The Dying Care in a Neonatal Intensive Care Unit of University Medical Center

2.50
Hdl Handle:
http://hdl.handle.net/10755/155002
Type:
Presentation
Title:
The Dying Care in a Neonatal Intensive Care Unit of University Medical Center
Abstract:
The Dying Care in a Neonatal Intensive Care Unit of University Medical Center
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Chang, Yu-Ching, MS
P.I. Institution Name:National Taiwan University Hospital
Title:RN
Co-Authors:Pi-Chen Chang, PhD
21st INRC [Evidence-Based Practice Presentation] Purpose: This study aimed to report the process of dying care in the neonatal intensive care unit in Taiwan, including comfort medications, "Do Not Resuscitate (DNR)" decision and the family conference. Methods: The design of this study is retrospective, purposive sampling was used to select 192 cases that died in the neonatal intensive care unit. The date collection tools included a self-structured questionnaire and NTISS (Neonatal Therapeutic Intervention Scoring System). Results: The results of this study were as below: 1.) The use of comfort medication within 8 hours before death were 12% received analgesics, 17.8% received sedatives and 13.6% only received sedatives without analgesics. 2.) 67.2% families of neonates decided to sign DNR. The median time of decision made till death is 8.2 hours (range, 1 hour ~ 80 days). 86% neonates had high NTISS scores (> 21) while DNR decision was made. 72.1% newborns had received cardiopulmonary resuscitation before the DNR decision was made, yet still 5.4% newborn received cardiopulmonary resuscitation after the DNR decision was made. 3.) 13.5% families of neonates attended the family conferences. 57.7% newborns received cardiopulmonary resuscitation before the conference, and 65.3% newborns had high NTISS scores (>21) while the conference was held. Conclusion: This study described the dying care process in neonates, results showed clinical situations need to be improve, we proposed suggestions to develop dying care guideline for high risk neonates, including the policy of comfort medication use and medical decision making on dying care, the content framework of family conference, execute of ethical review committee and the curriculum of palliative care in school and clinical continuous education. The results may provide some useful inputs for the dying care of newborn.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Dying Care in a Neonatal Intensive Care Unit of University Medical Centeren_GB
dc.identifier.urihttp://hdl.handle.net/10755/155002-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Dying Care in a Neonatal Intensive Care Unit of University Medical Center</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chang, Yu-Ching, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">National Taiwan University Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">RN</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">celeste1157@hotmail.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Pi-Chen Chang, PhD</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] Purpose: This study aimed to report the process of dying care in the neonatal intensive care unit in Taiwan, including comfort medications, &quot;Do Not Resuscitate (DNR)&quot; decision and the family conference. Methods: The design of this study is retrospective, purposive sampling was used to select 192 cases that died in the neonatal intensive care unit. The date collection tools included a self-structured questionnaire and NTISS (Neonatal Therapeutic Intervention Scoring System). Results: The results of this study were as below: 1.) The use of comfort medication within 8 hours before death were 12% received analgesics, 17.8% received sedatives and 13.6% only received sedatives without analgesics. 2.) 67.2% families of neonates decided to sign DNR. The median time of decision made till death is 8.2 hours (range, 1 hour ~ 80 days). 86% neonates had high NTISS scores (&gt; 21) while DNR decision was made. 72.1% newborns had received cardiopulmonary resuscitation before the DNR decision was made, yet still 5.4% newborn received cardiopulmonary resuscitation after the DNR decision was made. 3.) 13.5% families of neonates attended the family conferences. 57.7% newborns received cardiopulmonary resuscitation before the conference, and 65.3% newborns had high NTISS scores (&gt;21) while the conference was held. Conclusion: This study described the dying care process in neonates, results showed clinical situations need to be improve, we proposed suggestions to develop dying care guideline for high risk neonates, including the policy of comfort medication use and medical decision making on dying care, the content framework of family conference, execute of ethical review committee and the curriculum of palliative care in school and clinical continuous education. The results may provide some useful inputs for the dying care of newborn.</td></tr></table>en_GB
dc.date.available2011-10-26T13:27:16Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:27:16Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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