Improved survival has led to increased recognition of developmental delays in infants and children with congenital heart disease. Risk factors for developmental delays in congenital heart disease survivors may not be modifiable; therefore, it is important that lifesaving, high-technology critical care interventions be combined with nursing interventions that are also developmentally supportive. Implementing developmental care in a pediatric cardiac intensive care unit requires change implementation strategies and widespread support from all levels of health care professionals. This manuscript reviews developmentally supportive interventions such as massage, developmentally supportive positioning, kangaroo care, cue-based feeding, effective pain/anxiety management, and procedural preparation and identifies strategies to implement developmentally supportive interventions in the care of infants and children with congenital heart disease. Improving developmental support for these infants and children at high risk for developmental delay may improve their outcomes and help promote family-centered care.
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Pediatric Cardiovascular Surgery| June 01 2018
Supporting Optimal Neurodevelopmental Outcomes in Infants and Children With Congenital Heart Disease
Jennifer K. Peterson, MS, RN, CCNS
Jennifer K. Peterson is a PhD candidate at University of California, Irvine, Sue & Bill Gross School of Nursing, as well as the Children’s Heart Institute Clinical Program Director at Miller Children’s and Women’s Hospital in Long Beach, California.
Corresponding author: Jennifer K. Peterson, ms, rn, ccns, Sue & Bill Gross School of Nursing, 299 Berk Hall, Irvine, CA 92967 (email: firstname.lastname@example.org).
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Crit Care Nurse (2018) 38 (3): 68–74.
Jennifer K. Peterson; Supporting Optimal Neurodevelopmental Outcomes in Infants and Children With Congenital Heart Disease. Crit Care Nurse 1 June 2018; 38 (3): 68–74. doi: https://doi.org/10.4037/ccn2018514
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