Phototherapy Nursing Responsibilities PDF

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Nursing Actions with Rationale on Phototherapy...

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Domingo, Princess Valerie NCM 109 PEDIA Phototherapy Nursing Responsibilities

Rationale

Secure consent to the parents before For legal purposes. performing the therapy. Explain the need for phototherapy and the Providing explanations and reassurance can functions of the equipment to the parents. reduce stress and anxiety whilst encouraging bonding (Macqueen et al. 2012, GOSH 2014). Provide an eye patch for the baby at all time As a prophylaxis and to protect against retinal during the therapy. damage that can occur due to irradiance from phototherapy light. Avoid applying creams, lotions, and oils to the They may cause burns. baby during the therapy. Reposition the infant regularly during To prevent skin breakdown and the phototherapy. development of pressure sores (Cohen 2006, Alexander 2010). Monitor the baby's temperature every two or To ensure infant does not become cold 4 hours. stressed, hypothermia or hyperthermia due to removal of clothing or exposure to phototherapy lights (Walker et al 2007, OLCHC 2017). Remove clothing except diaper while on Exposure of the genitalia to the UV light can therapy. put the baby at high risk of skin cancer. Advise mother to continuously place on photo Frequent feeding may help to break down the therapy except when breast feeding. bilirubin if the cause of the jaundice is due to breast milk or breastfeeding (AAP 2004, Alexander 2010, NICE 2014, 2016)....