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Follow-Up for NICU Graduates Promoting Positive Developmental and Behavioral Outcomes for At-Risk Infants eBook 2018 PDF

Follow-Up for NICU Graduates Promoting Positive Developmental and Behavioral Outcomes for At-Risk Infants eBook 2018 PDF

Follow-Up for NICU Graduates Promoting Positive Developmental and Behavioral Outcomes for At-Risk Infants eBook 2018 PDF

Follow-Up for NICU Graduates Promoting Positive Developmental and Behavioral Outcomes for At-Risk Infants eBook 2018 PDF Abstract No longer is the success of care in the neonatal intensive care unit measured in terms of survival. As mortality statistics have continued to become more reassuring, success must now be measured in terms of morbidity.

This effort should then be used to help the individual survivor and also be used to evaluate current NICU practices. The NICU follow-up clinic has been developed as a means to accomplish these dual goals. In fact, such a program is a requirement for a graduate medical education program in neonatal-perinatal medicine. There are, however, no clear guidelines to describe the optimal follow-up program and, for example, how to structure it, staff it, and pay for it. Other issues not delineated are which graduates are truly at risk and how long they should be followed. Finally, the relationship between the follow-up clinic and the medical home must be clarified in order to not fragment care. Published in 1985, Jeff Lyon wrote Playing God in the Nursery

. It is a book discussing the issues faced by parents and professionals who must deal with premature infants and infants with a high risk for developmental disabilities. He quotes the mother of premature twins as reporting that “modern medicine has given me a beautiful son who has great potential to fully enjoy a good life, and it has also given me a beautiful daughter whose life will never bloom. I feel like saying ‘Thank you, modern medicine, and damn you, modern medicine.’” One of the challenges in dealing with the high-risk population who have been in the newborn intensive care unit (NICU) is to be certain that their developmental outcome is optimal.

Minimally, it is the role of the NICU follow-up clinic to help evaluate these infants and their performance and to help parents or their surrogates navigate an often confusing health-care and educational system. Additionally, the observed outcomes can be used to evaluate the quality of therapies used in neonatal/perinatal medicine.

Follow-Up for NICU Graduates Promoting Positive Developmental and Behavioral Outcomes for At-Risk Infants eBook 2018 PDF

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