Maternal fetal nursing:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1996
|
| Schriftenreihe: | The nursing clinics of North America
31,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | IX S., S. 259 - 427 graph. Darst. |
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| 245 | 1 | 0 | |a Maternal fetal nursing |c Linda P. Brown, guest ed. |
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Datensatz im Suchindex
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| adam_text | 1 MATERNAL/FETAL NURSING
CONTENTS
Preface xi
Linda P. Brown
The Evolving Nature of Perinatal Nursing 259
Lauren Arnold and Adrienne Kirby
The rapidly changing health care environment has created a
sudden and dramatic evolution in the paradigm of health care.
In changing from an acute care/illness model to one of wellness/
prevention, the health care industry is being reshaped in signifi¬
cant ways. Perinatal services have been the first of those affected,
with substantial reductions in the length of hospital stays and
expansive penetration by managed care insurers. This article
presents an overview of the major forces of change and outlines
expectations for further opportunities in perinatal nursing.
Women s Health: The Role of Advanced Practice
Nurses in the 21st Century 269
Diane L. Spatz
Advanced practice nurses have the capability of providing a
variety of services in women s health care. The role and functions
of certified nurse midwives, nurse practitioners, clinical nurse
specialists, and certified registered nurse anesthetists are dis¬
cussed. Current issues and barriers to advanced practice nursing
are presented and include role definitions and regulations, second
licensure, educational level, prescriptive authority, third party
reimbursement, admitting privileges, and malpractice reform. Fu¬
ture directions and recommendations are provided.
NURSING CLINICS OF NORTH AMERICA
VOLUME 31 • NUMBER 2 • JUNE 1996 V
A Review of Problems of Universal Access to Prenatal Care 279
Ruth York, Christine Grant, Annie Gibeau,
Jacqueline Beecham, and Janet Kessler
Despite the preponderance of evidence that points to the advan¬
tages of prenatal care, the number of women who receive ade¬
quate prenatal care has remained at a plateau or actually de¬
creased since 1980. Over the past decades, many demographic
and structural barriers to receiving prenatal care have been identi¬
fied; financial obstacles have been cited as the major barrier. The
assumption has generally been made that if financial barriers to
prenatal care were removed, problems with access to prenatal
care would be solved. Recent appreciation of the significance of
nonfinancial barriers to prenatal care has resulted in recognition
that even if all financial barriers were removed, there would still
be access problems.
Stress, Immune Function, and Relationship to
Pregnancy Outcome 293
Susan Gennaro and William P. Fehder
Pregnancy and the postpartal period are a time of immunosup
pression. The normal immunosuppression that occurs during the
puerperium may be aggravated by stress. Normal mechanisms of
immunosuppression are discussed, and the research related to
stress and childbearing is examined in this article.
Use of Ultrasonography in the Home Care of High Risk
Childbearing Women 305
Marilyn Stringer
As different models of health care delivery emerge, including
home care models, consideration of health care services (such as
ultrasonographic evaluations) that were previously only available
at centralized care sites need to be considered. Different types of
ultrasound evaluation that may be needed and provided in the
home setting include nonstress testing, biophysical profile testing,
fetal viability, amniotic fluid indexes, placental localization, fetal
presentation, and growth assessments. With portable ultrasonic
and fetal monitoring equipment, evaluations can be performed
safely in the home setting by nurses who have received additional
education and training in ultrasonic imaging.
Bed Rest and High Risk Pregnancy: Differentiating the
Effects of Diagnosis, Setting, and Treatment 313
Judith A. Maloni
Current research on high risk pregnancy frequently has con¬
founded the effects of diagnosis, setting, and treatment. Studies
of pregnancy bed rest have demonstrated a beginning attempt to
differentiate the influences of confounding variables and, similar
vi CONTENTS
to high risk studies, have found that depression, anxiety, other
disturbing emotions, and separation from family are common
side effects. It is likely that some of the effects previously attrib¬
uted to high risk pregnancy may be either caused or heightened
by activity restriction. This article identifies the major issues to
be considered when studying high risk pregnant women. Fur¬
thermore, it suggests that, if activity restriction must be pre¬
scribed, the adverse effects of treatment upon both the women
and her fetus should be considered in the decision making pro¬
cess.
A Model of Home Care for High Risk Childbearing Families:
Women with Diabetes in Pregnancy 327
Cynthia Armstrong Persily, Linda P. Brown, and Ruth York
With a national trend toward decreased hospitalizations for high
risk childbearing women, home care and follow up services have
gained increased importance. The Quality Cost Model of Nurse
Specialist Transitional Follow Up Care is presented as a method
to provide home care for high risk pregnant women, specifically
those whose pregnancies are complicated by diabetes mellitus.
The model offers opportunities for intensive education, assess¬
ment, intervention, and support throughout the pregnancy and
postpartum period. In addition, this model can potentially de¬
crease the burden of care on the woman and her family by
providing a comprehensive program of home care, follow up,
support, and education.
Controversial Issues Surrounding Early Postpartum Discharge 333
Linda P. Brown, Sally A. Towne, and Ruth York
Throughout the world, early postpartum discharge programs are
emerging as one strategy for reducing health care costs and, in
some areas, relieving the shortage of hospital beds. This article
summarizes the research findings to date regarding programs of
early postpartum discharge. Additionally, findings from recently
completed work on a program of early discharge for high risk
childbearing families is discussed.
Family Response to the Low Birth Weight Infant 341
Susan Gennaro
Families of low birth weight (LBW) and very low birth weight
(VLBW) infants have a different experience during the first
months of their infant s life than do families of normal weight
term infants. Preterm infants are often more difficult to parent
and have more health problems in the first year of life. Families
have increased expenses but decreased employment opportuni¬
ties. Nurses who understand the many changes that families of
LBW infants may experience are better able to provide appro¬
priate care.
CONTENTS vii
State of the Science: Breastfeeding for Mothers and
Low Birth Weight Infants 351
Paula P. Meier and Linda P. Brown
An emerging body of literature suggests that breastfeeding af¬
fords highly specific health benefits for preterm/low birth weight
infants and their mothers. However, only 35% to 38% of these
mothers initiate breastfeeding, and of this percentage, as many as
50% will have discontinued lactation efforts by the time their
infants are discharged from the hospital. This population of moth¬
ers encounters numerous barriers to breastfeeding. The required
research based interventions that are specific to preterm/low
birth weight infants are presented in this article, and the support¬
ive scientific literature is reviewed within four categories of
breastfeeding services: expression and collection of milk, gavage
feeding of expressed milk, in hospital breastfeeding, and postdis
charge breastfeeding management.
Integrating Family Centered Developmental Assessment
and Intervention into Routine Care in the Neonatal
Intensive Care Unit 367
Jacqueline M. McGrath and Sharon Conliffe Torres
Integrating developmental interventions into routing nursing
practices in the Neonatal Intensive Care Unit (NICU) is difficult
given the individualized needs of each infant, the existing envi¬
ronment of the NICU, and the demands placed on neonatal
nurses. Yet, with knowledge of theory and research, competent
neonatal staff nurses can integrate this framework into their rou¬
tine practice. This integration requires knowledge, flexibility, sen¬
sitivity, and support from all members of the neonatal team.
Implementing a Research Based Kangaroo Care
Program in the NICU 387
Rebecca Paulsen Bell and Jacqueline M. McGrath
Kangaroo care or skin to skin holding of preterm infants requires
consistent implementation for best outcomes with infants and
families. Successful implementation of a project of this type de¬
mands an organized approach. This article describes how a stan¬
dard of care was developed using research findings and then
implemented with a step by step approach in the neonatal inten¬
sive care unit.
Advanced Ventilation in the Neonate 405
Michael J. Antunes, Jay S. Greenspan, and Ksenia Zukowsky
Advanced ventilation therapies for the sick neonate, such as nitric
oxide and liquid ventilation, may be effective in treating the sick
viii CONTENTS
neonate. Both techniques are discussed in terms of their current
merit for treatment and what impact they may have on nurses
caring for the sick neonate.
Index 423
Subscription Information Inside back cover
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| spelling | Maternal fetal nursing Linda P. Brown, guest ed. Philadelphia [u.a.] Saunders 1996 IX S., S. 259 - 427 graph. Darst. txt rdacontent n rdamedia nc rdacarrier The nursing clinics of North America 31,2 Krankenpflege (DE-588)4032813-2 gnd rswk-swf Risikoschwangerschaft (DE-588)4212698-8 gnd rswk-swf Neugeborenenkrankheit (DE-588)4041779-7 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Neugeborenenkrankheit (DE-588)4041779-7 s Krankenpflege (DE-588)4032813-2 s DE-604 Risikoschwangerschaft (DE-588)4212698-8 s Brown, Linda P. Sonstige oth The nursing clinics of North America 31,2 (DE-604)BV000003386 31,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007253827&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Maternal fetal nursing |
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| title_full | Maternal fetal nursing Linda P. Brown, guest ed. |
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