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Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Nephrotic Syndrome III : Nursing Management01:24

Nephrotic Syndrome III : Nursing Management

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Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
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Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Updated: Aug 15, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Neonatal neuropalliative care.

Sharla Rent1, Margarita Bidegain1, Monica E Lemmon2

  • 1Department of Pediatrics, Duke University School of Medicine, Durham, NC, United States.

Handbook of Clinical Neurology
|January 4, 2023
PubMed
Summary
This summary is machine-generated.

Neonatal neuropalliative care supports infants with serious neurological conditions and their families. This approach focuses on communication, decision-making, and symptom management from antenatal diagnosis through the neonatal intensive care unit stay.

Keywords:
CommunicationEnd of lifeNeonatalNeurologyPalliative care

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Area of Science:

  • Neonatology
  • Palliative Care
  • Neurology

Background:

  • Serious neurological conditions significantly impact neonates and their families.
  • Antenatal diagnosis and the neonatal period present unique challenges for care.
  • Existing care models may not fully address the complex needs of these patients.

Approach:

  • This chapter outlines a framework for neonatal neuropalliative care.
  • Focuses on three core domains: communication, prognostication, and symptom management.
  • Addresses care across different stages: antenatal, birth, and neonatal intensive care unit (NICU).

Key Points:

  • Family-centered communication and shared decision-making are crucial.
  • Accurate prognostication and ethical decision-making support care planning.
  • Effective pain and symptom management are essential for quality of life.

Conclusions:

  • Integrating neuropalliative care improves outcomes for neonates with life-limiting neurological conditions.
  • Special considerations are needed for end-of-life care, cultural contexts, and diverse practice settings.
  • Future research should guide the expansion of neuropalliative care in neonatal settings.