Therapeutic Touch Kangaroo Care Student Presentation

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Therapeutic Touch Kangaroo Care Student Presentation Powered By Docstoc
					Therapeutic Touch
  Kangaroo
   Holding
        Kangaroo Care
Developing attachment
in the NICU
Skin to skin contact is
the most preferred
intervention to decrease
neonatal morbidity and
mortality
Short term goal-
maintain temperature
      Kangaroo Care
Began 1980’s in Bogata, Columbia
Practice spreading worldwide because
of benefits
   Germany- if baby under 500 grams
   South Africa- opportunity for
   breastfeeding
   Zimbabwe- mortality reduced 40%
Now practiced in 25 developing
countries and many industrialized
countries
        Pathophysiology

Benefits to the infant;
  Breathe better
  Regulate heart rate- reduces dramatic
  increases
  Analgesic effect
  Doubles sleep time
  Increased mouthing movements
       Pathophysiology
Many other benefits;
  Improve breast feeding- duration
  increased by 8 weeks
  Promotes breastfeeding
  Supports growth and development
  Thermoregulation
    Mother is preferred heat source
    Neutral thermal range with skin contact
    Mother adapts body temp for newborn
             Psychological
Shown to have positive effects on
mother-infant bonding, stress
reducing for both
Improves birthing experience for
mother and father
Mothers demonstrate more
maternal affection behaviors
Provides tactile comfort and
verbal interaction
Enhanced father participation
Decreases maternal post partum
depression
      Women’s Health
Promotes a mother’s sense of
confidence and independence
Enables woman promote the health
and well being of her and her child
Will initiate the bonding pattern
Most nurses did not view kangaroo
care as an added burden
Main goal is support parental
confidence and competence
      Women’s Health
Nurses need to be there to provide
information and offer support
especially LBW babies
Fewer nurses needed to assist with
normal term infants
Some nurses may feel frustration
Nurses feel benefits of kangaroo care
can result in less workload for staff
 Potential Risks and Concerns
These are intensive care patients with multiple
precautions noted.
Nurses often concerned with accidental
dislodgement of lines, mechanical ventilation,
etc.
Required monitoring and appropriate
education for both mother and father
Education of the benefits of kangaroo care is
a pivotal role for the nurse providing care
   Nurse self-awareness regarding kangaroo
   care
           Interventions
Immediate skin to skin contact with
mother post delivery
  Dry baby put on hat and diaper, place on
  mother with warm blanket
Obtain APGAR scores, place I.D. bands
Vit K and Erythromycin after feeding
Other assessments after feeding
           Interventions
Skin to skin
contact for first 24
hours of life and
beyond
Minimize tasks
that remove baby
from mother
immediately after
birth
    Nursing Implications
Promote education, parent teaching
Effortless and no cost considerations
Consider condition of infant
Staff assistance to prevent dislodging
infusion lines
Organizational support- guidelines
and protocols
    Nursing Implications
Nurse educator-
  teaching principles in prenatal classes
  Discuss fundamental role
  Use of visual aids, reading materials
  Discussion board, phone call follow-up
Nursery nurse-
  Front line educators
  Adequate rest and pain management
  Documentation on discharge paperwork
    Nursing Implications
Pediatric nurse-
  In-service on kangaroo
  care
  Modifications to
  environment
Community health nurse-
  Required in order to
  take practice beyond
  the NICU
                 References
Chia, P. (2006). The Attitudes and Practices of Neonatal
Nurses in the use of Kangaroo Care. Australian Journal of
Advanced Nursing , 20-27.
Johnson, A. N. (2005). Kangaroo Holding Beyond the NICU.
Pediatric Nursing , 53-56.
Kostandy, R., Ludington-Hoe, S., & Cong, X. (2008). Kangaroo
Care (Skin Contact) Reduces Crying
Response to Pain in Preterm Neonates: Pilot Results.
Medscape , 55-65.

Images:
   www.digitalfieldguide.com/blog/page/35
   http://graphics.iparenting.com/clipart/newfamily/E
   009344L.JPG
   www.adnb.govt.nz/.../KangarooCare.htm
   http://moosekisspress.com/synopsis.html

				
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posted:4/20/2012
language:English
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