Lauren Davie – Independent Project

Lauren Davie – Independent Project

Class of 2017

Introduction to Topic

One of the best ways to nurture a premature infant to health is completely natural yet complications and discomfort often place a major hindrance on the process. Breast feeding is heavily encouraged for all babies yet holds an increased importance for those born prematurely, or with serious defects that may place them in the neonatal intensive care unit (NICU). Breast milk carries significantly more nutrients than formula as well as providing passive immunity from the mother, which will prevent illness in the infant, making breast-feeding crucial. Yet in the NICU breast feeding is often prevented because of all the health problems the infant is enduring.

Project Description

I completed 90 hours of shadowing under Nurse Practitioner Beth Diehl at The Johns Hopkins Neonatal Intensive Care Unit (NICU). Throughout this experience, I had noticed how important breast feeding was to the hospital and how many programs they had implemented in order to encourage all mothers to breast feed. However, despite their efforts it was sometimes unfeasible for babies in the NICU to leave their isolettes for the amount of time it would take to breast feed. This leads to both the babies and mothers missing out on this crucial experience and essential nutrients provided by breast feeding which inspired me to create this innovation and help solve this problem. I have created a breast feeding pillow with temperature regulatory features, a blue light and a comfortable, stylish design. This pillow allows the conditions in the isolette to be mimicked in order to maintain the baby’s health while it is also able to benefit from breast feeding.

Experience Description

Throughout my 90 Hours in The Johns Hopkins Hospital Neonatal Intensive Care Unit, I was exposed to many amazing as well as heartbreaking experiences and stories. One of the most tragic things in my opinion was the drug withdrawal babies, born into a world of pain without anyone to care for them besides hospital staff. Many of these babies had no support system or anyone to keep them company besides nurses. This was very difficult to see and struck me as quite unfair especially when the mother in the next room had done everything to stay healthy during her pregnancy and yet her family is suffering. By being in a place such as the NICU you do experience death, though not frequently due to the highly-trained staff and technologies, however throughout my time there, my mentor did have a patient pass away while on a transport. The hospital handled this very effectively and there was a meeting right after, which I was able to sit in on, the meeting was about what had happened and what could be done in the future in order to prevent more tragic situations such as these from occurring.

        Since my mentor was specifically in charge of NICU transportation, I was able to go on a transport with her by means of the helicopter as well as by ambulance. Although these experiences were new to me, all the people on her team lived through these exciting things on a daily basis. I also felt this way when I was with the labor and delivery nurse, and witnessed the birth of a child. This was a breath-taking experience and I felt very fortunate to have been given this opportunity in that moment.

Throughout my time shadowing I was also able to have many unique experiences and work with many specialists of their own fields. People who significantly aided in the development of my project as well as peaked my interest was the dietician and the lactation specialist. I am personally very interested in nutrition and have strongly considered pursuing a future career in that field, and the dietician did not fall short of my expectations, she showed everything she was responsible for when it came to measuring nutritional content and value of different formulas and individuals breast milk. The lactation specialist oversees meeting and giving personal consultations to every new mother interested in breastfeeding and trying to convince those who are not interested to reconsider.

Innovation Description

My Innovation is based on one of the highest ranking and highly recommended breast feeding pillows on several websites and blogs. The “My Brest Friend” pillow is a wraparound nursing pillow with several features to maximize comfort both for the mother and infant. These comfort features include a backrest, armrest and elbow support for the mother and an elevated area for the baby’s head to sit at the proper angle. The pillow also features a pocket for water bottles, cell phones or other accessories (Amazon, 2017).

I have incorporated a heating regulatory system which plugs in. Cords will not present as an issue since in a hospital room there are outlets all throughout for various pieces of equipment as well as personal comfort. There are currently no breast feeding pillows that have incorporated a heating component. By having the heated pillow the babies will be able to maintain a healthy body temperature while still partaking in the process of breast feeding.

I have also added a blue light for phototherapy to those infants who are jaundice. Currently on the market there is the Biliblanket, which the baby can lay on and continually receive the blue light treatment while remaining mobile, however the Biliblanket would just cause another barrier and layer between the breast feeding pillow and the baby, so by having an all-inclusive device, it is much easier to utilize this feature. Since jaundice occurs in 80% of preterm infants this was an issue that clearly needed to be address in the pillow however typical cases only last a couple of day and not all infants experience the problem which is why the light is able to be detached and stored away. With the storage, there will also be a mask to ensure eye protection from the light for both the mother and infant due to the harmful rays (NATUS, 2017).

To allow breast feeding in jaundice babies currently, they just leave the lights treatment for some time, yet it is more encouraged for bottle feeding during the treatment because the longer the baby is under the light, the faster and more effective it will be so they try to prevent leaving the environment with the lights, therefore this innovation allows for the infant to breastfeed while still receiving a fast and effective treatment.

The fabric chosen to make the pillow is a Minky Fabric which is very soft and I chose a light blue color because it is visually appealing, gender neutral and many colors such as yellow, purple and dark blue will make the baby appear more ill or look sickly (Bev, 2007). It is also important to know the source of your fabric when it is going to be coming in contact with babies with fragile lungs and immune systems. These precautions include avoiding any material that came in contact with third hand smoke, or any other outside allergens (The Preemie Project, 2017).

Fabric goes along with our biggest concern, which is safety. This innovation is being created to help both the baby and its mother and we want to ensure that, that is what this innovation is known and renowned for. All the proper precautions have been taken when considering electrical configurations and all other means of safety.

Project Topic

Introduction to Topic

One of the best ways to nurture a premature infant to health is completely natural yet complications and discomfort often place a major hindrance on the process. Breast feeding is heavily encouraged for all babies yet holds an increased importance for those born prematurely, or with serious defects that may place them in the neonatal intensive care unit (NICU). Breast milk carries significantly more nutrients than formula as well as providing passive immunity from the mother, which will prevent illness in the infant, making breast-feeding crucial. Yet in the NICU breast feeding is often prevented because of all the health problems the infant is enduring.

Project Overview

Project Description

I completed 90 hours of shadowing under Nurse Practitioner Beth Diehl at The Johns Hopkins Neonatal Intensive Care Unit (NICU). Throughout this experience, I had noticed how important breast feeding was to the hospital and how many programs they had implemented in order to encourage all mothers to breast feed. However, despite their efforts it was sometimes unfeasible for babies in the NICU to leave their isolettes for the amount of time it would take to breast feed. This leads to both the babies and mothers missing out on this crucial experience and essential nutrients provided by breast feeding which inspired me to create this innovation and help solve this problem. I have created a breast feeding pillow with temperature regulatory features, a blue light and a comfortable, stylish design. This pillow allows the conditions in the isolette to be mimicked in order to maintain the baby’s health while it is also able to benefit from breast feeding.

Experience

Experience Description

Throughout my 90 Hours in The Johns Hopkins Hospital Neonatal Intensive Care Unit, I was exposed to many amazing as well as heartbreaking experiences and stories. One of the most tragic things in my opinion was the drug withdrawal babies, born into a world of pain without anyone to care for them besides hospital staff. Many of these babies had no support system or anyone to keep them company besides nurses. This was very difficult to see and struck me as quite unfair especially when the mother in the next room had done everything to stay healthy during her pregnancy and yet her family is suffering. By being in a place such as the NICU you do experience death, though not frequently due to the highly-trained staff and technologies, however throughout my time there, my mentor did have a patient pass away while on a transport. The hospital handled this very effectively and there was a meeting right after, which I was able to sit in on, the meeting was about what had happened and what could be done in the future in order to prevent more tragic situations such as these from occurring.

        Since my mentor was specifically in charge of NICU transportation, I was able to go on a transport with her by means of the helicopter as well as by ambulance. Although these experiences were new to me, all the people on her team lived through these exciting things on a daily basis. I also felt this way when I was with the labor and delivery nurse, and witnessed the birth of a child. This was a breath-taking experience and I felt very fortunate to have been given this opportunity in that moment.

Throughout my time shadowing I was also able to have many unique experiences and work with many specialists of their own fields. People who significantly aided in the development of my project as well as peaked my interest was the dietician and the lactation specialist. I am personally very interested in nutrition and have strongly considered pursuing a future career in that field, and the dietician did not fall short of my expectations, she showed everything she was responsible for when it came to measuring nutritional content and value of different formulas and individuals breast milk. The lactation specialist oversees meeting and giving personal consultations to every new mother interested in breastfeeding and trying to convince those who are not interested to reconsider.

Innovation

Innovation Description

My Innovation is based on one of the highest ranking and highly recommended breast feeding pillows on several websites and blogs. The “My Brest Friend” pillow is a wraparound nursing pillow with several features to maximize comfort both for the mother and infant. These comfort features include a backrest, armrest and elbow support for the mother and an elevated area for the baby’s head to sit at the proper angle. The pillow also features a pocket for water bottles, cell phones or other accessories (Amazon, 2017).

I have incorporated a heating regulatory system which plugs in. Cords will not present as an issue since in a hospital room there are outlets all throughout for various pieces of equipment as well as personal comfort. There are currently no breast feeding pillows that have incorporated a heating component. By having the heated pillow the babies will be able to maintain a healthy body temperature while still partaking in the process of breast feeding.

I have also added a blue light for phototherapy to those infants who are jaundice. Currently on the market there is the Biliblanket, which the baby can lay on and continually receive the blue light treatment while remaining mobile, however the Biliblanket would just cause another barrier and layer between the breast feeding pillow and the baby, so by having an all-inclusive device, it is much easier to utilize this feature. Since jaundice occurs in 80% of preterm infants this was an issue that clearly needed to be address in the pillow however typical cases only last a couple of day and not all infants experience the problem which is why the light is able to be detached and stored away. With the storage, there will also be a mask to ensure eye protection from the light for both the mother and infant due to the harmful rays (NATUS, 2017).

To allow breast feeding in jaundice babies currently, they just leave the lights treatment for some time, yet it is more encouraged for bottle feeding during the treatment because the longer the baby is under the light, the faster and more effective it will be so they try to prevent leaving the environment with the lights, therefore this innovation allows for the infant to breastfeed while still receiving a fast and effective treatment.

The fabric chosen to make the pillow is a Minky Fabric which is very soft and I chose a light blue color because it is visually appealing, gender neutral and many colors such as yellow, purple and dark blue will make the baby appear more ill or look sickly (Bev, 2007). It is also important to know the source of your fabric when it is going to be coming in contact with babies with fragile lungs and immune systems. These precautions include avoiding any material that came in contact with third hand smoke, or any other outside allergens (The Preemie Project, 2017).

Fabric goes along with our biggest concern, which is safety. This innovation is being created to help both the baby and its mother and we want to ensure that, that is what this innovation is known and renowned for. All the proper precautions have been taken when considering electrical configurations and all other means of safety.

By | 2017-05-15T15:38:32+00:00 May 15th, 2017|Biomed Capstone Project 2017|0 Comments

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