2018 ◽  
Vol 36 (36) ◽  
pp. 5379-5384 ◽  
Author(s):  
Luz Maria Vilca ◽  
Susanna Esposito

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Tooba Lateef ◽  
Jiyao Chen ◽  
Muhammad Tahir ◽  
Teba Abdul Lateef ◽  
Bryan Z. Chen ◽  
...  

Abstract Background The recent outbreak of COVID-19 has impacted adversely upon the mental health of millions of people worldwide. Impacts on the mental health conditions and the associated predictors relating to adults in Pakistan, the fifth most populous country in the world, during the COVID-19 remain understudied. Our aim was to investigate distress, anxiety, and overall mental health and their associated predictors among Pakistani adults in this pandemic. We specifically examine mental health issues based on the distance from the epicenter, (a predictor that has revealed opposing evidence in other countries) based on the theories of typhoon eye effect and ripple effect. The sample consisted of 601 adults who were surveyed online about 2.5 months into the outbreak across Pakistan with varying distances from the epicenter of COVID-19 of Karachi. Results The results showed that 9.2 and 19.0% of the participants surpassed the cut-off criteria for distress and anxiety disorders, respectively. Overall, the distance from the epicenter positively predicted the mental health of adults in Pakistan, and family size negatively moderated this effect. The distance from the epicenter negatively predicted distress and anxiety disorders for adults in large families, which are quite common in Pakistan. Conclusion The evidence of the study interestingly finds that the prediction of the mental health of people by their distance from the epicenter depends on family size. The evidence of this study can help to provide initial indicators for mental health care providers to screen vulnerable groups in Pakistan, a populous country that continues struggling to cope with the COVID-19 pandemic.


2020 ◽  
pp. 089033442097998
Author(s):  
Cheryl Langford ◽  
Marcella Gowan ◽  
Monica Haj

Background Students returning to school who are breastfeeding face unique challenges. There is limited literature on breastfeeding university students. Several researchers have studied breastfeeding employees in the workplace. Institutions of higher education closely mimic the employment environment. Breastfeeding college students who express their milk while at school share similar challenges to employed mothers. A baccalaureate nursing program is rigorous and little is known about the challenges facing breastfeeding student nurses returning to classes. Research aim To explore the breastfeeding experience of baccalaureate nursing students. Methods Our study was a cross-sectional descriptive qualitative design. Purposive sampling was used to enroll participants ( N = 12). In depth, semi-structured interviews were conducted. Qualitative thematic analysis was used to analyze the data both manually and using Dedoose QDA software. Results An overarching theme of pervasive conflict between the role of the breastfeeding mother and the role of the student nurse surfaced. Three interrelated organizing themes also emerged; challenging, vulnerability, and resilience. Time constraints, self-care versus role demands, and structural accommodations contributed to the challenges. Only one participant indicated a knowledge of her breastfeeding rights. All of the participants expressed gratitude for faculty and community support, regardless of conflicts. Conclusion Breastfeeding participants were both vulnerable and resilient. Faculty may improve experiences through providing specific areas of support. A breastfeeding support policy outlining student rights and faculty responsibilities is needed to educate, guide, and enforce protections. Health care providers may enhance breastfeeding students’ experiences through anticipatory guidance, education, and continued support.


2020 ◽  
Vol 25 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Brianne Redquest ◽  
Yona Lunsky

Purpose There has been an increase in research exploring the area of intellectual and developmental disabilities (IDD) and diabetes. Despite being described as instrumental to diabetes care for people with IDD, the role and experiences of family carers, such as parents and siblings, are often neglected in this research. However, it is clear that family carers do not feel that they have sufficient knowledge about diabetes. The purpose of this commentary is to extend the content from “Diabetes and people with learning disabilities: Issues for policy, practice, and education (Maine et al., 2020)” and discuss how family carers can feel better supported when caring for someone with IDD and diabetes. Design/methodology/approach This commentary discusses specific efforts such as STOP diabetes, DESMOND-ID and OK-diabetes for people with IDD including family carers. Encouragement is given for health care providers to recommend such programmes to people with IDD and their family carers. It is also suggested that health care providers involve family carers in diabetes care planning and implementation for people with IDD. Findings It is hoped that if changes are made to current diabetes practices and more research with family carers is conducted, diabetes prevention and management for people with IDD will be more successful and family carers can feel more confident in providing support to their loved ones. Originality/value Research exploring the role of family carers in diabetes care for people with IDD and diabetes is very limited. This commentary makes recommendations to help family carers feel better supported in their role. It also provides areas for future research.


2018 ◽  
Vol 8 (21) ◽  
pp. 10409-10415 ◽  
Author(s):  
Justin T. Walsh ◽  
Lisa Signorotti ◽  
Timothy A. Linksvayer ◽  
Patrizia d'Ettorre

2018 ◽  
Vol 31 (1) ◽  
pp. 112-135
Author(s):  
Srdjan Sremac

Abstract The purpose of this article is to understand how people with substance dependence problems employ testimonies of spiritual transformation to develop, cope and sustain a sense of personal identity and create meaning from conflicting (traumatic) life experiences. The quest to undo the struggling with substance dependence is seen as a spiritual attempt to reconfigure the person’s ‘spoiled identity’. Drawing on 31 autobiographies of people who recovered from substance dependence problems I analyzed their conversion testimonies in two European contexts (Serbia and the Netherlands, including a sample of immigrants). It draws on the observation that substance dependence often (though certainly not always) develops in response to life crises or trauma and identity confusion, while spiritual transformation, including religious conversion, can foster recovery. The study focuses specifically of the role of testimony in reconstructing a viable narrative of the self, accounting for trauma, substance dependence experience, and conversion and embedding in different social, cultural, and spiritual contexts. Finally, suggestions for the helping professions and care providers of substance dependence service will be offered.


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