Neonatal network : NN
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Neonatal network : NN · Mar 2008
Historical ArticleThe changing role of parents in neonatal care: a historical review.
Over the past century, improvements in technology and neonatal care techniques have dramatically reduced infant mortality rates. While this progress continues, a growing body of literature supports the significant role that parents play in the development of infants, particularly within the hospital setting. ⋯ This historical review describes how past neonatal care practices affected the roles of parents, from absence or indirect involvemcnt to the important involved roles of today. Understanding current trends in relation to these past experiences may encourage the formulation of family-centered care practices now and in the friture.
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Neonatal health care providers are fortunate that the umbilical cord generally provides easy intravenous (IV) access for newborn patients. Outside of the immediate newborn period, however, it may be impossible to obtain peripheral or umbilical IV access in critically ill newborns. Intraosseous (IO) infusion is not widely used in the neonatal population, but is a viable option when IV access cannot be established quickly. This article examines IO infusion devices and placement sites and addresses assessment and care of the infant receiving IO fluids and medications.
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Honey has been shown to have antibacterial activity against a variety of species of bacteria in vitro. Although the evidence regarding the use of honey for wound treatment in neonates and infants is interesting, it is not strong. ⋯ A comparison of different types of honey would be an important component of these trials. Currently, there is not enough evidence to recommend one type of honey over another type; however, honey and wound care experts do recommend honey for wound care, not for consumption.
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Full disclosure of errors to family members of patients in the NICU starts the healing process and helps to restore confidence and faith in caregivers. By facilitating and encouraging full disclosure, managers help initiate the healing process for all involved and can better ensure regulatory compliance.