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Biomedical subjects

S M Clark

Publications and source records attributed to S M Clark.

77 records · Page 5Linked to original sources
PubMedDate not supplied

Early enteral feeding of a severely burned pediatric patient.

Early postburn duodenal feeding can provide adequate nutritional support despite increased risk of intolerance in a severely injured pediatric patient. A 3-year-old girl was admitted with 30% total body surface area thermal burns and sever inhalation injury. During admission, a pediatric feeding tube was placed into the duodenum, and enteral feeding was initiated within 12 hours after injury. Total enteral feeding provided full nutritional needs by postburn day 5 and continued to provide stable and adequate nutrition throughout administration. A full-strength isotonic formula with high concentration of dipeptides and tripeptides was used. Complications of enteral feeding did not prevent achievement of positive caloric and protein balance or repletion of nutritional stores with conscientious nutritional management. Maintenance of admission weight was achieved. This case report describes techniques in nutritional monitoring to assist in optimizing enteral nutrition management.

Burns↗
PubMedDate not supplied

Conflicting responses: the experiences of fathers of infants diagnosed with severe congenital heart disease.

PURPOSE: To explore the experiences of fathers of infants newly diagnosed with severe congenital heart disease. DESIGN: An analysis of qualitative data collected as part of a larger longitudinal study of parenting the medically fragile infant. PARTICIPANTS: Eight fathers whose infants were hospitalized for severe congenital heart disease, were technology dependent at time of enrollment, and were expected to have serious chronic health problems at discharge. DATA COLLECTION MEASURES: Semistructured interviews in the hospital and the home until the child reached 15 months adjusted age. RESULTS: Findings indicate that fathers experience four interrelated conflicting reactions: the joy of seeing the child born and becoming a father, plus the sadness and loss associated with the baby's illness; the challenge of becoming attached while dealing with fears about the infant's vulnerability and potential death; the need to try to maintain control while feeling a loss of control; and the struggle to remain strong for others while hiding their intense emotions. These findings extend the previous limited research about fathers by identifying the unique conflicts fathers of seriously ill infants experience in coping with the child's diagnosis and treatment. Findings have implications for intervening with fathers during the early diagnostic phase of a serious illness, particularly serious congenital heart disease.

Adaptation, Psychological↗