Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2
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Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2
CHAPTER 7Guidelines for Protected SleepThe nicest thing for me is sleep, then at least 1 can dream.—Marilyn MonroeThis guideline presents the latest e Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2evidence-based research, along with clinical practice recommendations and implementation strategies related to protecting, supporting, and practicing safe sleep in the neonatal intensive care unit ( Table 7.1).TABLE 7.1 Attributes and Criteria ot the Protected Sleep Core MeasureAttributesCriteriaPra Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2ctices that protect sleep integrity and support circadian/diumal Ihythmicity are integrated into the culture of care1Scheduled, noncíiMỉrgcnl caregiviEbook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2
ng is contingent on the infant’s s!eep-wake state and adapted accordingly 2.Cycled lighting is provided to support circadian rhythms 3.Staff and familCHAPTER 7Guidelines for Protected SleepThe nicest thing for me is sleep, then at least 1 can dream.—Marilyn MonroeThis guideline presents the latest e Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2Skin to skin care is an integral part of the daily care of eligible infants: length of sessions is documented in the medical record 2.An individualized sleep hygiene routine is an integral part of daily care 3.Supportive sleep routines are developed in partnership v/rth family and documented Io ensu Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2re consistencyStaff rote model compliance with recommended back to sleep safety practices for eligible infants1All staff are competent in the most curEbook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2
rent ‘‘back to Sleep" recommendations from the AAP; competency ts documented 2.There is a clear protocol and/or algorithm for the initiation of ‘back CHAPTER 7Guidelines for Protected SleepThe nicest thing for me is sleep, then at least 1 can dream.—Marilyn MonroeThis guideline presents the latest e Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2KS.137138 II I CLINICAL PRACTICE GUIDELINES■ GUIDELINE OBJECTIVES•To define the criteria and recommendations for best practice in protecting, supporting, and practicing safe sleep in the neonatal intensive care unit (NICU)•To present the evidence that supports the criteria and best practice recommen Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2dations for protected sleep in the NICU•To present clinical practice strategies that facilitate adoption and integration of evidence-based best practiEbook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2
ces in protecting, supporting, and practicing safe sleep in the hospital■MAJOR OUTCOMES CONSIDEREDThe impact of the consistently reliable application CHAPTER 7Guidelines for Protected SleepThe nicest thing for me is sleep, then at least 1 can dream.—Marilyn MonroeThis guideline presents the latest e Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2tional outcomes•Patient safety and quality clinical outcomes■PROTECTING SLEEPJet her sleep for when she wakes, she will move mountains.—Napoleon BonaparteInterventions and Practice Considerations1Create and maintain an individualized approach to nonemergent caregiving guided by the infant's sleep-wa Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2ke stale•Best practice considerations include an individualized approach to care based on infant's readiness behaviors2Create and maintain cycled lighEbook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2
ting in the patient care area•Best practice considerations include maintaining both day and night light levels within the recommended range, with nighCHAPTER 7Guidelines for Protected SleepThe nicest thing for me is sleep, then at least 1 can dream.—Marilyn MonroeThis guideline presents the latest e Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2cy in assessing infant sleep-wake states•Best practice considerations include annual competency-based training (CBT) for all staff; include comprehensive sleep education and sleepwake state assessment for all multidisciplinary new hires1 I GUIDELINES FOR PROTECTED SLEEP 139The EvidenceSleep is essen Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2tial for homeostasis, neurosensory and motor system development, learning and memory, immune function, growth, as well as brain plasticity (BesedovskyEbook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2
, Lange, & Born, 2012; Bom, Rasch, & Gais, 2006; Calciolari &. Montirosso, 2011; Graven & Browne, 2008; Ibarro-Coronado et al., 2015; Miyamoto & HenscCHAPTER 7Guidelines for Protected SleepThe nicest thing for me is sleep, then at least 1 can dream.—Marilyn MonroeThis guideline presents the latest e Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2ling fetal sleep state is active sleep (Mirmiran, Maas, &; Ariagno, 2003; Peirano, Algan'n, & Uauy, 2003; Scher, Johnson, & Holditch-Davis, 2005). A term newborn infant requires 14 to 17 hours of sleep per day (I Tirshkowitz et al., 2015) with 50% of the sleep time being spent in active sleep (rapid Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2 eye movement ÍREM1) and 50% quiet sleep (non-rapid eye movement IN’REMJ); however, in preterm infants up to 80% of their sleep cycle is spent in actiEbook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2
ve sleep (RUM) and their daily sleep requirement approaches 20 hours (Calciolari & Monlirosso, 2011). '1110 organization of sleep-wake stales reflectsCHAPTER 7Guidelines for Protected SleepThe nicest thing for me is sleep, then at least 1 can dream.—Marilyn MonroeThis guideline presents the latest e Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2e oiư aulonoctic awareness or consciousness (which the human fetus is capable of, based on the presence of lhalamocorlicial and corlicocorlical spinal tracts by approximately 24 weeks gestation) (Fivush, 2011; T-agercrantz, 2014; Tuigercrantz & Changeux, 2009, 2010). When we are awake or vigilant, w Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2e acquire a variety of inputs, some meaningful and others not so meaningful and these are processed at a neurobi ologica I level while we sleep. QuietEbook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2
sleep (NR1ÌM) is associated with the pro-consolidation phase, whereby meaningful events or inputs (skin-to-skin, sound of mother's voice) are separatCHAPTER 7Guidelines for Protected SleepThe nicest thing for me is sleep, then at least 1 can dream.—Marilyn MonroeThis guideline presents the latest e Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2 phase, which occurs during active sleep (REM) and prepares the meaningful inputs for permanent storage into memory (Calciolari & Monlirosso, 2011).Infants make meaning out of the world through unconscious and involuntary processes related to how the environment and associated stimuli make them feel Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2 (Tronick & Beeghly, 2011). These "meaningful" events can be positive or negative, occur while the infant is awake (vigilant slate) or in quiet sleep,Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2
and trigger learning (Graham, Fisher, & Pfeifer, 2013). These emotional memories are processed during active sleep (REM), the predominant sleep staleCHAPTER 7Guidelines for Protected SleepThe nicest thing for me is sleep, then at least 1 can dream.—Marilyn MonroeThis guideline presents the latest e Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2m, & Born, 2015), and lay the foundation for infants' behavioral and mental health trajectory. The valence of emotional events will influence the quality of sleep, impact sympathetic activity, and increase infant vulnerability to emotion dysregulation and subsequent mental health challenges (Delanno Ebook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2y, Mandai, Honoré, Kobayashi, & Sequeira, 2015; Graham, Pfeifer, Fisher, Carpenter, & Fair, 2015). Protecting sleep during neonatal intensive care isEbook Trauma-Informed care in the NICU - Evidence-Based practice guidelines for neonatal clinicians: Part 2
of paramount importance and encompasses caregiving modifications, environmental adaptations, as well as a focus on intersubjectivity and interpersonalCHAPTER 7Guidelines for Protected SleepThe nicest thing for me is sleep, then at least 1 can dream.—Marilyn MonroeThis guideline presents the latest eCHAPTER 7Guidelines for Protected SleepThe nicest thing for me is sleep, then at least 1 can dream.—Marilyn MonroeThis guideline presents the latest eGọi ngay
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