Difference between revisions of "Improve Care for Babies Born Drug Dependent"

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<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">Return to&nbsp;[[Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_During_Opioid_Use|Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy During Opioid Use]] <div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><span style="background-color: #ffffff">or </span>[[ZOOM_MAP_-_Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_during_Opioid_Use|ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use]] <div class="mw-parser-output">
Return to&nbsp;[[Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_During_Opioid_Use|Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy During Opioid Use]] <div class="wiki" id="content_view" style="display: block"><span style="background-color: #ffffff">or </span>[[ZOOM_MAP_-_Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_during_Opioid_Use|ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use]]  
= Background =
= Overview =


Babies who are born with an opioid dependence experience extraordinary discomfort and trauma.&nbsp; They can scream and cry, have tremors, struggle with eating, and are not easily comforted.&nbsp; There are opportunities to help the babies, the mothers, and the often overwhelmed hospital staff that are trying to care for the babies and mothers.&nbsp;
Babies who are born with an opioid dependence experience extraordinary discomfort and trauma.&nbsp; They can scream and cry, have tremors, struggle with eating, and are not easily comforted.&nbsp; There are opportunities to help the babies, the mothers, and the often overwhelmed hospital staff that are trying to care for the babies and mothers.&nbsp;
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= Innovative Hospital Solutions =
= Key Information =
 
= Relevant Research =
 
= Impactful Federal, State, and Local Policies =
 
= Promising Practices =


== Programs for Volunteers to Cuddle Babies Experiencing Withdrawal ==
== Programs for Volunteers to Cuddle Babies Experiencing Withdrawal ==
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Add more programs here with links to learn more.&nbsp;
Add more programs here with links to learn more.&nbsp;
&nbsp;


== Music Therapy ==
== 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/> &nbsp; Components:
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>


&nbsp;
Components:


*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  
*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]  
*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/> &nbsp;
Visit [https://nortonhealthcare.com/pages/musictherapy.aspx Norton Hospital's Music Therapy Services] and contact for implementation resources for your local hospital


= Best Practices =
== Best Practices ==


== Standardized Care ==
=== 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/> &nbsp; Standards can vary from baby to baby, but should include:
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.


&nbsp;
Standards can vary from baby to baby, but should include:


*Creating a calming environment with little stimulation - quiet rooms and low loights  
*Creating a calming environment with little stimulation - quiet rooms and low loights  
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*Treat mother's addiction and mental health in conjunction with babies' treatment  
*Treat mother's addiction and mental health in conjunction with babies' treatment  


&nbsp;
== Neonatal Withdrawal Center ==
 
= Neonatal Withdrawal Center =


== Lily's Place ==
=== 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:
[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:
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This [https://www.cnn.com/2019/08/23/health/babies-born-exposed-to-opioids/index.html CNN story] shares more.
This [https://www.cnn.com/2019/08/23/health/babies-born-exposed-to-opioids/index.html CNN story] shares more.


= Tools & Resources =
= Available Tools and&nbsp;Resources =


[[TR_-_Improve_Care_for_Babies_Born_Drug_Dependent|TR - Improve Care for Babies Born Drug Dependent]]
[[TR_-_Improve_Care_for_Babies_Born_Drug_Dependent|TR - Improve Care for Babies Born Drug Dependent]]
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= Sources =
= Sources =


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#[http://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/ [4]]&nbsp;&nbsp;[https://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/ https://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/ [4]]&nbsp;&nbsp;[https://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/ https://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/ [5]]&nbsp;[https://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/ https://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/ [5]]&nbsp;[https://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/ https://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/]  
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[[Category:SAFE-Treatment and Recovery]]
[[Category:SAFE-Treatment and Recovery]]

Revision as of 09:09, 8 February 2021

Return to Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy During Opioid Use

or ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use

Overview

Babies who are born with an opioid dependence experience extraordinary discomfort and trauma.  They can scream and cry, have tremors, struggle with eating, and are not easily comforted.  There are opportunities to help the babies, the mothers, and the often overwhelmed hospital staff that are trying to care for the babies and mothers. 

Key Information

Relevant Research

Impactful Federal, State, and Local Policies

Promising Practices

Programs for Volunteers to Cuddle Babies Experiencing Withdrawal

There are a growing number of programs that have volunteers come to the hospitals to cuddle the babies.  This helps comfort the babies and reduces the stress on the nurses--two important benefits. 

Magee-Womens Hospital "Cuddle the Crisis" 

Add more programs here with links to learn more. 

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.[1]

Components:

  • 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 video for overview of use

Visit Norton Hospital's Music Therapy Services and contact for implementation resources for your local hospital

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.[2] This standard of care is significantly reducing the length of stay for these babies.

Standards can vary from baby to baby, but should include:

  • 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

Neonatal Withdrawal Center

Lily's Place

Lily's Place is the first nonprofit infant recovery center for provides services for parents and families struggling with addiction.[3] The center is specifically designed for babies with NAS with small, quiet, dimly-lit nursery rooms and 24-hour nursing staff.[4] 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.[5]

Contact Lily's Place (304) 523-5459 for more information on workshops and trainings including the following:

  • Legislation to support NAS centers
  • Pre-opening NAS Center Operations Planning
  • Funding & fundraising for a NAS center

Special Daycare Centers for Babies with NAS

This CNN story shares more.

Available Tools and Resources

TR - Improve Care for Babies Born Drug Dependent

Sources

  1. [1] https://www.wdrb.com/news/music-therapy-weaning-babies-off-opioid-addiction-at-kosair-children/article_2175845c-f580-5bad-a568-f43eaee614d2.html
  2. [2] 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?noredirect=on&utm_term=.6153e73b3a7a 
  3. [3] https://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/
  4. [4]  https://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/
  5. [5] https://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/
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