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Related Concept Videos

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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Tertiary Healthcare System01:21

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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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Planning Nursing Care I01:21

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Planning Nursing Care II01:29

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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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Updated: May 16, 2025

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
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Establishing a Neonatal Palliative Care Program in a Tertiary Level Neonatal Intensive Care Unit.

Dwayne Mascarenhas1, Medha Goyal2, Prashanth Ranya Raghavendra3

  • 1Division of Neonatology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Canada.

Indian Journal of Pediatrics
|April 2, 2025
PubMed
Summary

Neonatal palliative care (NPC) integrated into intensive care units (NICUs) is feasible, supporting numerous infants. This program in India provided essential care, pain management, and family support for critically ill neonates.

Keywords:
BereavementComfort CareEnd-of-lifeMemory MakingQuality of Life

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Area of Science:

  • Neonatal care
  • Palliative care
  • Healthcare program implementation

Background:

  • Neonatal intensive care units (NICUs) often manage infants with complex conditions requiring specialized care.
  • Integrating palliative care early can improve outcomes and support for neonates and families.

Purpose of the Study:

  • To describe the planning and implementation of a neonatal palliative care (NPC) program.
  • To evaluate the characteristics, care components, outcomes, barriers, and enablers of the NPC program in a major Indian referral hospital.

Main Methods:

  • Retrospective, single-center observational study.
  • Analysis of data from a level IIIB NICU from December 2021 to December 2022.
  • Inclusion of neonatal characteristics, NPC interventions, and outcomes.

Main Results:

  • 65 out of 266 neonates received NPC, with early enrollment.
  • Common conditions included severe sepsis, congenital heart disease, and hypoxic-ischemic encephalopathy.
  • Care involved non-pharmacological pain management, enteral feeding, ventilation, and memorabilia; bereavement support was provided.

Conclusions:

  • A parallel care model integrating NPC into NICU settings is achievable.
  • Collaboration with pioneering centers facilitates program implementation.
  • This model supports a high volume of neonates in high-burden NICUs, ensuring early NPC initiation.