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The changing face of bronchopulmonary dysplasia: Part 2. Discharging an infant home on oxygen

Karin Gracey1, Deborah Talbot, Ruby Lankford

  • 1Departments of Pediatrics and Clinical Resource Management, Hutzel Women's Hospital-Detroit Medical Center, 3980 John R. Rd, Detroit, MI 48201, USA. karingracey@aol.com

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|July 29, 2003
PubMed

Insights

Discharging infants with bronchopulmonary dysplasia (BPD) home on oxygen requires careful planning. This guide offers strategies for interdisciplinary teams to support families, ensuring a safe transition and preventing rehospitalization.

Area of Science:

  • Neonatal Medicine
  • Pediatric Pulmonology

Background:

  • Bronchopulmonary dysplasia (BPD) presents complex challenges for infants requiring home oxygen therapy.
  • Infants with BPD often experience medical fragility, increasing stress on families during the transition home.

Purpose of the Study:

  • To provide strategies for a coordinated, interdisciplinary approach to discharging infants with BPD on home oxygen.
  • To outline comprehensive discharge planning, teaching, and follow-up to ensure safe transitions and reduce rehospitalizations.

Main Methods:

  • Utilizing a systematic interdisciplinary discharge planning process guided by clear criteria.
  • Developing comprehensive discharge teaching, home care plans, and multispecialty follow-up protocols.

Main Results:

  • Implementation of a structured discharge process facilitates a smoother transition for infants with BPD.
  • Clear discharge criteria and thorough parent support are crucial for managing medical fragility at home.

Conclusions:

  • A coordinated interdisciplinary effort is essential for successfully transitioning infants with BPD home on oxygen.
  • Effective discharge strategies, including robust parent support and follow-up, can enhance outcomes and minimize rehospitalizations.

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