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Biomedical subjects

S Bakewell-Sachs

Publications and source records attributed to S Bakewell-Sachs.

14 recordsLinked to original sources
PubMed1995

Perinatal partnerships in practice: a conceptual framework for linking care across the childbearing continuum.

Health care delivery across the childbearing continuum can involve multiple providers and sites, resulting in fragmentation and duplication of services. This article presents a framework for developing linkages across care sites and providers as a potential model for minimizing such fragmentation and duplication. Nurses' presence in all health care settings, dominance in the provision of direct care services, and holistic focus of care establish them as logical leaders in linkage development.

Continuity of Patient Care↗
PubMed1995

Discharge planning and home care of the technology-dependent infant.

Technology-dependent infants are a medically complex, diverse group of individuals, many of whom can be cared for at home. Hospital discharge of any technology-dependent infant requires a multidisciplinary, comprehensive program of discharge planning and follow-up into the home. This article presents an overview of the technology-dependent infant population and a discussion of many of the pertinent issues for consideration during the discharge planning period and the transition from hospital to home.

Home Care Services↗
PubMed1992

Discharge planning and home care for low-birth-weight infants.

This article presents a review of discharge planning and home follow-up for low-birth-weight infants. The scope of the problem of low birth weight and postdischarge health status of low-birth-weight infants are presented in overview. Discharge planning and home care are detailed for healthy low-birth-weight infants and for low-birth-weight infants requiring various levels of technologic support in the home. Emphasis is on comprehensive discharge planning and home follow-up to facilitate continuity and quality of postdischarge care. Nursing's role is critical to the discharge planning and the postdischarge care process.

Community Health Nursing↗
PubMed1986

A randomized clinical trial of early hospital discharge and home follow-up of very-low-birth-weight infants.

To determine the safety, efficacy, and cost savings of early hospital discharge of very-low-birth-weight infants (less than or equal to 1500 g), we randomly assigned infants to one of two groups. Infants in the control group (n = 40) were discharged according to routine nursery criteria, which included a weight of about 2200 g. Those in the early-discharge group (n = 39) were discharged before they reached this weight if they met a standard set of conditions. For families of infants in the early-discharge group, instruction, counseling, home visits, and daily on-call availability of a hospital-based nurse specialist for 18 months were provided. Infants in the early-discharge group were discharged a mean of 11 days earlier, weighed 200 g less, and were two weeks younger at discharge than control infants. The mean hospital charge for the early-discharge group was 27 percent less than that for the control group ($47,520 vs. $64,940; P less than 0.01), and the mean physician's charge was 22 percent less ($5,933 vs. $7,649; P less than 0.01). The mean cost of the home follow-up care in the early-discharge group was $576, yielding a net saving of $18,560 for each infant. The two groups did not differ in the numbers of rehospitalizations and acute care visits, or in measures of physical and mental growth. We conclude that early discharge of very-low-birth-weight infants, with follow-up care in the home by a nurse specialist, is safe and cost effective.

Body Weight↗
PubMedDate not supplied

Breast-milk jaundice.

The syndrome of breast-milk jaundice, which often results in cessation of breastfeeding, maternal anxiety, and guilt, may be increasing. Research to date on pregnanediol, increased lipase, and free fatty acids as the causes of breast milk jaundice is reviewed. Variations in current treatment are presented and nursing measures supportive of parents and continued breastfeeding are provided.

Anxiety↗
PubMedDate not supplied

Postdischarge services for low-birth-weight infants.

Efforts to improve infant mortality and morbidity should focus on preventing low birth weight and improving infant care. Although preventing low birth weight is the ultimate goal, nurses also must improve the care of infants who are born with low birth weights. This article examines postdischarge care for these infants and the nurse's role in providing follow-up services. Nurses have unique opportunities to influence infant well-being directly through continued contact with families and through interventions that support infant caregivers. However, continued research is needed to provide nurses with information about how follow-up for low-birth-weight infants can be best provided.

Aftercare↗
PubMedDate not supplied

Learning to ask.

Explore the source record for details and available documents.

Communication Barriers↗
PubMedDate not supplied

Anxiety, depression, and hostility in mothers of preterm infants.

Anxiety, depression, and hostility in 47 mothers of high-risk preterm infants were tested at the time of infant discharge and when the infant was 9 months old. Mothers of these high-risk preterms were significantly more anxious and depressed before their infant was discharged than when the infant was 9 months old. Before infant discharge, multiparas were significantly more depressed than primiparas. Additionally, mothers whose infants remained in the hospital longer than the mean of 51 days were significantly less depressed at infant discharge than were mothers whose infants had shorter hospital stays. Maternal anxiety, depression, and hostility did not differ based on marital status, maternal education, socioeconomic status, or maternal age at the time of infant discharge or when the infant was 9 months old.

Adult↗