Start Of Life Care Case Study

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Start of Life Care: Nurses and Neonatal Sucrose
Kimberley Marie Eady
ENL 5645 Section 310
Professor Angela Slonosky
July 18th, 2016

Start of Life Care: Nurses and Neonatal Sucrose The accepted definition of pain as per the American Academy of Pediatrics (2015); “pain is whatever the experiencing person says it is, existing whenever the experiencing person says it does.” (p.472). However, what if the person experiencing the pain is an infant? A newborn endures as many as twenty-one painful procedures their first day in the hospital (Pasek & Huber, 2012, p.62). To protect newborn babies from pointless suffering, it is imperative that the nurse advocates for pain relief. Oral sucrose is a non-pharmacological intervention that
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In order to properly use sucrose to manage pain in infants, nurses need to understand how sucrose works to manage an infant’s pain, understand the signs of pain in infants, and understand how to support the distress the infant’s family may feel.
Understanding Oral Sucrose Oral sucrose or sugar water is a non-pharmacological method of pain relief in newborns. It is safe, simple and effective at preventing and reducing pain. Pasek and Huber (2012) state that oral sucrose “…has a rapid onset of effects and action, thought to be mediated by the release of brain opioids.” (p.62). It is due to the gustatory or natural taste receptors on the newborns tongue that the oral sucrose is effective in relieving pain, safely counteracting noxious stimulation. Oral sucrose is a simple combination of water and sucrose that is becoming more readily available for the management of pain and stress in
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The newborn undergoing painful procedures can be stressful to the parents and family. It is important for the nurse to recognize that start of life care is reflexive of family-centered care, and that parental preference, empowerment, and support is critical to patient competence. The parent’s preference determines the course of action in combatting newborn pain. Pasek and Huber state (2012) that integrating analgesic preferences per the parent, such as oral sucrose, can further instil a sense of control (p. 66). Additionally, the nurse can offer parental involvement in the administration of oral sucrose. As the involved parent witnesses the immediate analgesic effect of oral sucrose for their newborn, they feel a sense of relief themselves. Pasek and Huber (2012) also noted that “parents desire information about and involvement with their infants’ pain.” (p. 66). Nurses are in an ideal position to facilitate informative teaching as well as supporting any concerning questions regarding their newborns care. By offering evidence-based information, hands on involvement, and encouraging communication, nurses can adequately provide family-centered care in pain relief of

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