tailieunhanh - Ebook Neonatal nursing care handbook (2/E): Part 2

Part 2 book “Neonatal nursing care handbook” has contents: Surgical care for the neonate, developmental care, the neonatal intensive care unit environment, palliative care, common procedures, diagnostic tests, common laboratory values, common drugs - medication guide, and other contents. | 8 c0008 ti0005 Surgical Care for the Neonate Michele DeGrazia ti0010 Overview p0005 This section provides guidance on general considerations of the s­urgical newborn, inclusive of commonly observed (noncardiac) conditions and interventions. ti0015 GENERAL CONSIDERATIONS IN THE MANAGEMENT OF THE SURGICAL NEONATE: CONSENT, FAMILY-CENTERED CARE, FLUID AND ELECTROLYTE AND PAIN MANAGEMENT p0010 Denise Casey and Donna Armstrong ti0020 OVERVIEW p0015 The care of the surgical neonate requires considerable skill and expertise. To care for a surgical neonate, nurses must possess the skills to provide routine well newborn care, deliver care to those with isolated surgical conditions, as well as those with multiple, ­complex, medical, and surgical diagnoses (Kelly, Liddell, & Davis, 2008). Nurses must advocate, monitor, and identify concerns related to the surgical neonate, and provide holistic, family-centered care to the family. This section will touch briefly on the topics of consent, family-centered care, fluid and nutrition management, and pain management. 268  ■  II: Special Care Considerations in Neonatal Nursing ti0025 CONSENT p0020 Informed consent is the initial process of educating the patient or surrogate person who is responsible for the care of the patient. p0025 ■■ In the case of a neonate, the responsible person is usually the parent(s), but sometimes it is another family member or surrogate. For simplicity, we will use parent(s) throughout this section, knowing that in some situations a family member or surrogate may be substituted (Sudia-Robinson, 2015). p0030 Education of the parent should include specific information about the surgical procedure that is to be performed. This education should be delivered in the form of a discussion where families feel comfortable asking questions to enhance their understanding. This will ensure parents remain engaged and involved in the ­decision-making process. During informed consent, the provider .

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