• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

Broncho Pulmonary Dysplasia. The following discussion will analyse issues related to babies who develop broncho pulmonary dysplasia (BPD). This will include a definition and identify risk factors, treatment and the eventual outcome of babies admitted to

Extracts from this document...


A Reflective Essay On The Concepts Of Care of The Newborn DISCHARGE PLANNING OF A CASE OF BRONCHO-PULMONARY DYSPLASIA. Registration NO: 100252125 Module NO : SNM3116 Unit Leader : Angela Thurlby Word Count : 2066 The following discussion will analyse issues related to babies who develop broncho pulmonary dysplasia (BPD). This will include a definition and identify risk factors, treatment and the eventual outcome of babies admitted to the neonatal intensive care unit (NICU). An overview of the difficult stages that a baby with BPD goes through before being ready for discharge will be discussed to show that these babies and their families need special attention when it comes to planning their discharge. Northway et al first described BPD in 1967 as lung injury, in preterm infants resulting from the need for oxygen and mechanical ventilation. Even though it was the first definition, the most commonly used is that of Bancalari et al( 1979) who explained that BPD usually occurred following 28 days of oxygen therapy with evidence radiographic changes. Brodwich and Mellins (1985) found that the combination of oxidant injury and mechanical ventilation resulted in inflammation, fibrosis and smooth muscle hypertrophy in the airways. Also that BPD is the most common complication of preterm babies weighing <1kg. ...read more.


In the treatment group, parents were introduced to a volunteer who had also had a baby in the neonatal unit. Throughout the first year of baby's life the volunteers provided support through phone contact, hospital visits and eventual home visits. In contrast, the comparison group did not have the additional support of someone who had gone through a similar experience. The researchers found that the maternal infant relationships were improved within the treatment group compared to the comparison group. Ahman and Lipsi (1991) state that babies born at low birth weights that go onto develop BPD contribute to the growing number of technology dependant infants. Boxwell (2000) suggests that parents need to understand the fact that their baby needs extra support when they go home. Once they have accepted this, discharge planning in full can commence. In reality, turning off the monitors is a significant stage of discharge planning. Parents may find it difficult to make their own decisions about their baby with direct professional advice as they become very dependent on equipment and staff (Redman (1993). The baby will have been monitored for some time since birth and the parents become reliant on this equipment to assess their baby's condition. ...read more.


The study by Langley et al (1997) also suggests an association between providing community services and a reduced hospital stay. The community team can provide continued support and are a point of contact if there is a non-emergency query. It has also been identified that access to a support group would be beneficial. Linsay et al (1993) supports this adding that parents who have been through similar experiences are an excellent to support the families of babies with BPD. According to Manns (2000) encouraging parents to take their baby home for the day before going home for good should also be promoted as the parents often feel unprepared to go home. All babies admitted to the neonatal intensive care unit (NICU), who may develop broncho pulmonary dysplasia (BPD), are in need of the assessments identified, to guarantee the best possible care. Therefore the use of organised support, switching off monitors prior to discharge and having the parents stay at hospital are all useful as well as changing some aspects of the nursing routine, such as ensuring a thorough follow up, with the community neonatal care teams and providing further support - especially from those who have been through such experiences -which would greatly reinforce a safe and effective discharge. This will give efficient continuation of discharge preparation and successful changeover from hospital to home for babies with BPD and increased oxygen requirements. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Nursing section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Nursing essays

  1. A critique of a research article from a professional journal

    It also includes being non-discriminatory and ensuring that patient's needs are made the priority over the study (Hek & Moule, 2006). The sampling method employed ensured that most discrimination was eliminated: the first 1000 attendees were asked to participate. Unfortunately, it appears that by providing extra support to one group

  2. Case study of a child with asthma

    (Smith and Ledingham 2008) He began to shiver and perspire excessively. The initial nursing goal was to reduce his body temperature to within normal limits. This was achieved by the administration of ibuprofen which was prescribed by the doctor. Also all warm clothes and bed covers were removed from over him.

  1. The Impact of Policy on Practice-analysis of a critical incident related to interprofessional delivery ...

    Department of Health,NHSE (1998) The new NHS,modern, dependable,London:HMSO. Getliffe and Dolman (2003) Promoting continence: a clinical research resource (2nd edition), London: Baillière Tindall. Emmerson, AM, Enstone, JE, Griffin, M, et al. (1996) The Second National Prevalence Survey of infections in hospitals- overview of the results, J Hosp Infect; 32, pp 175-190.

  2. a critique of qualitative study regarding diabetes treatment

    Data Analysis 8. Was the data analysis sufficiently rigorous? The article is sufficient with its data analysis as it states that it coded and re-coded the findings; "This process required returning repeatedly to the original data from each country to either verify, contradict, or enrich interpretations" (Vermeire 2005).

  1. Care Study.

    (Strategy for Carers, 1999). However the relationship with Miss A and her sister was often strained, it was felt that Miss A resented her sister going out and leaving her on her own, it was also felt that her sister was at breaking point as Miss A had recently fallen and was more demanding than usual.

  2. Aspect of Care Essay: The Post-Operative Care Following a Hysterectomy and Bilateral Salpingo-oophorectomy.

    general condition were assessed every 30 minutes, for the first two hours post-operatively, and then reduced to every hour. Once the nurse was satisfied that her respiratory system was stable, observations where reduced. As well as prescribing the frequency of vital sign monitoring, the ICP states that all patients should

  1. Explore a variety of issues related to advocacy and empowerment, and begin to develop ...

    Gates (1994) cites four variations of advocacy: legal advocacy, the representation of the user in a formal context, for instance a health-review tribunal; self-advocacy, where the individual or a group of individuals speak up for themselves, a form of empowerment; collective or class advocacy, the large organisations who speak for

  2. Assessment and Care Planning for the Adult in Hospital. This essay will include ...

    of substance abuse, family member with history of substance abuse, and co-morbid psychiatric disorders. None of these factors were relevant to Chris, and as his exposure to opiates was a short term solution to manage his acute post-surgical pain rather than a chronic long term condition, we explained that he

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work