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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
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Feeding Infants with Neonatal Abstinence Syndrome: Finding the Sweet Spot
Denise J Maguire1, Emily Shaffer-Hudkins, Kathleen Armstrong
1University of South Florida, Tampa, FL 33620, USA,
Neonatal Network : NN
|February 14, 2018
Summary
Expert caregivers use medication, infant cues, and a calm environment to successfully feed infants experiencing neonatal abstinence syndrome (NAS) withdrawal. Nurturing the caregiver-infant relationship is also key.
Area of Science:
- Neonatal care
- Pediatric feeding strategies
- Infant withdrawal management
Background:
- Neonatal Abstinence Syndrome (NAS) presents significant feeding challenges.
- Expert caregivers develop specialized techniques to manage infant withdrawal during feeding.
- Understanding these expert strategies can improve clinical practice.
Purpose of the Study:
- To identify and describe successful feeding techniques used by expert caregivers for infants with NAS.
- To explore the key themes and strategies employed during the feeding of infants undergoing withdrawal.
Main Methods:
- Focus group methodology with self-identified experts.
- Involved twelve NICU nurses and speech therapists.
- Utilized open-ended discussions with participant verification of notes.
Main Results:
- Four major themes emerged: optimal medication management, following infant cues, maintaining a calm and comfortable state, and nurturing the caregiver-infant relationship.
- Caregivers employed common and creative techniques, including specific positioning and sensory interventions.
- Controlling withdrawal signs and keeping the infant calm were crucial for successful feeding.
Conclusions:
- Expert caregivers utilize a multi-faceted approach combining medical management, behavioral cues, environmental control, and relationship-building.
- Specific, novel techniques can be effective in supporting infants with NAS during feeding.
- Further research into these specialized feeding strategies is warranted.
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