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Improve medical and developmental outcomes in high-risk infants with evidence-based management strategies Beyond the NICU is the first book to deliver practical, evidence-based strategies for healthcare providers caring for the NICU graduate during convalescence and after discharge. It is a guide to the successful transition of a high-risk infant from intensive care to the intermediate-level nursery, and then, to help the child thrive outside of the hospital in a home environment. To advance the standard of care of these vulnerable patients, Beyond the NICU draws together clinically focused guidelines to improve patient outcomes and reduce hospital readmissions. Drawing on an international team of respected authorities, Beyond the NICU provides the strategies necessary to ensure the success of convalescing NICU graduates in both inpatient and outpatient settings. Doody's Review! Score: 95/100 Description This is a nearly 1,000-page softcover book written by over 100 contributors on convalescent neonatal care and post-discharge care of the high-risk infant. The format is similar to other neonatal handbooks (Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7th edition, Gomella, et al. (McGraw-Hill, 2013); Manual of Neonatal Care, 7th edition, Cloherty et al. (Lippincott Williams & Wilkins, 2011)), but it emphasizes transitional care of the sick infant. Purpose The purpose is to provide "practical, evidence-based strategiesfor the NICU graduate during convalescence and after discharge." The book functions like a practical handbook for clinicians in the NICU, covering almost all aspects of neonatal care, but emphasizing convalescent care. This is an area that has not been well covered in other neonatal books, and this book meets the objectives. Audience The audience is NICU caregivers at all levels and of all disciplines. The book is written in outline format and emphasizes care rather than pathophysiology. The senior editor, his three consultants, and many of the contributors are recognizable names in the field. Features The 51 chapters are grouped into four sections. After an introductory section which includes chapters on the role of the primary care provider for the NICU graduate, the book covers most aspects of care of preterm and term infants in the next two sections. A final section on developmental care includes chapters on early intervention and palliative care. Although the book is supposed to emphasize convalescent and post-discharge care, much of the second and third sections deals with standard early diagnosis and treatment of common neonatal issues, which adds significant length to the book. The book is at its best when it sticks to its title and emphasizes care "beyond the NICU." Helpful appendixes include discharge checklists, home equipment, and even billing coding for the NICU graduate. Illustrations and tables are sparse, but some are unique and very helpful. Assessment This is a unique neonatal book in its emphasis on convalescent and post-discharge care for the sick neonate. It should become a standard text for clinicians in this field and, as it matures in subsequent editions, should abbreviate the acute care sections and concentrate on its title.
Product Details

Table of Contents

Section 1 Introduction 1 History of the NICU 2 Commonalities of High Risk Infants: They're not all Preemies 3 Provider roles 4 Parent roles/wishes 5 Transitions for the High Risk Infant 6 Essential Components of a Comprehensive Follow-up Clinic Section 2 Medical Care of the Preterm Infant 7 Respiratory conditions of the preterm infant 8 Apnea and bradycardia 9 Patent ductus arteriosus 10 Adrenal Insufficiency 11 Nutrition and growth 12 Breastfeeding in the NICU Graduate 13 Necrotizing enterocolitis and short bowel syndrome 14 Gastroesophageal reflux 15 Catch-up Growth and Failure to thrive 16 Hypertension in the NICU Graduate 17 Anemia of prematurity 18 Thrombosis and Hematological Issues in the NICU Graduate 19 Hyperbilirubinemia 20 Endocrinopathies of the Preterm Infant 21 Bone Health 22 IVH, PVL, hypdrocephalus 23 Retinopathy of prematurity and ophthalmologic issues 24 Cerebral Palsy 25 Autism Spectrum Disorder 26 Intrauterine growth restriction 27 Post-NICU Issues of Multiple Gestation 28 Late Preterm Infants 29 Surgical issues Section 3 Medical Care of the Term Infant 30 Pulmonary Hypertension 31 Congenital diaphragmatic hernia 32 Congenital heart disease 33 ECMO and post-ECMO care 34 Congenital Intestinal anomalies 35 Maternal and neonatal infections 36 Birth asphyxia and HIE 37 Neonatal abstinence syndrome 38 Neural tube defects 39 Neonatal seizures and Infantile spasms 40 Infant of a diabetic mother 41 Down Syndrome Section 4 Developmental Care of the High Risk Infant 42 Early developmental issues in the NICU 43 NICU environment 44 Gross motor development 45 Fine motor development 46 Speech and language development 47 Feeding Issues in the NICU Graduate 48 Hearing Loss 49 Neurodevelopmental testing 50 Neurodevelopmental outcomes 51 Family centered care and social issues 52 Palliative care 53 Early Intervention Services 54 Resources for providers and parents App Appendices App A Discharging the high-risk infant App B Equipment needs of the high risk infant App C Medications App D Tests/Procedures App E Telephone Triage App F Coding and Billing

About the Author

William F. Malcolm, MD (Durham, NC) Director, Intermediate Level Nurseries; Assistant Director, Special Infant Care Clinic, Duke University Medical Center; Assistant Professor of Pediatrics and Neonatology, Duke University School of Medicine.

Reviews

Doody's Score: 95/100 Reviewer Jay Goldsmith, MD (Tulane University School of Medicine) Description This is a nearly 1,000-page softcover book written by over 100 contributors on convalescent neonatal care and post-discharge care of the high-risk infant. The format is similar to other neonatal handbooks (Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7th edition, Gomella, et al. (McGraw-Hill, 2013); Manual of Neonatal Care, 7th edition, Cloherty et al. (Lippincott Williams & Wilkins, 2011)), but it emphasizes transitional care of the sick infant. Purpose The purpose is to provide "practical, evidence-based strategiesfor the NICU graduate during convalescence and after discharge." The book functions like a practical handbook for clinicians in the NICU, covering almost all aspects of neonatal care, but emphasizing convalescent care. This is an area that has not been well covered in other neonatal books, and this book meets the objectives. Audience The audience is NICU caregivers at all levels and of all disciplines. The book is written in outline format and emphasizes care rather than pathophysiology. The senior editor, his three consultants, and many of the contributors are recognizable names in the field. Features The 51 chapters are grouped into four sections. After an introductory section which includes chapters on the role of the primary care provider for the NICU graduate, the book covers most aspects of care of preterm and term infants in the next two sections. A final section on developmental care includes chapters on early intervention and palliative care. Although the book is supposed to emphasize convalescent and post-discharge care, much of the second and third sections deals with standard early diagnosis and treatment of common neonatal issues, which adds significant length to the book. The book is at its best when it sticks to its title and emphasizes care "beyond the NICU." Helpful appendixes include discharge checklists, home equipment, and even billing coding for the NICU graduate. Illustrations and tables are sparse, but some are unique and very helpful. Assessment This is a unique neonatal book in its emphasis on convalescent and post-discharge care for the sick neonate. It should become a standard text for clinicians in this field and, as it matures in subsequent editions, should abbreviate the acute care sections and concentrate on its title. Doody's 20141219

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