...Neonatal Abstinence Syndrome in the Neonatal Intensive Care Unit Neonatal Abstinence Syndrome (NAS) is the withdrawing process that occurs in the postnatal life of newborns after being born to drug addicted mothers. Heroin, codeine, oxycodone, methadone and buprenorphine are opiates and narcotics that are commonly abused throughout pregnancy. Symptoms that an infant may exhibit within the first 24-72 hours of life are: hyperirritability, excessive sucking, inconsolable crying, sweating, diarrhea, sneezing (3-4 times within 30 minutes), tremors/seizures, poor feeding/regurgitation and mottling of the skin. The Association of Women’s Health, Obstetric and Neonatal Nurses, (AWOHNN), convene on an annual basis nationally and provide monthly webinars on various topics. The organization is subcategorized into multiple chapters within each of the 50 states, in which Pennsylvania has six divisions. “Care of Newborns Prenatally Exposed to Opiates” has been a webinar within the last year based on AWOHNN’s webinar calendar. I chose this committee based on their mission statement of improving and promoting the health of women and infants to support the nursing profession through research and education. The name of the journal published by AWOHNN is the Journal of Obstetric, Gynecologic and Neonatal Nursing (JOGNN). My research was done through CINAHL under Drexel’s library resource and by using the keywords of “neonatal abstinence syndrome”...
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...Controversy around Newborn Breastfeeding In 2000 BC breastfeeding was a norm and was used as "wet nursing" (Stevens, Patrick & Pickler, 2009). According to Stevens, Patrick & Pickler (2009) Breastfeeding was used as a method of safe infant feeding since bottles or formula use did not exist. Wet nursing was defined as, "a woman who breastfeeds another's child" (Davis, 199 3, p. 2111). Wet nursing was used when "mothers were dying from childbirth or lactation failure" (Stevens, Patrick & Pickler, 2009). Ever since bottle feeding and formula use has been discovered, there has been a lot of controversy around which method is the safest for infants. Years ago, in an article written by Hila Spear, Penny, a young mother who gave birth...
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...Attach rubric to cover of careplan submitted RUBRIC For Grading Patient Assessment and Care Plan | GRADE:(total < 40; must redo) Success/Unsuccess | | Maternal Child Nursing Course - Care Plan | | | Student: Tiffany Rogers | Clinical Date: 11/07/2015 | Site: St. Vincent’s South | | | | | | Sections | Grading Criteria | Possible Points | Points Earned | Comments | Patient Information | General Information | 10 | | | | OB/Medical/Surgical Hx | | | | | Psychosocial Hx | | | | | Lab Information/Vital Signs | | | | | | | | | Postpartum/L&D | L&D Complications (or) | 10 | | | | PP Complications | | | | | Interventions | | | | Nursing Diagnosis (3) | Problems (Exclude Pain) | 10 | | | | Goals (2 goals (short/long term) per dx | 5 | | | | Interventions (5 min per goal) | | | | | | | | | | APA 6th edition reference page | 5 | | | Medication - Classifications | Name of Drug: | 10 | | | | Dose, Range, Route | | | | | Side Effects, Time Schedule | | | | | Action | | | | | Rationale for Drug Therapy | | | | L&D or Postpartum Clinical Rotation Worksheet Chamberlain College of Nursing Student: Tiffany Rogers Date: 11/07/2015 Faculty: Ellis Vaginal Delivery Client’s Initials: JL Age: 24 G: 1 T: 1 P: 0 A: 0 L: 1 Admission...
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...For example, if there was no possible way that I, or anyone in my family at home could take care of the child and they were just severely disabled to the point to where I could do nothing for the, then yes, I would consider having them in an institution. Also, it would clearly be very hard on my family, or any family at that matter. For example, in the story “Lizzie” the text says “My parents, with everything they’ve been able to get through with Lizzie — and then, somehow, still be able to raise Gene and I — are incredible. A child with special needs takes a toll on any parent, but I especially see it in my mom, who carries everything with so much grace. She’s essentially been caring for a newborn for 30 years.” So yes, there are pros with having your child institutionalized, but there are also so many pros that you would have to take in to consideration. I also feel like i an institution kids with disabilities would meet other kids like them, where in their home they would not, but I also feel like if they were kept in their home all of the time that if they saw a child who was considered normal, that if the disabled child was at least able to see they would think things like “Oh well why are they considered normal and I'm not?” Although there are equal pros and cons to having your child at home and having your child in an institution, but I would keep my kid in my...
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...Ebony Stewart May 7, 2014 Estimating Health Care Associated Infections and Deaths in U.S Hospitals as Oppose to Medical Malpractice Epidemiology Introduction This study was conducted for two important reasons. Deaths in the United States as well as an estimation to provide information for the number of healthcare-associated infections (HAI) were the purpose. The data sources used were 1) National Nosocomial Infections Surveillance 2) National Hospital Discharge Survey and 3) American Hospital Association all of these sources were used by Centers for Disease Control and Prevention’s. HAI occur in many different healthcare settings: acute care within hospitals, same day surgery centers, long-term facilities, and ambulatory outpatient care in health care clinics. HAI has resulted from and adverse reaction to toxins and evidence of infection isn’t presented during time of admission to hospital. Surveillance has also been a research base for HAI. NNIS is an ongoing system that has collaborated with CDC to monitor data on HAI”S and other nosocomial infections. It covers intensive care units, high risk nursery, and surgical patients. A major goal of NNIS is to develop data to prevent and control nosocomial diseases. NHDS was designed to meet needs of patients from non-federal hospitals that stayed only for a short period of time. The data collected from these surveys is collected to examine the importance of public health. The survey is conducted in three difference...
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...could become a realization. An individual possesses the right to have free will and to exercise those rights with out any resistance. From an ethics standpoint, the reasoning by committing such an action has to be taken into account. Would it be strictly for fame and driven by an individuals ego? Or possibly to prevent a medical condition which is hereditary? If it is for the latter then we would have a society with a large population of designer babies. As per the textbook, “In the case of reproductive technology, ethical positions should be grounded on consideration of what furthers the future good of potential children, their individual parents, their families, and the moral standards of worth of the larger society” (Callahan, 2013, p. 74). However, our society is driven by competition and pressure to be perfect; so why wouldn’t an individual who has the resources not want to do anything possible to avoid harm to a newborn child? On the other hand, if creating a child with the intention of having the “perfect baby” is driven by an individual’s ego and fame then it may be viewed ethically wrong. Having a child is in the hands of mother nature. To begin to alter its fate and our sense of being would diminish the value of life. Also, another item to take into account is the cultural values; which would be striped in creating a designer baby. Many cultures regard reproduction as the main focal point in family formation. A child created by technology may have advantages or disadvantages...
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...but using these factors all sound exceptional and easy to maintain if worried of a birth defect. Simple structure to follow and do for mothers and families expecting. In another passage written by Centers for Disease Control and Prevention, has stated many birth defects will not be prevented like some of the others but women can increase the chance of having a healthy baby by following some aspects. Those aspects are planning ahead for the pregnancy, avoiding substances that could harm the child, going to the doctors for regular check-ups, and living the best healthy lifestyle for mother and child (“Facts about Birth Defects” par. 1-12). On the website, the passage tells a little more in depth of what to do when preparing for a healthy newborn. In all both websites conduct the almost exact same message to the audience. With the list of what to expect when a mother is expecting is so similar in content. As some fear the unknown others fear the birth defect that the child has contains while growing in utero. As questions start to arrive on how mothers-to-be can help reduce the risk of their own children containing mild or severe birth defect before and after delivery. Folic acid is a supplement/vitamin that is used for pregnant or expecting mothers to take to prevent specific birth defects occur in their child. Subit Barua, a writer for BioMed Central, states that women taking folic acid throughout the pregnancy and use on a daily are an important factor that will regulate and...
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...Newborn Care Guide South Tulsa Pediatrics Elizabeth Dunlap D.O. Jerry Freed D.O. Dawn Mayberry D.O. Christine Narrin-Talbot D.O. Office Hours 8am to 5pm Monday through Friday Phone 918-728-2000 Fax 918-728-2001 www.southtulsapediatrics.com To the New Parents [pic] Few things that happen to your baby in the first year are more important than nutrition. As your physician, I would like to share my concerns about feeding your baby. Breastfeeding is the best feeding for your baby. I recommend it for as long as possible, preferably during the entire first year of life. In addition to giving the proper nutrition, it offers protection from disease, and fosters that special closeness between you and your baby. However, if you are unable or choose not to breastfeed—or if you are breastfeeding and have decided to switch your baby to infant formula—I have recommended what I believe to be the best infant formula for your baby. My recommendation is based on a number of factors—the nutrition the formula provides, the ingredients and quality of the formula, and how closely the formula is patterned after breast milk. Also, if I feel your baby has any special feeding needs, I’ve taken this into account when coming to my decision. After careful consideration, I’ve recommended the infant formula that I feel best meets the nutritional needs of your baby for the first full year of life. You can accept my recommendation with complete confidence. Contents [pic] ...
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...RH LAW [ REPUBLIC ACT NO. 10354 ] AN ACT PROVIDING FOR A NATIONAL POLICY ON RESPONSIBLE PARENTHOOD AND REPRODUCTIVE HEALTH Be it enacted by the Senate and House of Representatives of the Philippines in Congress assembled: SECTION 1. Title. – This Act shall be known as “The Responsible Parenthood and Reproductive Health Act of 2012″. SEC. 2. Declaration of Policy. – The State recognizes and guarantees the human rights of all persons including their right to equality and nondiscrimination of these rights, the right to sustainable human development, the right to health which includes reproductive health, the right to education and information, and the right to choose and make decisions for themselves in accordance with their religious convictions, ethics, cultural beliefs, and the demands of responsible parenthood. Pursuant to the declaration of State policies under Section 12, Article II of the 1987 Philippine Constitution, it is the duty of the State to protect and strengthen the family as a basic autonomous social institution and equally protect the life of the mother and the life of the unborn from conception. The State shall protect and promote the right to health of women especially mothers in particular and of the people in general and instill health consciousness among them. The family is the natural and fundamental unit of society. The State shall likewise protect and advance the right of families in particular and the people in general to a balanced and healthful...
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...Gowning by attendants and visitors in newborn nurseries for prevention of neonatal morbidity and mortality Webster J, Pritchard MA Background - Methods - Results - Characteristics of Included Studies - References - Data Tables and Graphs [pic] Dates Date edited: 19/05/2006 Date of last substantive update: 31/01/2003 Date of last minor update: 05/04/2006 Date next stage expected 31/05/2006 Protocol first published: Issue 2, 2002 Review first published: Issue 3, 2003 Contact reviewer Joan Webster Nursing Director, Research Teaching and Research Royal Brisbane and Royal Women's Hospital and Health Service Districts Level 6, Ned Hanlon Building Butterfield Street Herston QLD AUSTRALIA 4029 Telephone 1: +61 7 3636 8590 Telephone 2: +61 7 3636 3140 Facsimile: +61 7 3636 2123 E-mail: joan_webster@health.qld.gov.au Contribution of reviewers Internal sources of support None External sources of support Centre for Clinical Studies - Women's and Children's Health, Mater Hospital, Sth Brisbane, Queensland, AUSTRALIA Department of Health and Ageing, Commonwealth Government, Canberra ACT, AUSTRALIA What's new This review updates the existing review of "Gowning by attendants and visitors in newborn nurseries for prevention of neonatal morbidity and mortality" which was published in The Cochrane Library Issue 2, 2003 (Webster 2003). No new trials were identified as a result of this updated search. The conclusions of the review are...
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...experiences are explained and shared. Other areas to be examined is the developmental milestones functional skills that are age specific tasks that children achieve during various levels of development, infant brain development, and attachment. Although each milestone is age appropriate, children development varies from child to child taking in to consideration every child is unique. Introduction In a study conducted (2009) on babies language learning starts from the womb. From the first day a newborn cries they already bear the mark of the language their parents speak. In another dramatic finding of this study is that not only are human neonates capable of producing different cry melodies, but they prefer to those melody patterns that are typical for the ambient language they have heard during fetal life, within the last trimester of gestation. Even through prenatal exposure to their native language was known for some time to influence newborns, scientist now believe that it happens much earlier than the preconceived notion that surrounding language affected sound production later in the infant’s life. In addition newborns prefer their mothers’ voice over other voices. In another study Pre – linguistic Infancy 0-1 Beginning in the womb, infants are introduced to language and are able to hear and distinguish a parent’s voice. After birth, language development will rapidly increase to include talking, singing and the ability to make signs and...
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...Chiropractors continue to treat a wide variety of pediatric health conditions.”1 Despite lack of support by the medical and scientific community, chiropractic treatment of children is growing in popularity, and more chiropractors are specializing in “chiropractic pediatrics.” The International Chiropractic Association offers a post-graduate “Diplomate in Clinical Chiropractic Pediatrics” (DICCP) and publishes a “peer reviewed” Journal of Clinical Chiropractic Pediatrics. The diplomate syllabus is a 30-module, 360+ hours classroom course during weekends over a three-year period. There is no hospital training and no contact with diseased or injured children — only a “mandatory observational/training weekend at a chiropractic center for special needs children under multi-disciplinary care.”2 A post-graduate certification in chiropractic pediatrics (CICCP) can be earned after 180 hours of classroom instruction. In a June 2008 joint press release, the American Chiropractic Association’s (ACA) Council on Chiropractic Pediatrics and the Council on Chiropractic Pediatrics of the International Chiropractors Association (ICA) announced that the ICA’s Diplomate in Clinical Chiropractic Pediatrics (DICCP) is now recognized by the ACA and its council as the official credential for specialization in chiropractic pediatrics.3 Noting increasing public support for chiropractic treatment of children, a January 2009 press release from the...
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...Abstract In the film titled “The Business of Being Born” directed by Abby Epstein in 2008, you are given information that supports home births being better for the US mortality rate of newborns and their mothers. This film shines light on the tactics used to change home births from a norm in society to a type of outcast or out dated procedure. This film breaks down a specific time line in which, certain medications phased in or out and when child birth went from a personal bonding moment between mother and child to a medical procedure in hospitals. The film displays the fact that the US maternity system has given reign of procedures and policies to the bottom line which is money. Get the Heck Out the Hospital The film stated that the US had the second highest mortality rate among other industrialized cultures. Which raises the question why is the mortality rate so high in the US. I have to honestly say while watching this film I did not receive a definitive answer. Instead poorly supported statistics was used to tie hospital births to the mortality rate in the US. However in the film it is suggested that majority of the deaths that happen in the US are mothers and babies that delivered in a hospital. But what is not provided is real facts and numbers, but it is not taken into consideration that if 99% of births are in hospitals then it would be true that the majority of deaths happen there. The one thing that is not discussed in the film is the amount of deaths during home...
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...Series Alma-Ata: Rebirth and Revision 7 Integrating health interventions for women, newborn babies, and children: a framework for action Björn Ekman, Indra Pathmanathan, Jerker Liljestrand Lancet 2008; 372: 990–1000 See Editorial page 863 This is the seventh in a Series of eight papers about Alma-Ata: rebirth and revision Lund University, Lund Sweden (B Ekman PhD); Kuala Lumpur, Malaysia (I Pathmanathan PhD); Ystad, Sweden (J Liljestrand PhD) Correspondence to: Dr Jerker Liljestrand, Götgången 12 27144 YSTAD, Sweden jerker@ystad.nu For women and children, especially those who are poor and disadvantaged, to benefit from primary health care, they need to access and use cost-effective interventions for maternal, newborn, and child health. The challenge facing weak health systems is how to deliver such packages. Experiences from countries such as Iran, Malaysia, Sri Lanka, and China, and from projects in countries like Tanzania and India, show that outcomes in maternal, newborn, and child health can be improved through integrated packages of cost-effective health-care interventions that are implemented incrementally in accordance with the capacity of health systems. Such packages should include community-based interventions that act in combination with social protection and intersectoral action in education, infrastructure, and poverty reduction. Interventions need to be planned and implemented at the district level, which requires strengthening of district planning and management...
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...to a contract, then the contract can be voided and will not hold up in the court of law. These elements consist of offer, acceptance, consideration, legality and capacity. In the fall of 2010, I entered into a contract with a landlord and the City of New York. I was in a shelter with my family and had received our voucher to move out to our own place. The voucher was a part of the Work Advantage program. It basically stated that the City of New York would help us pay a certain amount of rent for our new place for up to two years. Before accepting this part of the offer I had to find a location for us to move to. The voucher also stated that the amount they would help us pay could not exceed $1316. With the assistance of the shelter case manager we found a nice two bedroom apartment for a $1250. Once we saw the apartment and the landlord offered us the apartment. The offer was the first element to a legal binding contract. It is an invitation for another to enter into a contract (Rogers, 2012). Next, my spouse and I had to decide if this apartment was best for us. Acceptance is the following element. It is an Acquiescence to enter into a contract under the terms of the offer (Rogers, 2012). We made sure that the landlord was aware that small children would be residing with us. At the time, are children’s ages ranged from newborn to six years of age. I also made sure that he was aware that our eldest child had Attention Deficit Hyperactivity Disorder...
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