Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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J Obstet Gynecol Neonatal Nurs · Feb 1995
Randomized Controlled Trial Clinical TrialFacilitated tucking: a nonpharmacologic comfort measure for pain in preterm neonates.
To identify the effectiveness of "facilitated tucking," a nonpharmacologic nursing intervention, as a comfort measure in modulating preterm neonates' physiologic and behavioral responses to minor pain. ⋯ Facilitated tucking is an effective comfort measure in attenuating premature neonates' psychologic and behavioral responses to minor pain.
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Studies in preterm animals and humans have shown that liquid ventilation is a potential alternative mode of support for neonates with respiratory failure. Perfluorochemicals have a high solubility for respiratory gases and can be instilled in the lung using lower pressures than with gas ventilation. ⋯ This article describes in detail what liquid ventilation is, compares the physiologic effects of liquid ventilation to gas ventilation, and presents the nursing implications of this technique. A review of the recent literature on the subject is presented, including reports of laboratory and clinical experience with liquid ventilation.
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J Obstet Gynecol Neonatal Nurs · Feb 1995
Comparative StudyPatients' versus nurses' assessments of pain and sedation after cesarean section.
To compare nurses' and patients' assessments of pain and sedation in patients receiving epidural or intravenous patient-controlled analgesia (PCA) after cesarean section. ⋯ The results suggest that nurses' and patients' assessments of pain and sedation differ. The routine use of a standardized self-assessment tool, such as the visual analogue scale, is recommended to ensure that analgesic treatment is based on the subjective nature of the patient's pain experience rather than the nurse's judgment.
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J Obstet Gynecol Neonatal Nurs · Feb 1995
Case ReportsEthical perceptions of parents and nurses in NICU: the case of baby Michael.
A case was used to examine ethical challenges in the neonatal intensive care unit from the perspective of parents and nurses. Discussion focuses on issues of treatment versus nontreatment, informed consent, and decision making. An integration of crisis intervention techniques and caring processes is presented for nurses to assist parents through the neonatal intensive care unit experience.