Leslie Altimier | Northeastern University (original) (raw)
Papers by Leslie Altimier
Dorothy Vittner (with Jacqueline M. McGrath) is a contributing author, Family: Essential Partners... more Dorothy Vittner (with Jacqueline M. McGrath) is a contributing author, Family: Essential Partners in Care , Chapter 27 pp.753-784. Book description: The sixth edition of this acclaimed neonatal nursing text is completely updated to encompass the most current research findings and strategies for providing cost-effective and evidence-based care. It continues to address neonatal care from a physiologic and pathophysiologic perspective, with a major emphasis on nursing management at the bedside and advanced practice level. It examines each neonatal body system and describes evidence-based interventions that assist in understanding the ‘why’ behind various clinical presentations. Integrative management is threaded throughout the text along with extensive research findings to support practice strategies and rationales for sound clinical decision-making. Case studies, evidence-based practice boxes, QSEN competencies, and online resources help to amplify and reinforce content.https://digitalcommons.fairfield.edu/nursing-books/1087/thumbnail.jp
Journal of pediatric nursing, 1994
A retrospective chart review was conducted to examine the prescription and administration of anal... more A retrospective chart review was conducted to examine the prescription and administration of analgesics with and without caudal analgesia to inpatient preverbal children within the first 48 hours after surgery. The 75 subjects were between birth and 24 months of age and had undergone various operative procedures. Seventy (93%) of these subjects were prescribed analgesics, but 8 of them had only acetaminophen prescribed. Of the 70 subjects who had a medication prescribed, 64 (91%) patients received analgesics. Morphine was the most frequently administered analgesic. The prescribed and administered mean dosages were less than the minimum recommended dosage for morphine. The mean prescribed and administered dosage for other analgesics exceeded the minimum recommended dosage. Preverbal children who had caudal analgesia during surgery were more likely to receive fewer dosages of analgesics and to receive lower dosages of narcotics even after 24 hours postoperatively than children who had...
Journal of Neonatal Nursing, 2020
Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on ... more Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
The only text to combine comprehensive physiology of the neonate with nursing management, it has ... more The only text to combine comprehensive physiology of the neonate with nursing management, it has been extensively used worldwide for education, orientation, and training since its original publication in 1993. Thoroughly updated, this new edition incorporates the most up-to-date research findings and strategies for providing cost-effective and evidence-based care. Completely new chapters address emerging infections, the late preterm infant, and neonatal care from a global perspective. The text also provides updated information on neonatal care protocols and procedures, neuroprotective risk factors, new treatments, and new trends in developmental care. It integrates the Institute of Medicine's (IOM) five competencies, reflects the Affordable Healthcare Act and the Robert Wood Johnson and IOM report "The Future of Nursing," and addresses the expansion of the nurse's role in the US and worldwide. The text continues to provide a comprehensive examination of neonatal care from a physiologic and pathophysiologic approach, with a major emphasis on nursing management at the bedside and advanced practice level. The complete physiologic and embroyologic foundation of each neonatal body system is presented, along with evidence-based interventions to assist the student in understanding the 'why' behind what is seen in the clinical area. The thread of integrative management pervades the text, which also examines the relevance of various diagnostic tests. The book presents extensive research findings that provide evidence to support practice strategies and rationales for sound clinical decision-making. Included are such foundational topics as risk factors, genetics, physiologically critical periods of development, nutrition, and parenting as well as topics of recent interest such as iatrogenic complications, neonatal pain, use of computers or other technology in neonatal care, and neonatal AIDS. Case studies lead the reader through the identification, diagnosis, treatment, and evaluation of treatment of common and rare neonatal conditions. Also included are practice protocol guides, a discussion guide, video clips of chapter contributors, and periodic clinical updates. New to the Fifth Edition:Presents new chapters on emerging infections, the late preterm infant, and neonatal care from a global perspectiveIncludes updated information on neonatal care protocols and procedures, neuroprotective factors, new treatment modalities and new trends in developmental careTackles the UN Millennium Development Goals (MDGs), particularly the goal to reduce the <5 years of age mortalityIntegrates the Institute of Medicine's (IOM) five competencies and reflects the Affordable Healthcare Act and the Robert Wood Johnson and IOM report "The Future of Nursing"Addresses the expansion of the nurse's role in the US and worldwideProvides case studies that lead the reader through the identification, diagnosis, treatment, and evaluation of common and rare neonatal conditions
AACN Advanced Critical Care, 1992
Head trauma in the pediatric population older than 1 year occurs in approximately 100,00 children... more Head trauma in the pediatric population older than 1 year occurs in approximately 100,00 children per year, resulting in 250,000 to 500,000 hospitalizations annually. Head trauma accounts for 80% of all trauma deaths. The pathophysiology and management of severe pediatric head trauma is discussed. Traumatic injury to the central nervous system, its sequelae, and approaches to maximize cerebral resuscitation and stabilization are reviewed
Newborn and Infant Nursing Reviews, 2015
ABSTRACT Compassion lies at the intersection of empathy (understanding families’ concerns) and sy... more ABSTRACT Compassion lies at the intersection of empathy (understanding families’ concerns) and sympathy (feeling families’ emotions), combined to elicit a response to the distress of others and a desire to alleviate that distress.1 A new Compassionate Family Care Framework (CFDC), incorporates these elements of compassion with affiliative relationships, bidirectional communications, and compassionate partnerships to achieve optimal quality of care for the vulnerable neonates and families we serve. Affiliative relationships address both the families’ innate need for connection and relationships with health caregivers and the need for attachment and bonding between parents and their infant. Effective bidirectional communication empowers parents, making sense of control, decision making, taking responsibility, and achieving a realistic view towards their neonate’s appearance and health condition. Creating compassionate partnerships with families strengthens a parent’s sense of control and enhances their developing parent identity in the overwhelming and frightening neonatal intensive care unit (NICU). The Compassionate Family Care Framework not only promotes family empowerment in the NICU, but also is a way of compassionately caring for infants and their families so that care is planned around the whole family, not just the infant.
Newborn and Infant Nursing Reviews, 2004
Health care leaders are continually seeking ways to optimize their care services, become financia... more Health care leaders are continually seeking ways to optimize their care services, become financially viable, and retain quality caregivers. Such goals seem impossible in today's intensely competitive environment. The incorporation of a healing environment into the health care setting not only optimizes clinical care and outcomes, it also optimizes staff satisfaction, morale, retention, and fosters repeat business. It has been shown that views of nature, natural light, soothing colors, therapeutic sounds, and the interaction of family members can enhance healing. These elements must be balanced with staff needs when designing critical care environments.
Newborn and Infant Nursing Reviews, 2015
Nursing Management (Springhouse), 1995
Nursing Management (Springhouse), 1995
A comprehensive program involving the orientation of perinatal staff to a secondary clinical area... more A comprehensive program involving the orientation of perinatal staff to a secondary clinical area has led to a flexible staffing plan. After one year, the perinatal department has improved financially, while staff have improved their marketability.
Nursing Management (Springhouse), 2001
Follow the expansion and transformation of Good Samaritan Hospital's 46-bed NICU to a 21,... more Follow the expansion and transformation of Good Samaritan Hospital's 46-bed NICU to a 21,250-square-foot newly designed level III unit.
Nursing Management (Springhouse), 2002
The mother/baby unit of Ohio&amp;#39;s Good Samaritan Hospital instituted a wireless comm... more The mother/baby unit of Ohio&amp;#39;s Good Samaritan Hospital instituted a wireless communication system. Here, review its benefits.
Newborn and Infant Nursing Reviews, 2004
Nurse managers play a critical role in creating harmony among nurses on their units. Many nurse m... more Nurse managers play a critical role in creating harmony among nurses on their units. Many nurse managers, however, do not receive any education on dealing with staff of different ages and experience levels. Additionally, nurses vary in their career desires and work styles. Multigenerational education for nurse managers gives a different perspective on conflicts among staff and helps the manager better understand nurses’ individual needs.
Newborn and Infant Nursing Reviews, 2001
The practice of co-bedding twins and higher order multiples (HOM) is becoming a standard of pract... more The practice of co-bedding twins and higher order multiples (HOM) is becoming a standard of practice in many neonatal intensive care units (NICU) around the world. This report describes the practice of co-bedding and discusses the findings of a clinical study of cobedding in a NICU. These findings suggest co-bedding supports synchrony in caregiving and feeding of twins and HOM, and may facilitate mutuality in their circadian rhythms and sleep/wake patterns. Copyright © 2001 by W.B. Saunders Company
Newborn and Infant Nursing Reviews, 2001
Newborn and Infant Nursing Reviews, 2006
is investing in students pursuing a degree in the social sciences and a future career in public s... more is investing in students pursuing a degree in the social sciences and a future career in public service. Mr. Powell, 76 years old, the former Secretary of State and the 12th chairman of the Joint Chiefs of Staff, is a 1958 graduate of the City College of New York. His donation, which will be made public by the college on Tuesday, is in support of the Colin L. Powell School for Civic and Global Leadership. The school was named for Mr. Powell this past May and he serves as chairman of the school's board of visitors. In a recent interview, Mr. Powell said that during this phase in his life he is dedicating his time to education initiatives. The obligation he feels to City College-and what makes the school his primary charitable focus-is simple: "Without the City College of New York, I wouldn't be in a position to give anything to anybody," he said.
Dorothy Vittner (with Jacqueline M. McGrath) is a contributing author, Family: Essential Partners... more Dorothy Vittner (with Jacqueline M. McGrath) is a contributing author, Family: Essential Partners in Care , Chapter 27 pp.753-784. Book description: The sixth edition of this acclaimed neonatal nursing text is completely updated to encompass the most current research findings and strategies for providing cost-effective and evidence-based care. It continues to address neonatal care from a physiologic and pathophysiologic perspective, with a major emphasis on nursing management at the bedside and advanced practice level. It examines each neonatal body system and describes evidence-based interventions that assist in understanding the ‘why’ behind various clinical presentations. Integrative management is threaded throughout the text along with extensive research findings to support practice strategies and rationales for sound clinical decision-making. Case studies, evidence-based practice boxes, QSEN competencies, and online resources help to amplify and reinforce content.https://digitalcommons.fairfield.edu/nursing-books/1087/thumbnail.jp
Journal of pediatric nursing, 1994
A retrospective chart review was conducted to examine the prescription and administration of anal... more A retrospective chart review was conducted to examine the prescription and administration of analgesics with and without caudal analgesia to inpatient preverbal children within the first 48 hours after surgery. The 75 subjects were between birth and 24 months of age and had undergone various operative procedures. Seventy (93%) of these subjects were prescribed analgesics, but 8 of them had only acetaminophen prescribed. Of the 70 subjects who had a medication prescribed, 64 (91%) patients received analgesics. Morphine was the most frequently administered analgesic. The prescribed and administered mean dosages were less than the minimum recommended dosage for morphine. The mean prescribed and administered dosage for other analgesics exceeded the minimum recommended dosage. Preverbal children who had caudal analgesia during surgery were more likely to receive fewer dosages of analgesics and to receive lower dosages of narcotics even after 24 hours postoperatively than children who had...
Journal of Neonatal Nursing, 2020
Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on ... more Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
The only text to combine comprehensive physiology of the neonate with nursing management, it has ... more The only text to combine comprehensive physiology of the neonate with nursing management, it has been extensively used worldwide for education, orientation, and training since its original publication in 1993. Thoroughly updated, this new edition incorporates the most up-to-date research findings and strategies for providing cost-effective and evidence-based care. Completely new chapters address emerging infections, the late preterm infant, and neonatal care from a global perspective. The text also provides updated information on neonatal care protocols and procedures, neuroprotective risk factors, new treatments, and new trends in developmental care. It integrates the Institute of Medicine's (IOM) five competencies, reflects the Affordable Healthcare Act and the Robert Wood Johnson and IOM report "The Future of Nursing," and addresses the expansion of the nurse's role in the US and worldwide. The text continues to provide a comprehensive examination of neonatal care from a physiologic and pathophysiologic approach, with a major emphasis on nursing management at the bedside and advanced practice level. The complete physiologic and embroyologic foundation of each neonatal body system is presented, along with evidence-based interventions to assist the student in understanding the 'why' behind what is seen in the clinical area. The thread of integrative management pervades the text, which also examines the relevance of various diagnostic tests. The book presents extensive research findings that provide evidence to support practice strategies and rationales for sound clinical decision-making. Included are such foundational topics as risk factors, genetics, physiologically critical periods of development, nutrition, and parenting as well as topics of recent interest such as iatrogenic complications, neonatal pain, use of computers or other technology in neonatal care, and neonatal AIDS. Case studies lead the reader through the identification, diagnosis, treatment, and evaluation of treatment of common and rare neonatal conditions. Also included are practice protocol guides, a discussion guide, video clips of chapter contributors, and periodic clinical updates. New to the Fifth Edition:Presents new chapters on emerging infections, the late preterm infant, and neonatal care from a global perspectiveIncludes updated information on neonatal care protocols and procedures, neuroprotective factors, new treatment modalities and new trends in developmental careTackles the UN Millennium Development Goals (MDGs), particularly the goal to reduce the <5 years of age mortalityIntegrates the Institute of Medicine's (IOM) five competencies and reflects the Affordable Healthcare Act and the Robert Wood Johnson and IOM report "The Future of Nursing"Addresses the expansion of the nurse's role in the US and worldwideProvides case studies that lead the reader through the identification, diagnosis, treatment, and evaluation of common and rare neonatal conditions
AACN Advanced Critical Care, 1992
Head trauma in the pediatric population older than 1 year occurs in approximately 100,00 children... more Head trauma in the pediatric population older than 1 year occurs in approximately 100,00 children per year, resulting in 250,000 to 500,000 hospitalizations annually. Head trauma accounts for 80% of all trauma deaths. The pathophysiology and management of severe pediatric head trauma is discussed. Traumatic injury to the central nervous system, its sequelae, and approaches to maximize cerebral resuscitation and stabilization are reviewed
Newborn and Infant Nursing Reviews, 2015
ABSTRACT Compassion lies at the intersection of empathy (understanding families’ concerns) and sy... more ABSTRACT Compassion lies at the intersection of empathy (understanding families’ concerns) and sympathy (feeling families’ emotions), combined to elicit a response to the distress of others and a desire to alleviate that distress.1 A new Compassionate Family Care Framework (CFDC), incorporates these elements of compassion with affiliative relationships, bidirectional communications, and compassionate partnerships to achieve optimal quality of care for the vulnerable neonates and families we serve. Affiliative relationships address both the families’ innate need for connection and relationships with health caregivers and the need for attachment and bonding between parents and their infant. Effective bidirectional communication empowers parents, making sense of control, decision making, taking responsibility, and achieving a realistic view towards their neonate’s appearance and health condition. Creating compassionate partnerships with families strengthens a parent’s sense of control and enhances their developing parent identity in the overwhelming and frightening neonatal intensive care unit (NICU). The Compassionate Family Care Framework not only promotes family empowerment in the NICU, but also is a way of compassionately caring for infants and their families so that care is planned around the whole family, not just the infant.
Newborn and Infant Nursing Reviews, 2004
Health care leaders are continually seeking ways to optimize their care services, become financia... more Health care leaders are continually seeking ways to optimize their care services, become financially viable, and retain quality caregivers. Such goals seem impossible in today's intensely competitive environment. The incorporation of a healing environment into the health care setting not only optimizes clinical care and outcomes, it also optimizes staff satisfaction, morale, retention, and fosters repeat business. It has been shown that views of nature, natural light, soothing colors, therapeutic sounds, and the interaction of family members can enhance healing. These elements must be balanced with staff needs when designing critical care environments.
Newborn and Infant Nursing Reviews, 2015
Nursing Management (Springhouse), 1995
Nursing Management (Springhouse), 1995
A comprehensive program involving the orientation of perinatal staff to a secondary clinical area... more A comprehensive program involving the orientation of perinatal staff to a secondary clinical area has led to a flexible staffing plan. After one year, the perinatal department has improved financially, while staff have improved their marketability.
Nursing Management (Springhouse), 2001
Follow the expansion and transformation of Good Samaritan Hospital's 46-bed NICU to a 21,... more Follow the expansion and transformation of Good Samaritan Hospital's 46-bed NICU to a 21,250-square-foot newly designed level III unit.
Nursing Management (Springhouse), 2002
The mother/baby unit of Ohio&amp;#39;s Good Samaritan Hospital instituted a wireless comm... more The mother/baby unit of Ohio&amp;#39;s Good Samaritan Hospital instituted a wireless communication system. Here, review its benefits.
Newborn and Infant Nursing Reviews, 2004
Nurse managers play a critical role in creating harmony among nurses on their units. Many nurse m... more Nurse managers play a critical role in creating harmony among nurses on their units. Many nurse managers, however, do not receive any education on dealing with staff of different ages and experience levels. Additionally, nurses vary in their career desires and work styles. Multigenerational education for nurse managers gives a different perspective on conflicts among staff and helps the manager better understand nurses’ individual needs.
Newborn and Infant Nursing Reviews, 2001
The practice of co-bedding twins and higher order multiples (HOM) is becoming a standard of pract... more The practice of co-bedding twins and higher order multiples (HOM) is becoming a standard of practice in many neonatal intensive care units (NICU) around the world. This report describes the practice of co-bedding and discusses the findings of a clinical study of cobedding in a NICU. These findings suggest co-bedding supports synchrony in caregiving and feeding of twins and HOM, and may facilitate mutuality in their circadian rhythms and sleep/wake patterns. Copyright © 2001 by W.B. Saunders Company
Newborn and Infant Nursing Reviews, 2001
Newborn and Infant Nursing Reviews, 2006
is investing in students pursuing a degree in the social sciences and a future career in public s... more is investing in students pursuing a degree in the social sciences and a future career in public service. Mr. Powell, 76 years old, the former Secretary of State and the 12th chairman of the Joint Chiefs of Staff, is a 1958 graduate of the City College of New York. His donation, which will be made public by the college on Tuesday, is in support of the Colin L. Powell School for Civic and Global Leadership. The school was named for Mr. Powell this past May and he serves as chairman of the school's board of visitors. In a recent interview, Mr. Powell said that during this phase in his life he is dedicating his time to education initiatives. The obligation he feels to City College-and what makes the school his primary charitable focus-is simple: "Without the City College of New York, I wouldn't be in a position to give anything to anybody," he said.