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Energy Expenditure: An Exploratory Study

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Introduction
According to Farrel, Inturrisi, Bergman, Kenner & Howell (2003), the preterm infant is not only different from the full term newborn based on size. There are various physiological limitations faced by preterm infants that arise due to immaturity in most of its systems. The immaturity of such systems forces the preterm infant to rely upon the nursing interventions and medical technologies for survival before they reach the desired maturity.
It is unfortunate that preterm infants are vulnerable during growth because of the small energy reserves. Compared to the full term infant they need much more energy for the physiologic growth and other forms of development. Energy expenditure is part of energy balance and the summation of different …show more content…
This article was selected for this critique because it is exploratory in nature and utilizes a lot of information from previous researchers to make it conclusion. The knowledge base that is presented in the paper is wide hence it offers insight into the problem area.
Summary
The study above has been set out in an exploratory design. It relies on secondary data gathered from previous studies. In this study, the energy expenditure was investigated through calculations using the heart rate based energy expenditure. The calculations were estimated in 37 infants through estimates across 500 repeated measures. The infants used were selected from two medical centers between 2007and 2008. At the time of the study, the infants were 28 days old and in the incubator, the infants were born at 37 weeks gestational age.
From the experiments, it was determined that the preterm infants use more energy during the following seven human behaviors: sucking, salute, sneezing, grimace, fist, gape face and diffusion squirm. Grimace is the common behavior among the infants when they are faced with stressful stimulations hence they use more energy. Sucking among infants was also found to involve much energy consumption. Infants engaged in high levels of sucking spend most of their …show more content…
About levels of sucking, it is advised that sucking on the pacifier during feeding may improve digestion and will have a calming effect on the infant. The use of the pacifier is one strategy that will benefit an infant suffering environmental stress. It is further recommended that neonatal clinicians should make an assessment of the preterm infants’ energy and their stress levels while conducting nursing interventions.
The researcher concluded that this paper is the first one to carry out an investigation into the relationship between behavioral stress and energy expenditure in preterm infants while they received intervention care. Other researchers have also indicated that reduction in the need for stress and self-regulation in the preterm infant may lead to energy conservation for the purpose of growth. This study has been important regarding verifying the assumption of the other studies.
About the references that have been used by the authors, most of the articles are of the age in which they are considered relevant. International standards demand that research journal and articles used in research of this kind should be ten years old so that the assertions collected from them are considered to be relevant. Considering that this paper was published in 2014, any resources published from 2003

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