Best Nursing Practice for Newborns with Jaundice Essay

Best Nursing Practice for Newborns with Jaundice - Essay Example The most common intervention is phototherapy which is initiated soon after the level of bilirubin reaches phototherapy zone. Infants receiving phototherapy need extra nursing care so that therapeutic phototherapy is provided and the baby does not feel chill or burn. Breast feeding is encouraged during phototherapy and some babies may benefit with fiberoptic pad underneath. The irradiation of the light must be measured. Nurses must maintain input and out because these babies are at risk of dehydration. Daily weighing is another method of monitoring hydration. Nurses must also maintain temperature stability and skin intergrity. They must also monitor signs of irritation of the eyes. Linen of the babies must be changed frequently (Cohen, 2006). Nursing assessment with reference to these babies includes head size, evidence of birth trauma, feed intake, stooling, sleep patterns, irritability, lethargy and interaction with family. Serum bilirubin levels must be checked every 8, 12 or 24 ho urs based on the assessment. Phototherapy must be discontinued when the bilirubin level falls less than 14 mg/dl. When bilirubin levels rise above 25 mg/dl, it is considered as medical emergency and the baby must be evaluated for exchange transfusion (AAP, 2005).

Reflection & Application Essay Example | Topics and Well Written Essays - 500 words - 1

Reflection & Application - Essay Example Therefore, much to my surprise, when I was talking to another friend, it slipped that the topic which was supposed to be a secret, was known to her. This only proves that my close friend committed a breach in promising secrecy to what I shared to her. From then on, although she remained a friend, the level of closeness (especially in terms of sharing controversial topics) already changed. Similar incidents of breaches of trust were presented in the text and the same outcome was noted. What touched me most was the disclosure that people actually have different reactions and perceptions in the way trust is given. The discourse presented information which relayed that people who have had some family problems (impending divorce of parents or the way parents raise their children) affect the way children perceive other people as trustworthy. For me, it was actually very easy to give trust – until some unfortunate event, caused me to learn from the experience. Thus, the learning experience enabled me to realize that we should actually be careful in divulging private and confidential information to people, even to close friends, until such time that we have confirmed that these friends are classified as friends of the heart (or intimate friends) who last regardless of time, distance, and challenging situations. Concurrently, another important aspect learned from the chapter was in the area of accepting friends, despite their flaws. I strongly believe that friends last because each and every one learned to accept the person for who that person truly is and does not try to change the person to fit selfish interests or desires. I also affirm that, as friends, one could say to each other comments, which could sometimes be hurting; yet, which is needed to be communicated to assist the friend in changing for the better (for her or his own good). For instance, when a friend asks