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Biomedical subjects

S Gennaro

Publications and source records attributed to S Gennaro.

18 recordsLinked to original sources

Health policy dilemmas related to high technology infertility services.

As cost containment in health care becomes an important concern, the costs and benefits of specific health care services will be more closely examined. The costs and benefits of one type of health care, high technology infertility services, are explored in this paper. These services may be particularly susceptible to cost containment since they are costly, raise ethical issues, and because they currently are provided to healthy individuals not experiencing life-threatening illness who can afford them.

Adult

Discharge planning and home care for low-birth-weight infants.

This article presents a review of discharge planning and home follow-up for low-birth-weight infants. The scope of the problem of low birth weight and postdischarge health status of low-birth-weight infants are presented in overview. Discharge planning and home care are detailed for healthy low-birth-weight infants and for low-birth-weight infants requiring various levels of technologic support in the home. Emphasis is on comprehensive discharge planning and home follow-up to facilitate continuity and quality of postdischarge care. Nursing's role is critical to the discharge planning and the postdischarge care process.

Community Health Nursing

Functions of the CNS in early discharge and home followup of very low birthweight infants.

Various studies have been conducted which explore the different functions of the clinical nurse specialist (CNS). This study details the functions of CNSs providing direct patient care before and following hospital discharge of very low birthweight infants and effect on patient outcome. The study reports on CNS interactions with 36 families whose infants were discharged early from the hospital, and who received discharge planning, teaching, and home followup for 18 months.

Adult

Clinical specialist pre- and postdischarge teaching of parents of very low birth weight infants.

This study examined the pre- and postdischarge teaching needed by parents of very low birth weight infants (less than or equal to 1,500 g). The sample consisted of 36 families observed from the births of their infants to 18 months' postdischarge. Content analyses yielded five major teaching categories of infant, mother, family, home, and resources. Major predischarge teaching included feeding, recognition of infections, and growth and development. Major postdischarge teaching included feeding, current health problems, growth and development, and managing within the health-care system.

Child Development

Postdischarge services for low-birth-weight infants.

Efforts to improve infant mortality and morbidity should focus on preventing low birth weight and improving infant care. Although preventing low birth weight is the ultimate goal, nurses also must improve the care of infants who are born with low birth weights. This article examines postdischarge care for these infants and the nurse's role in providing follow-up services. Nurses have unique opportunities to influence infant well-being directly through continued contact with families and through interventions that support infant caregivers. However, continued research is needed to provide nurses with information about how follow-up for low-birth-weight infants can be best provided.

Aftercare

Anxiety and depression in mothers of low birthweight and very low birthweight infants: birth through 5 months.

The purpose of this study was to compare two common psychologic stress responses, anxiety and depression, in 27 mothers of very low birthweight (VLBW; less than or equal to 1500 grams) preterm infants and 35 mothers of low birthweight (LBW; 1501-2500 grams) preterm infants from the time of the infant's birth until the infants reached 5 months adjusted gestational age. There were significant differences in the patterns of anxiety and depression experienced by mothers of LBW and VLBW infants over time. Mothers of VLBW infants had higher anxiety and depression until 2 months adjusted gestational age while mothers of LBW infants had higher anxiety and depression at 3 and 4 months. Nursing interventions designed to decrease stress during the first postpartal week and to counsel mothers about patterns of anxiety and depression they may experience over time may be useful.

Adult

Concerns of mothers of low birthweight infants.

To provide more comprehensive follow-up care for low birthweight infants, it is important for nurses to know what concerns mothers of these low birthweight infants commonly experience and how concerns change over time. This descriptive, longitudinal study followed 65 mothers of low birthweight infants from birth until the infant was 6 months adjusted gestational age. Most concerns were raised the week following birth (109) and after infant discharge (72), although from 40 weeks (62) to 6 months (40), the number of concerns raised were fairly consistent. The largest category of concerns was health related (253).

Female

Publish and perish.

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Ethics, Nursing