Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Nursing and pain assessment in newborn with hypoxic-ischemic encephalopathy in hypothermic treatment |
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| Name | Sghedoni Emma |
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| Supervisor(s) | Bergamini Barbara, Di Giuseppe Michela |
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| Academic Year | 2021/22 |
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| Thesis type | Non research thesis |
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Abstract
The topic that is discussed in the dissertation concerns nursing care and the evaluation of pain in newborn suffering from hypoxic-ischemic encephalopathy in hypothermic treatment. Hypoxic-ischemic encephalopathy is one of the main causes of morbidity and mortality in newborns. The gold standard therapy used is hypothermic treatment, which aims to slow the process of neuronal degeneration. Despite the effectiveness, this therapy causes no less a small part of pain and stress to the newborn that, adding to the almost inevitable amount of pain that all newborns admitted in Intensive Therapies are subjected, this can go to nullify the neuro-benefits of hypothermic therapy itself. Of fundamental importance is therefore the management and evaluation of neonatal pain, especially for this type of newborns. The thesis was developed with the aim of analyzing the points of nursing and the evaluation of pain to be implemented for this type of newborn, also through the analysis of the Protocol used in the Neonatal Intensive Care Unit of the AOU Policlinico of Modena and through the study of the N-PASS pain assessment and sedation scale. The paper is the result of a review of literature based on bibliographic research carried out through databases such as PubMed, Cochrane Library and the Google Scholar search engine. The keywords used in the research were: neonatal hypoxic- ischemic encephalopathy, therapeutic hypothermia, neonatal pain assessment, neonatal pain scales, non-pharmacological interventions, neonatal sedation. The results of the review show that there are still gaps in the evaluation of pain, and in particular sedation, during the treatment of therapeutic hypothermia.
