Budzak-Garza Ann E, Allmon Dixson Allison L, Holzer Renee A, Lillard-Pierce Kaitlin E, Devine Carolynn J
Department of Pediatrics, Gundersen Health System, La Crosse, Wisconsin.
Injury Research Center, Medical College of Wisconsin, Milwaukee, Wisconsin.
WMJ. 2018 Mar;117(1):29-33.
In response to an increased need to care for babies born to mothers with substance abuse issues, we developed GunderKids, a care management program that provides integrated medical care beyond standard-of-care, well-child appointments for these socially complex families.
The program incorporates frequent visits to the pediatrician and the care team, which includes pediatric nurses, a pediatric social worker, and a child psychologist. Enrollment is voluntary. Each visit addresses parenting challenges, home environment, basic needs, safety issues, and maintenance of sobriety, as well as child development and health issues.
RESULTS/DISCUSSION: We found that mothers and fathers (or parents) welcome intense support following delivery, appreciate the relationship that is built with the care team, and prefer frequent visits at the medical center over in-home visits, which they perceive as potentially intrusive. We describe here the planning and implementation of the program, as well as insights gained in our first year.
为了满足照顾有药物滥用问题母亲所生孩子的需求增加，我们开发了“冈德儿童”项目，这是一个护理管理项目，为这些社会情况复杂的家庭提供超出标准护理的综合医疗护理以及健康儿童预约服务。
该项目包括频繁拜访儿科医生和护理团队，护理团队包括儿科护士、儿科社会工作者和儿童心理学家。登记是自愿的。每次拜访都涉及育儿挑战、家庭环境、基本需求、安全问题、保持清醒，以及儿童发育和健康问题。
结果/讨论：我们发现，孩子的父母在分娩后欢迎高强度的支持，感激与护理团队建立的关系，并且比起他们认为可能具有侵扰性的家访，他们更喜欢在医疗中心进行频繁拜访。我们在此描述该项目的规划与实施，以及我们第一年所获得的见解。
Zotero 插件