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Developmental Care Rounds: An Interdisciplinary Approach to Support Developmentally Appropriate Care of Infants Born
Amy Jo Lisanti1, Jeanne Cribben1, Erin McManus Connock1
1Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Insights
Developmental care rounds improve outcomes for infants with complex congenital heart disease. These practices support infant development in cardiac intensive care units, benefiting patients, families, and staff.
Area of Science:
- Neonatal care
- Pediatric cardiology
- Developmental pediatrics
Background:
- Infants with complex congenital heart disease face developmental delay risks.
- Developmental care practices are established for premature infants but less so for cardiac patients.
- Cardiac intensive care units (CICUs) are increasingly adopting developmental care.
Purpose of the Study:
- To discuss the integration of developmental care practices in CICUs.
- To highlight the role of interdisciplinary teams in promoting supportive care.
- To outline the benefits of developmental care for infants undergoing cardiac surgery.
Main Methods:
- Implementation of interdisciplinary developmental care rounds.
- Focus on developmentally supportive care before and after cardiac surgery.
- Discussion of basic principles and common practices.
Main Results:
- Improved developmentally supportive care for infants in CICUs.
- Enhanced collaboration among interdisciplinary team members.
- Positive impacts observed for patients, families, and healthcare staff.
Conclusions:
- Interdisciplinary developmental care rounds are effective in CICUs.
- Developmental care is crucial for infants with congenital heart disease.
- Integrated care models enhance patient and family well-being.
Abstract:
Newborn infants with complex congenital heart disease are at risk for developmental delay. Developmental care practices benefit prematurely born infants in neonatal intensive care units. Cardiac intensive care units until recently had not integrated developmental care practices into their care framework. Interdisciplinary developmental care rounds in our center have helped in the promotion of developmentally supportive care for infants before and after cardiac surgery. This article discusses basic principles of developmental care, the role of each member of the interdisciplinary team on rounds, common developmental care practices integrated into care from rounds, and impacts to patients, families, and staff.
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