Core Curriculum For Neonatal Intensive Care Nursing – Awhonn

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. InDecember 1999, the first human chromosome, chromosome 22, was sequenced. This is the location of defects that can cause DiGeorge syndrome, chronic myeloid leukemia, and neu- rofibromatosis. It is also the final autosome in the human sequence as outlined by the National Institutes of Health Human Genome Report in 2003 (Collins et al., 2003). . Though the outcome of the Human Genome Project itself is not ethically problematic, the use of the data generated presents major ethical questions that must be addressed.

The future, then, presents the challenges of addressing the project’s implications (Blackburn, 2012; Larsson, 2001). B. Ethical, legal, and social issues program. ule Study is now under way on the ethical, legal, and social issues related to increasingly rapid progress in the field of human genetics. Four areas were identified for initial emphasis: pri- vacy of genetic information, safe and effective introduction of genetic information in the clin- ical setting, fairness in the use of genetic information, and professional and public education. . The program also emphasizes the importance of understanding the cultural, ethnic, social, and psychological influences that must inform policy development and service delivery issues.

. With time, these issues must be addressed to ensure that the maximal benefit is gained from the project (Blackburn, 2012; Larsson, 2001). A. Definition: Genetic counseling is a nondirective communication process that deals with the human problems associated with the occurrence, or the risk of occurrence, of a genetic disorder in a family.

This process involves collaboration of people from multiple disciplines (physician, sonographer, nurse, genetic counselor, social worker, neonatologist, and pediatric specialist, as indicated) and family support. fe dS) aA Ww . Principles of genetic counseling. im Bee 3h 4. . Goal of genetic counseling is to assist the family in comprehending the Based on correct diagnosis and pattern of inheritance. Nondirective. Reinforcement of information previously presented. Emphasis on communication with the primary care physician.

Diagnosis. Role of heredity. Recurrence risks and options. Possible courses of action. Methods of ongoing adjustment. . Indications (Blackburn, 2012; Drugan et al., 2005). ib Previously affected child, parent, or grandparent. . Congenital malformation. . Sensory defect. . Metabolic disorder. Mental retardation. Known or suspected chromosome abnormality. . Neuromuscular disorder. . Degenerative CNS disease. aero an Fp : Previously affected cousins. a. Muscular dystrophy. b. Hemophilia. c. Hydrocephalus. . Consanguinity. . Hazards of ionizing radiation. . Recurrent miscarriages. . Concern for teratogenic effect.

on) 7. Advanced maternal age. 8. High or low maternal serum AFP. .

3 Perinatal Substance Abuse, 43 4 Adaptation to Extrauterine Life, 58 5 Neonatal Delivery Room Resuscitation, 77 SECTION TWO CORNERSTONES OF CLINICAL PRACTICE 6 Thermoregulation, 95 7 Physical Assessment, 110 8 Fluid and Electrolyte Management, 146 9 Glucose Management, 162 10 Nutritional Management, 172 11 Developmental Support, 197 12 Pharmacology, 216 13 Laboratory and Diagnostic Test Interpretation, 235 14 Radiologic Evaluation, 253 15 Common Invasive Procedures, 282 16 Pain Assessment and Management, 316 17 Families in Crisis, 331 18 Patient Safety, 348 19 Discharge Planning and Transition to Home Care, 373 20 Genetics: From Bench to Bedside, 391 RO = Intrafacility and Interfacility Neonatal Transport, 407 22 Care of the Extremely Low Birth Weight (ELBW) Infant, 427 23 Care of the Late Preterm Infant, 439 SECTION THREE PATHOPHYSIOLOGY: MANAGEMENT AND TREATMENT OF COMMON DISORDERS 24 Respiratory Distress, 447 25 Apnea, 478 26 Assisted Ventilation, 487 27 Extracorporeal Membrane Oxygenation, 512 28 Cardiovascular Disorders, 527 29 Gastrointestinal Disorders, 583 30 Endocrine Disorders, 632 3 cook Hematologic Disorders, 662 32 Infectious Diseases in the Neonate, 689 33 Renal and Genitourinary Disorders, 719 34 Neurologic Disorders, 734 35 Congenital Anomalies, 767 36 Neonatal Dermatology, 795 37 Ophthalmologic and Auditory Disorders, 813 SECTION FOUR PROFESSIONAL PRACTICE 38 Foundations of Neonatal Research, 832 39 Ethical Issues, 843 40 Legal Issues, 849 APPENDIX A NEWBORN METRIC CONVERSION TABLES, 866 CORE CURRICULUM FOR NEONATAL INTENSIVE CARE NURSING <—_—- ¢ en, \ 1 Afi Ame: (Vepievices © LM ters is © & Adu © Wieseua: Lin, S Aonste Cressy ore a So-acivepee, 77 ™ .

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  • ISBN: 9780323225908
  • Pages: 949
  • Language: English (en)

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