K


K



6840


Kangaroo Care


Definition: Facilitation of skin-to-skin contact between parent or other caregiver and physiologically-stable preterm infant


Activities:



• Explain advantages and implications of providing skin-to-skin contact with infant


• Monitor parent factors influencing involvement in care (e.g., willingness, health, availability, and presence of support system)


• Ensure that infant’s physiological status meets guidelines for participation in care


• Prepare a quiet, private, and warm environment


• Provide parent with a reclining or rocking chair


• Instruct parent to wear comfortable, open-front clothing


• Instruct parent how to transfer infant from incubator, warmer bed, or bassinet while managing equipment and tubing


• Position diaper-clad infant in prone, upright position on parent’s bare chest


• Turn infant head to one side in a slightly extended position to facilitate eye contact with parent and keep airway open


• Avoid forward flexion and hyperextension of infant head


• Infant’s hips and arms should be flexed


• Secure infant and parent position (i.e., tie binding cloth around infant-parent dyad, wrap parent’s clothing around infant, and place blanket over dyad)


• Instruct parent how to move infant in and out of binding cloth


• Encourage parent to focus on infant, rather than high technological setting and equipment


• Encourage parent to gently stroke infant in prone upright position


• Encourage parent to gently rock infant in prone upright position


• Encourage auditory stimulation of infant


• Support parent in nurturing and providing hands-on care for infant


• Instruct parent to hold infant with full, encompassing hands


• Encourage parent to identify infant’s behavioral cues


• Point out infant physiological state changes to parent


• Encourage parent to sit, stand, walk, and engage in other activities of interest while providing skin-to-skin contact


• Encourage postpartum mothers to ambulate every 90 minutes while providing skin-to-skin contact, to prevent thrombolytic disease


• Instruct parent to decrease activity when infant shows signs of overstimulation, distress, or avoidance


• Encourage parent to let the infant sleep during care


• Encourage breastfeeding during care, as appropriate


• Encourage parent to provide care at least 60 minutes, if possible, to avoid frequent and potentially-stressful changes


• Instruct parent to gradually increase time of each skin-to-skin contact, with length eventually becoming as continuous as possible


• Monitor parent’s emotional reaction to and concerns regarding kangaroo care


• Monitor infant’s physiological status (e.g., color, temperature, heart rate, and apnea)


• Instruct parent how to monitor infant’s physiological status


• Support parent to continue skin-to-skin contact at home


• Discontinue care if infant becomes physiologically compromised or agitated

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Dec 3, 2016 | Posted by in NURSING | Comments Off on K

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