Developmentally Supportive Care in the Neonatal Intensive Care Unit: An Occupational Therapist’s Role

2011 ◽  
Vol 30 (4) ◽  
pp. 243-248 ◽  
Author(s):  
Kathleen Nightlinger
Keyword(s):  
Supportive Care ◽  
Neonatal Intensive Care ◽  
Discharge Planning ◽  
Team Members ◽  
Early Intervention Services ◽  
Developmentally Supportive Care ◽  
Education Decision ◽  
Treatment Education

The role of a pediatric occupational therapist (OT) in the NICU is to provide comprehensive services, including evaluation, treatment, education, decision making, family support, and discharge planning. It may also include early intervention services or outpatient pediatric rehabilitation services. This article will address the need for developmentally supportive care in the NICU, and specifically addresses the role of an OT in this setting. It will explain how crucial collaboration between team members can be in providing quality, comprehensive care for these neonates. In addition, it will address the important role of the parent in this setting for developmentally supportive care while in the NICU and follow-up intervention upon discharge.

Discharge from hospital and early supported discharge

2020 ◽  
pp. 345-352
Author(s):  
Catherine Gaynor
Keyword(s):  
Discharge Planning ◽  
Models Of Care ◽  
Effective Discharge ◽  
The United Kingdom ◽  
Early Supported Discharge ◽  
Hospital To Home ◽  
Discharge From Hospital ◽  
Applied Health Research

‘Discharge from hospital and early supported discharge’ provides some useful guidance and outlines the issues that we encounter in facilitating effective discharge from hospital following a stroke. Hospital discharge is an important milestone in a stroke patient’s journey. It marks the end of the acute hospital episode, and the start of a new life living with and adjusting to their stroke and its sequelae. It can be a stressful time for patients and their carers, but careful and thorough discharge planning can help to ease the transition from hospital to home. The chapter explores the timing of discharge, models of care after discharge, early supported discharge, the evidence from SSNAP (Sentinel Stroke National Audit Programme) in the United Kingdom, the initiative of CLAHRC (Collaborative for Leadership in Applied Health Research and Care), guidance from the National Institute for Health and Care Excellence (NICE), institutionalization, role of capacity, role of IMCA (independent mental capacity advocate), communication with primary care, and follow-up after discharge from hospital.

scholarly journals 674 THE ROLE OF THE PRIVATE PEDIATRICIAN IN FOLLOW-UP OF NEONATAL INTENSIVE CARE GRADUATES

1981 ◽  
Vol 15 ◽  
pp. 554-554
Author(s):  
G Martin ◽  
W Ireland ◽  
G Furman ◽  
J Streng ◽  
H Speil ◽  
...  
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care

Applying the Exoscope to Lacrimal Surgery: Preliminary Experience

ORL ◽  
2021 ◽  
pp. 1-6
Author(s):  
Francesca Pirola ◽  
Armando De Virgilio ◽  
Alessandra Di Maria ◽  
Elena Russo ◽  
Matteo Di Bari ◽  
...  
Keyword(s):  
New Technology ◽  
Surgical Team ◽  
Scrub Nurse ◽  
Team Members ◽  
Ethical Committee Approval ◽  
Secondary Endpoints ◽  
Surgical Field

Purpose: The aim of the study was to investigate the role of the exoscope as an assisting tool in endoscopic dacryocystorhinostomy (e-DCR). Materials and Methods: In this observational retrospective study, the application of the VITOM® exoscope was studied in a group of 21 patients undergoing mono- or bilateral DCR. The primary endpoint was to evaluate resolution of symptoms (epiphora/dacryocystitis) at the 6-month follow-up and time for surgery. Qualitative features of the exoscope (intraoperative view of the surgical field) and comparison with the typical setting for DCR were analyzed as secondary endpoints. A questionnaire was administered to surgical team members (ENT surgeon, ophthalmologist, and scrub nurse) to evaluate the perceived quality of this new technology (12 items valued as “good” = 2, “acceptable” = 1, and “not acceptable” = 0). A questionnaire score of 24 out of 24 was valued as “completely approved,” score 20–23 as “moderately approved,” and score ≤19 as “weakly approved.” Patients were divided into 3 consecutive groups, and questionnaire scores by each team member were analyzed for tendencies. Statistical analysis was performed to test significance at p < 0.05. Local Ethical Committee approval was obtained. Results: No significant differences were found between exoscope-set DCR and classic setting for concerned patient outcomes (failure rate: 3.2 vs. 3.8%, respectively, p = 0.896) and mean time for surgery (20’ vs. 23’, respectively, p = 0.091). The exoscope was valued by surgical team members as “completely approved” in 55.5% of cases, “moderately approved” in 39.7%, and “weakly approved” in 4.8%. Questionnaire scores by the ENT, ophthalmologist, and scrub nurse showed an average increase in the 3 consecutive groups (p = 0.119, p = 0.024, and p < 0.001, respectively). Conclusions: The exoscope is a new tool that may support e-DCR. It has no effects on symptom outcomes (epiphora/dacryocystitis) and time for surgery compared to classic DCR. Based on self-perception, this new technology was accepted by all team members.

scholarly journals SOCIAL METACOGNITION IN THE PROCESS OF DECISION MAKING

2021 ◽  
Author(s):  
Tatiana V. Folomeeva ◽  
◽  
Ekaterina N. Klimochkina
Keyword(s):  
Group Work ◽  
Social Situation ◽  
Team Members ◽  
Current Trends ◽  
Individual Work ◽  
Group Members ◽  
Social Metacognition ◽  
Made In

"Individual metacognitions are responsible for monitoring and controlling our knowledge, emotions and actions, while social metacognitions are included in the process of monitoring and controlling each other’s knowledge, emotions and actions by group members. The distribution of metacognitive responsibilities among group members increases the visibility of individual metacognitive abilities. The study aimed to investigate the role of social metacognitions in the decision process of choosing current fashion trends: to compare how participants interact and social metacognitions influence their decisions in contradiction to the decisions made in individual work, where only individual metacognitions were available. The study consisted of several stages: starting from current trends analysis and follow up interviews, as well as, filling in individual journals. The last step was group work: discussion. The sample was 40 participants (M=24,35, Sd=2,27). Gathered data was processed through a descriptive qualitative analysis using the phenomenological method. Lack of knowledge or confidence to make a decision about which trends represent what is current in fashion in individual work, participants compensate with knowing about their own metacognition. Thus, in teamwork, these individuals’ level out limitations on knowledge or confidence by choosing the behaviour that can increase their knowledge. Choice of the behaviour strategy relies on individual metacognition. Therefore, teamwork provides individuals with additional resources as other team members, which increases the overall significance of work due to the contribution of individual metacognition. Social metacognitions help to distribute responsibilities among group members according to individual metacognitions. In group work, the visibility of individual metacognitions increases and favourably affects learning between participants, facilitates interaction and improves cognitive processes. Due to social metacognitions, participants who lack knowledge or confidence to make an individual decision solve their difficulties in a social situation, where limitations of individual metacognition are mitigated with social metacognitions."

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