The Importance Of Nursing Interventions For SIDS

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Risk for SIDS Inability to acknowledge the existence of the problem due to lack of knowledge The caregivers will reduce or eliminate modifiable risk factors associated to SIDS After the nursing interventions, the caregivers will verbalize understanding of risk factors and provide all precautions possible to prevent SIDS

Nursing Interventions
1) Educate caregivers to position child in supine position. Occurrence of SIDS is higher when child is placed in prone position.
2) Raise child’s head slightly when placed in bed or crib to reduce abdominal pressure on diaphragm and allow better expansion of lungs.
3) Encourage separate sleep space for the child. Bed sharing is linked to an increased risk of suffocation, falls, overheating and crushing
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5) Maintain appropriate room temperature and avoid covering the child with heavy blankets. Extreme heat has been recognized as a possible risk factor for SIDS.
6) Educate caregivers to avoid having loose blankets, toys, or other objects in bed to reduce risk of unintentional asphyxiation.
7) Educate parents on the relationship between cigarette smoking and SIDS. Smoking is the most significant modifiable risk factor in reducing the risk of SIDS. Teach parents strategies to decrease child’s exposure to cigarette smoke. Advise parents to smoke outside the house and keep the house and car smoke free.
8) Educate parents regarding risk factors of SIDS as adjustments of existing practices can reduce risk and prevent
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As it was mentioned earlier, the family lost their pervious child to SIDS. The family was educated on how to reduce modifiable risk factors associated with SIDS. After implementing interventions as described in the care plan, the parents started to place their child in the crib next to their bed. They also stopped wrapping their child in heavy blankets and started to position the 8-month old in supine position. The second priority was cigarette smoking inside the house where children were present. Cigarette smoking increases the risk of SIDS, so the father was educated on smoking outside the house away from children. On our return to evaluate the effectiveness of the care plan, the father mentioned that he now smokes outside the house. The father also mentioned that he is trying to enroll into smoking cessation programs. We also noted on our last visit that the parents locked all of their prescription and OTC medications in a cabinet away from the 8-month old. Lastly, the parents are still in process of getting child safety gates. Due to financial issues, the parents at this time are unable to buy new furniture, but have covered the sharp edges

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