Publisher's Synopsis
Despite the burgeoning body of knowledge specific to toxic stress, medical trauma and maternal separation, the delivery of developmentally supportive, neuroprotective care for hospitalized infants is inconsistent at best. Bedside clinicians struggle to integrate evidence-based best practices in neurodevelopmental care. Challenges include competing priorities, knowledge gaps, staffing demands, access to appropriate therapeutic resources, and documentation limitations.This book addresses these challenges in a thoughtful, comprehensive and practical way. The author provides evidence-based strategies and resources to improve not only the quality of the neurodevelopmentally supportive care provided but, also the consistency and coherence in which the care is documented. Clear, concise, comprehensive documentation has been proven to positively impact patient outcomes, The INDIA EBUS platform, a forward thinking, trans-disciplinary interface for improved documentation, opens the door for future innovations in digital platforms and artificial intelligence that improve the delivery of safe, high quality, patient-focused healthcare.Mary Coughlin, MS, NNP, RNC-EPresident and Founder, Caring Essentials Collaborative, LLCBoston, MA USAPreterm babies are at high risk for developmental disability and to large extent a lifelong problem. Presently the national programs are aimed at reducing mortality and is successful to considerable extent. But this is increasing the morbidity of academic, cognitive, behavioral, social, communication and other developmental problems. In this context there is an urgent need to protect the brain at the earliest. But in terms of developmental care there are many lacunae in the present infrastructure and some of them are oEmphasis on or reliance on post discharge intervention for supporting the developmentoNon individualized (mainly based on behavioral assessment) developmental care in Neonatal Intensive Care Unit (NICU)oNo standardization or policy for developmental care olack of documentation for developmental care or it is time laboriousoLow level of evidence for management of neurodevelopmental careoLack of enough trained manpower mainly Neonatal TherapistoIndividual component practice preferred over comprehensive management for developmental care though bundle care approach is found to be effective.oand many other Considering all these, INDIA EBUS is developed. INDIA EBUS is designed for protecting brain at the earliest for better performance throughout life. INDIA is an acronym for Individual New-born Developmental Intervention Application. EBUS stands for Evidence Based and Ultra SMART (Specific, Measurable, Accountable, Realistic solutions for Timely intervention).The main feature of INDIA EBUS is all the strategies suggested are evidence based which is a cornerstone of specialty care. Another key element of this is all the components are measurable and you will get a score for each developmentally supportive intervention. Rather than relying on the post discharge developmental intervention you can begin the early intervention during acute care.Mission Statement of INDIA EBUS: INDIA EBUS is dedicated to the highest quality of ultra-early intervention delivered with trust, thoughtfulness and care. Nandgaonkar HemantAssistant Professor, Occupational Therapy Training School & Centre, Seth GS Medical College, KEM Hospital, Mumbai, INDIA.http: //therapyconcepts.org/
