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Specialties » Care of the Extremely Low Birth Weight Neonate (ELBW)


Care of the Extremely Low Birth Weight Neonate » ELBW (Code 7)

Description

General Assessment and Management Related to the ELBW Neonate
  • Physical, Gestational Age, Behavioral and Neurological Assessment
  • Delivery Room Management, Stabilization and Transition
  • Transport/Transfer
  • Thermoregulation
  • Fluid and Electrolytes
  • Nutrition and Feeding
  • Respiratory Management/Oxygenation (e.g. Blood gases, Ventilation)
  • Skin Care
  • Infection Risks (immaturity, prevention, bundles)
Developmental Care and the ELBW Neonate
  • Neurodevelopment (Structure, function, immaturity)
  • Impact of NICU Environment
  • Neuroprotective Intentional Caregiving and Promotion of Self-regulation
  • Neurobehavioral Alterations and Responses (habituation, state and motor organization)
  • Stress and Pain Assessment and Management
  • Neuroprotection and Injury Prevention
Describe & Manage Pathophysiologic States Specific to the ELBW Neonate
  • Perinatal Management, Maternal Risk Factors During Pregnancy and Obstetric Emergencies that Impact the ELBW neonate
  • Cardiac
  • Respiratory
  • GI/GU
  • Hematopoietic
  • Infectious Diseases
  • Metabolic/Endocrine/Genetic
  • Neurologic, Neuromuscular, Skin and Musculoskeletal
  • Renal
  • Head, Eyes, Ears, Nose and Throat
  • Pharmacology
Assess and Manage Psychosocial Behavioral States and Ethical Issues of the Family throughout Hospitalization and Discharge Utilizing Communication and Data to Improve Outcomes Specific to the ELBW Neonate
  • Family Integration
  • Trauma Informed Care/Parental Coping and Grieving Process
  • End of Life Care/Palliative Care, Viability and legal/ethical issues
  • Discharge Planning, Teaching and Follow up
  • Risks for motor, cognitive, language delays and expected milestones
  • Professional Practice and Team Communication along the continuum of care
  • EBP, QI, Research, Data Outcomes, Benchmarking

Keywords

Acute renal failure
Adrenal insufficiency
Airway malacia/stenosis
Anemia
Antibiotic Stewardship
Apnea of prematurity
Behavioral Assessment
Benchmarking
Blood gas interpretation and management
Bone mineralization
Brain and neurosensory development
Brain development
Brain structural and functional immaturity
Breastfeeding support
Bronchopulmonary dysplasia/chronic lung disease
Cardiac
Circadian rhythms
Comfort care
Common drugs
Communication of outcomes - Cognitive
Communication of outcomes - Expected milestones
Communication of outcomes - Language delays
Communication of outcomes - Motor
Communication tools
Compassion fatigue
Continuity/Continuum of care
Cue-based care
Cultural sensitivity
Dislocation of the hip
Disorders of motility related to immaturity
Disorders of suck and swallow
EBP
Effects of humidity, maturity, temperature
Electrolyte monitoring
End of Life Care
Endocrine
Enteral substrates
Ethical principles
Family Integration
Family partnered care
Family support and education
Fluid and electrolyte management
Fluid status
Follow up nursing care
Formula composition and indications
GE reflux
General discharge planning
Genetics
Gestational Age Assessment
GI development and immaturity
GI/GU
Glucose homeostasis
Grieving Process
Habituation
Handling and positioning
Hearing loss
Hemangiomas
Hematopoietic
High output real failure
Hospital acquired infection
Hyperbilirubinemia
Hypotension
Immaturity of the ELBW immune system
Impact of NICU environment
Infection Risks
Infectious Disease
Inguinal hernia
Injury prevention
Inter-professional teamwork
Interpretation of lab values to evaluate nutritional status
Kangaroo Care
Late onset sepsis
Limbic
Lung structural and functional immaturity
Maternal factors that impact the ELBW neonate
Mechanisms and management of heat loss/production
Meningitis
Metabolic
Metabolic bone disease
Metabolic screen interpretation
Mode of Delivery
Motor organization
Movement
MRSA
Musculoskeletal
Necrotizing enterocolitis
Neuro-protective Intentional Caregiving
Neurodevelopment
Neurodevelopmental risks and outcomes
Neurologic
Neurologic Assessment
Neuromuscular characteristics
Neuroprotection
Neurosensory
Neurosensory development
Neutral thermal environment of the ELBW
Neutropenia/Neutrophilia
Newborn screening
Non-initiation of care
Nutrition
Nutritional requirements
Nutritional supplements
Obstetric emergencies
Osteomyelitis
Oxygen delivery and management
Pain and stress effects on the developing brain
Pain and stress non-pharmacological management
Pain and stress pharmacological management
Pain assessment and management
Palliative care
Parent education/training
Parent mental health
Parent teaching
Parental coping
Parental desire for futile care
Parental role attainment
Parental stress responses
Parenteral nutrition
Patent ductus arteriosus
Perforations/Peritonitis
Periventricular leukomalacia
Periventricular/Intraventricular hemorrhage
Pharmacokinetics
Pharmacology
Pharmacotherapeutics
Physical assessment
Physiology of heat production
PIV access
Pneumothorax
Post-hemorrhagic hydrocephalus
Posture/Tone
Pre-feeding foundations and strategies
Prenatal consultation
Prevention and management of infection
Prevention of growth failure
Prevention of neonatal morbidities
Prevention of skin breakdown
Process Improvement
Promotion of self-regulation
Pulmonary air leaks
Pulmonary hemorrhage
Pulmonary hypertension
Pulmonary hypoplasia
Pulmonary interstitial emphysema
Quality Improvement
Reflexes
Renal
Renal insufficiency
Renal vein/artery thrombosis
Research
Respiratory
Respiratory distress
Respiratory distress syndrome
Respiratory management
Resuscitation & Stabilization (NRP)
Retinopathy of prematurity
Seizures
Self regulation
Sensory/interaction capabilities
Sepsis evaluation
Septic shock
Shared decision making
Short gut syndrome
Skin care
Skin injuries
Skin structural and functional immaturity
Small Baby Risks Data Outcomes
Stages of grief
State organization
Stress assessment and management
Stress response
Support systems
Surfactant
Thermoregulation
Thrombocytopenia
Thyroid disorders
Timing of umbilical cord clamping
Transition
Transport / Transfer
Trauma Informed Care
UAC access
UTI
UVC access
Ventilation strategies
Viability and Legal/Ethic Issues
Viral and fungal infections
Vocal cord paralysis
Withdrawal of care