Abstract:Hypoplastic left heart syndrome, a severe congenital heart defect, increases parenting stress. The reported emotional maladjustment in affected children might in part be owing to somatic complaints.
“…Indeed, a recent study identified higher levels of stress in parents of children with HLHS compared with parents of children with other univentricular heart defects (32). Indeed, a recent study identified higher levels of stress in parents of children with HLHS compared with parents of children with other univentricular heart defects (32).…”
Section: Discussionmentioning
confidence: 99%
“…Difficulties for parents, arising in PICU, may continue well after their child's discharge (11,16,27,(29)(30)(31)(32). Difficulties for parents, arising in PICU, may continue well after their child's discharge (11,16,27,(29)(30)(31)(32).…”
All parents of surviving infants with hypoplastic left heart syndrome in PICU, irrespective of timing of diagnosis, experienced numerous stresses and losses, and the majority exhibited clinical levels of traumatic stress. Receiving the diagnosis itself is very traumatic and is compounded by the environment of the PICU which alienates parents from their infants and interferes with parent-infant bonding. Parental adaptation to this situation can be assisted by staff.
“…Indeed, a recent study identified higher levels of stress in parents of children with HLHS compared with parents of children with other univentricular heart defects (32). Indeed, a recent study identified higher levels of stress in parents of children with HLHS compared with parents of children with other univentricular heart defects (32).…”
Section: Discussionmentioning
confidence: 99%
“…Difficulties for parents, arising in PICU, may continue well after their child's discharge (11,16,27,(29)(30)(31)(32). Difficulties for parents, arising in PICU, may continue well after their child's discharge (11,16,27,(29)(30)(31)(32).…”
All parents of surviving infants with hypoplastic left heart syndrome in PICU, irrespective of timing of diagnosis, experienced numerous stresses and losses, and the majority exhibited clinical levels of traumatic stress. Receiving the diagnosis itself is very traumatic and is compounded by the environment of the PICU which alienates parents from their infants and interferes with parent-infant bonding. Parental adaptation to this situation can be assisted by staff.
“…Sarajuuri et al [20] assessed perceptions of child behavior and parenting stress among the parents of young children with HLHS and other forms of single-ventricle CHD. Sarajuuri et al [20] assessed perceptions of child behavior and parenting stress among the parents of young children with HLHS and other forms of single-ventricle CHD.…”
The literature reviewed reveals new intervention opportunities to improve neurodevelopmental outcome in the fetus (cerebrovascular resistance), during the perioperative period (brain biomarkers and EEG), and through the utilization of new stratification schemata. The new AHA/AAP guidelines on the evaluation and management of neurodevelopmental outcomes create the opportunity to identify and treat a significant population of survivors with neurodevelopmental deficits with novel interventions.
“…Carlo et al [33] found patients who died or required transplant between S2P and Fontan completion were more likely to have a low weight for age z-score (WAZ) at S2P. Various researchers have demonstrated a high level of parental stress in households of single-ventricle children, especially at the time of initial hospital discharge [35,36]. Ensuring normal infant growth has become a priority of HMP management, and is the primary aim of the initial quality improvement goal of the ].…”
Section: Beyond Survival: Growth Feeding and Family Impactmentioning
Interstage home monitoring programs are a model of collaborative care that improves outcomes. Continued research in this area will refine the elements of home monitoring programs and continue to guide improved results. In addition, this model may serve as a template for the care of other populations of medically complex infants.
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