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Focuses on nurturing the emotional health of patients and families to ensure improved outcomes
This innovative clinical practice resource for neonatal nurses embodies family-centered care strategies for optimal outcomes through every phase of the NICU experience. While rigorous programs provide the knowledge and skills to care for the physical needs of high-risk mothers and neonates, NICU practitioners often find themselves unprepared to support the emotional health of these patients and their families. Care Coordination in the NICU provides the education, inspiration, and resources to NICU health professionals so they can learn how to be emotionally supportive to their patient's entire family unit.
The book addresses a variety of challenging patient and family issues that occur in the NICU as they relate to care coordination throughout the process. Each chapter focuses on a particular area of the perinatal/neonatal family journey, and includes current medical research, clinical examples, and recommendations for best practice alongside case studies that depict families experiencing a perinatal challenge. Most valuable of all, each chapter also includes stories directly from the source, the families, who have experienced the fear, isolation, and uncertainly of an NICU experience, and have greatly benefited from the emotional support of caring practitioners.
Key Features:
Sara L. Mosher, MHA, BSN, RN, has been in nursing practice for more than 15 years. Her career has been spent as a nurse in various roles such as neonatal bedside nurse, charge nurse, NICU clinical practice coordinator, critical care neonatal flight nurse, NICU family-support specialist, manager of NICU and pediatric departments, manager of nurse navigation and inpatient case management teams, and clinical nurse manager of population health.
CONTENTS
Contributors
Foreword by Pat Scheans, DNP, NNP-BC
Preface
Acknowledgments
PART I. CARE COORDINATION AND FAMILY-CENTERED CARE
1. Nursing History, Care Coordination, and Family-Centered Care: An Overview
References
PART II. SUPPORTING PATIENTS IN HIGH-RISK PREGNANCY AND DELIVERY
2. Supporting High-Risk Pregnancy Bed-Rest Patients and Preparing Them for a Potential NICU Baby
Supporting High-Risk Pregnancy Bed-Rest Patients
Preparing for the NICU
Recommendations/Suggestions for Best Practice
Recommended Resources
3. Supporting Families During High-Risk Deliveries
Supporting the Patient and Family During the Delivery
Including Family in Neonatal Resuscitation
Caring for Mom and Baby as a Dyad During Emergencies
4. Supporting Families When Both Mom and Baby Become Ill
Caring for Families When Mom Does Not Survive
PART III. SUPPORTING PATIENTS AND FAMILIES IN THE NICU
5. NICU Admission
Supporting the Patient and Family During a NICU Admission
Education and Information Sharing
6. Supporting Families in the NICU
Bridging the Gap for NICU Professionals
Neonatal Intensive Parenting Unit
Siblings in the NICU
7. Helping Families Make the Hospital a Home
Making the NICU a Nursery
Celebrating Milestones
Hospital Holidays
8. Helping Families Prepare for Discharge and Life After the NICU
How to Take Over the Care of Their Newborn
How to Manage Follow-Up Appointments
Helping Families Find Connection With Others
Making Discharge a Celebration
PART IV. SUPPORTING PATIENTS WITH SPECIAL CHALLENGES IN THE NICU
9. How to Support Families Who Are Challenging to Connect With
Caring for Families With Varying Levels of Education and Learning Disabilities
Caring for Families Who Have Very Limited Resources and Support
Addressing the Unique Needs of Teen Parents
10. Helping Families Balance NICU Life and Home Life
Balancing Older Siblings
Balancing Parenting and Relationships
Returning to Work
11. Supporting Families Faced With Neonatal Transport
Caring for Families Whose Infant Is Transported Out of a Facility
Building Relationships Between Transferring Units
Caring for Families Whose Infants Are Transported Into a Facility
12. Supporting Families Who Experience a Postpartum Mood Disorder
Assessing Families for Postpartum Mood Disorders
Providing Layered Levels of Emotional Support to Families
Encouraging Intentional Parental Self-Care Practices
PART V. SUPPORTING WITH BEREAVEMENT AND PALLIATIVE CARE
13. Bereavement: Supporting Families Experiencing a Loss in the Perinatal Period
Miscarriage
Stillbirth
Neonatal Death
Family Support During Perinatal Loss
14. Palliative Care and Bereavement Support in the Neonatal Period
Preparing for Palliative Care
Transition From Life to Death
Family Support After Death
15. Supporting Staff and Self-Care After a Patient Loss
Preparing Staff to Care for Families Who Experience Loss
Self-Care Practices
Honoring Memories of Patients and Their Families
PART VI. THERAPEUTIC STRATEGIES FOR CAREGIVERS AND PATIENTS
16. Caring for the Caregiver: How to Avoid Burnout
Message From Cheryl Milford
Patient Relationships and Boundaries
Understanding How We Respond to Stress
Vicarious Traumatization, Compassion Fatigue, and Burnout
Self-Care: It Is All About You
Resilience: Protection From Caregiver Mental Health Complications
Conflict Resolution With Coworkers
Support From Administration and Coworkers
Cheryl Milford's Summary
Index
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