View source for Improve Care for Babies Born Drug Dependent

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=Improve Care for Babies Born Drug Dependent=
<span style="background-color: #ffffff">Return to</span>[[Expand%20Steps%20to%20Minimize%20Opioid%20Use%20During%20Pregnancy%20or%20Pregnancy%20During%20Opioid%20Use| Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy During Opioid Use]]<br /> <span style="background-color: #ffffff">or </span>[[ZOOM%20MAP%20-%20Expand%20Steps%20to%20Minimize%20Opioid%20Use%20During%20Pregnancy%20or%20Pregnancy%20during%20Opioid%20Use|ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use]]<br /> <div id="toc">
=Table of Contents=
<div style="margin-left: 1em">[[#Background|Background]]</div><div style="margin-left: 2em">[[#Background-Signs of Drug Withdrawal|Signs of Drug Withdrawal]]</div><div style="margin-left: 1em">[[#Innovative Hospital Solutions|Innovative Hospital Solutions]]</div><div style="margin-left: 2em">[[#Innovative Hospital Solutions-Music Therapy|Music Therapy]]</div><div style="margin-left: 1em">[[#Best Practices|Best Practices]]</div><div style="margin-left: 2em">[[#Best Practices-Standardized Care|Standardized Care]]</div><div style="margin-left: 1em">[[#Neonatal Withdrawal Center|Neonatal Withdrawal Center]]</div><div style="margin-left: 2em">[[#Neonatal Withdrawal Center-Lily's Place|Lily's Place]]</div><div style="margin-left: 1em">[[#Tools & Resources|Tools & Resources]]</div><div style="margin-left: 1em">[[#Scorecard Building|Scorecard Building]]</div><div style="margin-left: 1em">[[#Resources to Investigate|Resources to Investigate]]</div><div style="margin-left: 1em">[[#Sources|Sources]]</div></div>
=Background=
==Signs of Drug Withdrawal==

* Tremors
* Trouble feeding
* Not easily comforted
<br /> 
=Innovative Hospital Solutions=
==Music Therapy==
 Using a combination of pacifiers and music therapy, healthcare workers are able to ease the pain of babies born to mothers who used opioids during their pregnancy. If you can improve babies feeding and sleeping, decrease their crying and make them more calm, then you've just eliminated three of the major symptoms that lead babies to have to need medication or hospital stay.<sup class="reference">[1]</sup><br />  Components:<br /> 

* A NICU music therapist uses music and live-singing, patting and rocking to match the baby's behavior state, ultimately training the child to soothe itself
* Use of special pressurized pacifier that plays music. See [http://www.wmur.com/article/new-device-helps-tiniest-victims-of-the-opioid-crisis/10370051 video for overview of use]
Visit [https://nortonhealthcare.com/pages/musictherapy.aspx Norton Hospital's Music Therapy Services] and contact for implementation resources for your local hospital<br /> <br /> 
=Best Practices=
==Standardized Care==
 The Maryland Patient Safety Center is working with 30 birthing centers to come up with standardized care for babies suffering from NAS.<sup class="reference">[2]</sup> This standard of care is significantly reducing the length of stay for these babies.<br />  Standards can vary from baby to baby, but should include:<br /> 

* Creating a calming environment with little stimulation - quiet rooms and low loights
* Cuddle rooms where volunteers rock and soothe babies
* Can use massage and music therapy
* Some medicine (morphine or methadone)
* Treat mother's addiction and mental health in conjunction with babies' treatment
<br /> 
=Neonatal Withdrawal Center=
==Lily's Place==
[http://www.lilysplace.org/ Lily's Place] is the first nonprofit infant recovery center for provides services for parents and families struggling with addiction.<sup class="reference">[3]</sup> The center is specifically designed for babies with NAS with small, quiet, dimly-lit nursery rooms and 24-hour nursing staff.<sup class="reference">[4]</sup> Parents are trained to help their babies via therapeutic handling techniques and they learn CPR and basic child care as well as the specifics of NAS.<sup class="reference">[5]</sup><br /> <br />  Contact Lily's Place (304) 523-5459 for more information on [http://www.lilysplace.org/presentations-and-workshops workshops and trainings] including the following:<br /> 

* Legislation to support NAS centers
* Pre-opening NAS Center Operations Planning
* Funding & fundraising for a NAS center
<br /> 
=Tools & Resources=
[[TR - Improve Care for Babies Born Drug Dependent]]<br /> 
=Scorecard Building=
[[PO - Improve Care for Babies Born Drug Dependent|Potential Objective Details]]<br /> [[PM - Improve Care for Babies Born Drug Dependent|Potential Measures and Data Sources]]<br /> [[PA - Improve Care for Babies Born Drug Dependent|Potential Actions and Partners]]<br /> 
=Resources to Investigate=
[[More RTI on Improve Care for Babies Born Drug Dependent]]<br /> <br /> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span><br /> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span><br /> 
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=Sources=

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# [http://www.wdrb.com/story/32826632/music-therapy-weaning-babies-off-opioid-addiction-at-kosair-childrens-hospital]
# [https://www.washingtonpost.com/local/number-of-maryland-babies-born-with-drugs-in-their-system-grows/2017/02/19/642c3342-f535-11e6-b9c9-e83fce42fb61_story.html?utm_term=.5fbf45d90890]
# [http://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/]
# [http://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/]
# [http://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/]
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