...campaign, the DOH aims to cut down infant mortality in the Philippines by at least half. The campaign employs Essential Newborn Care (ENC) Protocol as a strategy to improve the health of the newborn through interventions before conception, during pregnancy, at and soon after birth, and in the postnatal period. The ENC Protocol provides an evidence-based, low cost, low technology package of interventions that will save thousands of lives. Based on health statistics, the Philippines is one of the 42 countries that account for 90% of under-five mortality worldwide. 82,000 Filipino children under five years old die every year. 37% of them are newborn. Majority of them (3/4) die within the first two days of life. Mostly due to stressful events or conditions during labor, delivery and immediate postpartum period. The current practice of handling newborns, like clamping and cutting the umbilical cord and washing the baby right after birth, have been known to actually contribute to the high incidence of neonatal deaths and illnesses in the country. Thus the need for a paradigm shift from the prevailing standard procedures into the new protocol. Health Secretary Duque explained that the ENC Protocol involves focusing on the first hours of life of the newborn with the manual guiding health workers in providing evidence-based essential newborn care. Essential Newborn Care Workflow The ENC Time-bound Interventions The guidelines categorize procedures into time-bound, non time-bound and unnecessary...
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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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...Running Head: NEWBORN ASSESSMENT AND CARE PLAN Newborn Assessment and Care Plan Newborn Assessment On 1/29/09, at 0610, 39 week gestational age, 7lb 4.6oz, black male was born to 18 year old mother. Infant born via vaginal delivery with assistance of vacuum extraction, nuchal cord x1 noted. Mother received adequate prenatal care beginning at 8weeks. Prenatal medications included Iron supplements and prenatal vitamins. Prenatal complication included pregnancy induced hypertension. Onset of labor 0647, full dilation 1705, and delivery of infant at 1810. Apgar scores 6/8.Weight 3305gms, length 20 inches, head circumference 12 inches, chest circumference 12 ¾ inches, abdominal girth 12 inches. The infant is alert and active. Anterior fontanel is soft and flat. No oral lesions. Head caput/ molding, elongated with edema, abrasion noted from suction. Color is pink and changing all over (African American.) Skin is warm, dry, and well perfused. No rashes, vesicles, or other lesions noted. Birthmark present on forehead approximately 2cm. Bilirubin test ordered. Lanugo present. Hair pattern is scattered evenly all over, fine texture and moderate amount. Eyes symmetrical and in midline. No discharge present from eyes. Eyes move from left to right and sclera is white. Eyebrows are fine and symmetrical. Nose is patent and midline. Ears present symmetrically. Mouth midline. Gums and tongue pink and moist. Cheeks symmetrical with no lesions. Saliva present. Chin well aligned on face...
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...Knowledge and Conformance of Delivery Room Staff on Essential Newborn Care Protocol A Thesis Proposal Presented to the Faculty of the Graduate School of University of the Visayas Cebu City, Philippines In Partial Fulfillment of the Requirements for the Degree of Masters of Arts in Nursing Major in Maternal and Child Health Nursing by MAY PRINCES T. ABUCEJO, RN August, 2012 THE PROBLEM AND ITS SCOPE INTRODUCTION Rationale of the Study The Child Survival Strategy published by the Department of Health has emphasized the need to strengthen health services of children throughout the stages. The neonatal period has been identified as one of the most crucial phases in the survival and development of the child. The Millennium Development Goal Number four (4) of reducing under five child mortality can be achieved by the Philippines, however, if the neonatal mortality rates are not addressed from its non-moving trend of decline, MDG 4 might not be achieved (http://www.doh.gov.ph/node/2664). Based on health statistics, the Philippines is one of the 42 countries that account for 90% of under-five mortality worldwide. Eighty two thousand (82,000) Filipino children under five years old die every year. Thirty seven percent (37%) or 40,000 of them are newborn. Majority of them (3/4) die within the first two days of life, mostly from preventable causes. The high mortality and morbidity rates in newborn are directly related to inappropriate hospital and community practices...
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...educator, nurse managers, clinical care associates, and certified surgical technicians parents and family. These stakeholders are a must to have in order for the SSC to be successful. The interprofessional health care team is very important and highly successful in implementing SSC. For SSC to be a success, multiple health workers work together to deliver the highest quality care to patients, families, and the communities. This collaborative practice includes respect, trusts, and shared decision-making and partnerships. This means everyone involved will work together as a team sharing the same vision, with that change process is not...
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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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...generations was completed on my patient while conducting the fifteen minute family interview. The findings show that the mother of the newborn is twenty five years old and has no chronic conditions. Her partner is also twenty five years of age, and was diagnosed with Asthma a couple of years ago. The mother of the newborn and her partner are not married but have had three children together including the newborn baby. The newborn baby has two brothers that are healthy. One is two years of age, while the other is eleven months old. The newborn baby also has a brother who is five years old from another relationship that her mother has had. The newborn’s paternal grandmother is forty seven years of age...
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...(Abramson), the cost of maternity and newborn care exceeds any other hospital expense – and those costs are rising (Truven Analytics). With budget cuts necessitating review of Tricare benefits and payments for medical services of all kinds for beneficiaries, it would seem counterintuitive to suggest that a way for Tricare to save money on maternity and newborn care would be to cover a new service. However, research shows that the cost savings associated with doula support during labor and delivery are significant...
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...NICU stands for neonatal intensive care unit, or it is know as intensive care nursery (ICN.) A neonatal nurse is responsible for the care of newborn infants born with a variety of problems. These problems could be anything ranging from prematurity, birth defects, infection, cardiac malformations, and surgical problems. Neonatal nurse generally care for those infants who experience problems shortly after birth, or infants who experience long-term problems related to their prematurity or illness after birth. The type of work is divided into three levels. Level one is for the healthy newborns. Most neonatal nurses do not work in this level very long as most of the healthy newborns stay in the room with the mother. Level two is for prematurely delivered newborns or those with an illness that requires immediate care. These newborns commonly need special care, such as intravenous fluid administration, specialize feeding, oxygen therapy, and medications. They usually need time to mature and grow before being discharged....
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...least 3.3 million children younger than 5 years of age die annually because of their handicap condition (CITE). Those children who do end up surviving will most likely be mentally and/or physically disabled for the rest of their life. With at least two handicapped newborns being born everyday, the healthcare industry is constantly faced with decisions regarding what the correct ethical treatment options should be for handicapped newborns. Whether or not treatment regimens should even be administered to handicapped newborns has caused a great deal of controversy in our society, and has ultimately come down to two different options: Should there be a law that makes it illegal to withhold treatment from handicapped newborns? Or should the decision of treatment be up to the parents and/or physicians? Since the number of handicapped newborns being born into the United States is only going to increase, this is definitely an ethical topic that needs to be addressed by both the public and lawmakers. Withholding treatment from handicapped newborns has been an ongoing issue since 1973, when the first phase of this ethical controversy occurred. Dr. Raymond Duff and Dr. Ian Campbell, physicians in the newborn intensive care unit at Yale-New Haven Hospital, decided to let the public in on a little secret of theirs. In an article they published in the New England Journal of Medicine, they discussed the fact that they and their medical colleagues purposefully withheld life-saving treatment...
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...Filipino children under five years old die every year. 37% of them are newborn. The Child Survival Strategy published by the Department of Health has emphasized the need to strengthen health services of children throughout the stages. The neonatal period has been identified as one of the most crucial phase in the survival and development of the child. The United Nations Millennium Development Goal Number 4 of reducing under five child mortality can be achieved by the Philippines however if the neonatal mortality rates are not addressed from its non-moving trend of decline, MDG 4 might not be achieved Majority of them (3/4) die within the first two days of life. Mostly it is due to stressful events or conditions during labor, delivery and immediate postpartum period. The current practice of handling newborns, like clamping and cutting the umbilical cord and washing the baby right after birth, have been known to actually contribute to the high incidence of neonatal deaths and illnesses in the country. Thus the need for a paradigm shifts from the prevailing standard procedures into the new protocol. With the new protocol, the DOH expects a sharp cut in infant deaths to remove the Philippines from the list of 42 countries that account for 90 percent of global deaths among children below five years old We’re launching this protocol in collaboration with the World Health Organization to help solve this newborn-mortality problem because if it is not reduced by at least half, the...
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...professionals, there is an ethical obligation to provide the best possible care to our patients. Abuse in healthcare is a frequent reality, whether it is elder, sexual, physical, child or substance abuse. In the case of any abuse, the nurse has a duty to protect the patient by “ensuring that abuse is prevented, or stopped and reported” (College of Nurses of Ontario, 2006, p. 9). In order to deliver superlative care to a patient, the College of Nurses of Ontario Standards of Care (2006) describes accountabilities for the nurse-patient relationship, including protecting the client from abuse. The purpose of this paper is to explore the concept of abuse as it relates to professional caring and protecting the client....
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...Describe one potential reason for the lack of skin-to-skin contact being implemented within institutions? One potential reason that an institution may lack the implementation of skin-to-skin contact is that the newborn may not be adjusting to its new environment outside of the uterus. Indications that a newborn is having difficulty making the immediate transition from intrauterine to extrauterine life may be first apparent by a low Apgar Score rating (Pillitteri, 2014, p. 701). The Apgar Scale assessment measures how your newborn is doing after birth, and if additional medical assistance is needed to help the baby (Pillitteri, 2014, p. 460). Describe two (2) benefits to the newborn for skin-to-skin contact. Describe the physiologic effects associated with each benefit. Originally referred to as kangaroo care, skin-to-skin care is the use of skin-to-skin contact with a parent to maintain body heat (Pillitteri, 2014, p. 706)....
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...Policy Analysis Sandra Diaz Nova Southeastern University Newborn Screening for Congenital Heart Disease I represent the American Heart Association and this organization support Bill HB 81. The American Heart Association has been dedicated to the treatment and prevention of cardiovascular diseases of all age groups. Furthermore, our mission and goal is to" build healthier lives, free of cardiovascular disease, this is the single purpose that drives all we do and the need for our work is beyond question"(American Heart Association, n.d). Therefore, it is evident that this organization firmly support early screening, treatment and prevention of cardiovascular diseases. Congenital heart disease is the most common birth defect among newborns, affecting eight out of every one thousand newborn babies(Ewer et. al, 2011). It is also the leading cause of death among newborns within the first year of life. Early detection of congenital heart disease is crucial to newborn health and prevention of major problems later in child's life. Additionally, if detected early, congenital heart defects can be treated with surgical interventions or medication, depending on the severity. Pulse oximetry, a simple non invasive test and will be implemented as a screening tool for congenital heart disease(Kemper et. al, 2011). Bill HB 81 - Newborn Screening for Critical Congenital Heart Disease was sponsored by Cary Pigman(Republican, District 55)...
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...to develop a protocol for health care professionals’ roles in providing SSC in the OR, implement the protocol, and evaluate the process of implementation of the evidence-based intervention. The project was conducted at an inner-city hospital in the Southwestern United States. The Iowa Model of evidence-based practice to promote quality care and Lewin’s Change...
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