Nutrition Care for Newborns with Congenital Heart Disease

Steltzer, Michelle; Rudd, Nancy A.; Pick, Barbara

doi:10.1016/j.clp.2005.09.010

Cited by 42 publications

(67 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Even the mildest congenital heart disease is reflected in some degree of adverse effect on child growth (17) .…”

Section: Discussionmentioning

confidence: 99%

“…In addition to this, in this study, no association was verified between the types of heart disease and the anthropometric measurements investigated, whereas the literature evidences cyanotic heart disease as a cause of greater repercussions on the child's weight and length. Hence, the study indicates that the development of malnutrition in these children depends on the type and severity of the congenital cardiac malformation (17) .…”

mentioning

confidence: 99%

See 1 more Smart Citation

Nutritional status of children with congenital heart disease

Monteiro¹,

Araújo

Lopes

et al. 2012

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

Objective: to characterize nutritional status and variables that predict nutritional changes in children with congenital heart disease. Method: a cross-sectional study undertaken in two health institutions between January and June 2009, using a questionnaire with questions about nutrition, applied to 132 children under two years of age who had congenital heart disease.Children who had additional serious illnesses were excluded. Result: the predominant percentile values and Z scores were concentrated within the range of normal levels. The Z scores, however, presented negative variations with a deviation to the left. In the analysis of predictive factors, the occurrence of immediate and acute malnutrition was related to a decrease in skinfold thickness (decrease in subscapular skinfold thickness, while immediate malnutrition was related to a high Apgar score. Chronic malnutrition was related to female children with higher ages. Conclusion: it is evidenced that it is necessary to carry out nutritional strategies which improve prognosis, so as to widen the nursing care directed at these children.Descriptors: Child; Heart Defects; Nutritional Status; Nursing. Entretanto, os valores de escores Z apresentaram variações negativas com desvio para a esquerda. Na análise de fatores preditores, a ocorrência de desnutrição imediata e aguda esteve relacionada à diminuição da prega cutânea subescapular, a desnutrição imediata relacionouse ao elevado escore de Apgar. A desnutrição crônica referiu-se às crianças do sexo feminino com idademaior. Conclusão: evidencia-se a necessidade de realizar estratégias nutricionais que possibilitem melhor prognóstico, na tentativa de ampliar os cuidados de enfermagem direcionados a essas crianças.Descritores: Criança; Cardiopatias Congênitas; Estado Nutricional; Enfermagem. Estado nutricional de niños con cardiopatías congénitasObjetivo: caracterizar el estado nutricional y verificar variables que predicen alteraciones nutricionales en niños portadoras de cardiopatías. Método: estudio transversal realizado en dos instituciones de salud de enero a junio de 2009, utilizando formulario con cuestiones nutricionales. Se seleccionaron 132 niños menores de dos años y presentando cardiopatía congénita, excluyéndose aquéllas con otras enfermedades graves. Resultado: los valores de percentiles y scores Z predominantes se concentraron dentro de la banda de normalidad.Mientras, los valores de scores Z presentaron variaciones negativas con desvío para la izquierda.En el análisis de factores predictores, la ocurrencia de desnutrición inmediata y aguda estuvo relacionada a la disminución del pliegue cutáneo subescapular, la desnutrición inmediata se relacionó al elevado score de Apgar. La desnutrición crónica se refirió a los niños del sexo femenino con edades mayores. Conclusión: se evidencia la necesidad de realizar estrategias nutricionales que posibiliten mejor pronóstico, en la tentativa de ampliar las atenciones de enfermería dirigidos a estos niños.

show abstract

“…Even the mildest congenital heart disease is reflected in some degree of adverse effect on child growth (17) .…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Nutritional status of children with congenital heart disease

Monteiro¹,

Araújo

Lopes

et al. 2012

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

show abstract

“…Somandose a isso, a má absorção presente nas crianças cardiopatas limita significativamente a tolerância alimentar e afeta a capacidade da criança para maximizar o consumo calórico, bem como diminui a absorção de nutrientes (3). Dessa forma, a desnutrição é constante nessas crianças, independente da natureza do defeito cardíaco e da presença ou não de cianose (4).…”

Section: Introductionunclassified

Caracterização Alimentar De Crianças Com Cardiopatias Congênitas

Monteiro¹,

Ramos²,

Pontes³

et al. 2012

Cienc. enferm.

View full text Add to dashboard Cite

RESUMOCaracterizar dados sociodemográficos e história alimentar das crianças portadoras de cardiopatias congênitas com até 24 meses de vida. Estudo transversal e observacional desenvolvido em duas instituições de saúde: ambulatorial e hospitalar. Coleta de dados em janeiro a junho de 2009, utilizando formulário contendo dados sociodemográficos, dados relativos à situação de saúde-doença e dados da história alimentar das crianças. Respeitaram-se os aspectos éticos. Avaliaram-se 132 crianças predominantemente de Fortaleza-CE, sexo masculino, mediana até 8,5 meses de vida. A história alimentar evidenciou uso de leite industrializado e complementos alimentares (49,6%), leite materno (11,9%) e leite materno com leite industrializado (7,7%). Problemas durante alimentação: náuseas, vômitos, refluxo gastroesofágico, tosse, dispnéia e cianose. Segundo as mães, as crianças apresentavam apetite preservado (74,2%) e sem dificuldades de mastigação, sucção e deglutição (93,8%). Para minimizar o problema da desnutrição dessas crianças, os enfermeiros podem atuar de forma decisiva mediante o ajuste de medidas alimentares da criança consoante adequação do hábito alimentar.Palavras chave: Criança, cardiopatias congênitas, comportamento alimentar, enfermagem. ABSTRACTObjective: To characterize the demographics and dietary history of children up to 24 months old with congenital heart disease. Methodology: Cross-sectional observational study carried out in a Hospital and Ambulatory care setting. Data Collection was conducted from January to June 2009 using a form that includes the socio 1 Trabalho extraído de parte da dissertação de Mestrado apresentada ao Programa de Pós-Graduação em Enfermagem da Universidade Federal do Ceará/UFC, com apoio financeiro do CNPq.

show abstract

“…Teamwork, advancing clinical skills, autonomy, and professional development were modeled by mentors in this new and developing role. Educational tools for parents, nutritional support [24], protocol development, and research were career achievements. The home surveillance monitoring program (HMP)was developed for high risk interstage time period for CHD between stage 1 and stage 2 palliation utilizing a home scale, pulse oximeter, binder, and close interstage clinical management [25].…”

Section: Third Born (1970)mentioning

confidence: 99%

Lifetime Impact of Congenital Heart Disease on a Family from the Perspective of a Third in Birth Order Sibling

2016

J Paediatr Child Care

View full text Add to dashboard Cite

Background: Congenital heart disease (CHD) is the number one birth defect reported by the Centers for Disease Control and Prevention [1]. Patients are surviving and thriving into teen and adult years. The evolution of care since the late 1960's for patients and families include routine and unexpected clinic visits, hospitalizations, and procedures. Transitions into acute care systems and subsequent return to chronic care systems are part of the process. This care is required in addition to normal routine health surveillance and illnesses impacting patients, families, resources, and support systems.Recognition of the healthy sibling impact and relationship with chronic health disease is present in the literature with inconsistent results across many diseases. The quality of life literature in CHD is progressing through the years, particularly for patients; however, lifetime healthy sibling impact of CHD continues to be void in the literature. Sibling relationships span the longest time period in a lifetime, typically longer than parents and spouses [2]. Focus on sibling impact of chronic illness is essential to understanding the family dynamics, sibling relationships, roles, and family coping mechanisms when faced with a life-threatening illness like CHD.Method: A Midwestern nuclear intact family is the focus in this case study. In 1968, an infant, second in birth order of 4 siblings, was postnatally diagnosed with complex univentricular CHD requiring repeat surgical and medical follow up throughout his lifetime. This single family review retrospectively spans over four and a half decades from the perspective of third in birth order sibling. Utilizing interviews and personal accounts, a developmental perspective of the impact growing up with an ill sibling throughout childhood and adulthood is reported.Results: Normal developmental milestones of adulthood were achieved by all four siblings including: graduating high school, moving out of the home, marrying, childrearing, and pursuing productive careers. Divorce was not present in the nuclear family and respective adult families. Three of the four siblings graduated with a college degree and a first for our generation.Conclusion: CHD and the acute life threatening issues associated with surgical and medical follow up impacts the family system. Compassion and empathy evolved throughout the lifespan for one sibling. Exposure to emotional, mental, and physical stressors while providing quality health care can be significant. The development of professional compassion fatigue [3] and nursing burnout in the third in birth order sibling was identified.Family resilience was critical to positively moving forward. Eight positive resilience factors were identified as key to maintain a positive focus and live life to the fullest capacity. These included: consistent positive family support, spiritual support, family financial stability, quality health care, strong work ethic, presence of humor, focus on quality of life and normalcy, and drive for adventure and new exp...

show abstract

Nutrition Care for Newborns with Congenital Heart Disease

Cited by 42 publications

References 14 publications

Nutritional status of children with congenital heart disease

Nutritional status of children with congenital heart disease

Caracterização Alimentar De Crianças Com Cardiopatias Congênitas

Lifetime Impact of Congenital Heart Disease on a Family from the Perspective of a Third in Birth Order Sibling

Contact Info

Product

Resources

About