Cancer treatment is very stressful experience that can overwhelm a newborn baby’s natural ability to cope.
The emotional trauma neonates experience can delay healing and normal development. The negative effects on physical and mental health may last for years after treatment has ended.
Child life promotes effective coping for neonates.
Developmental Issues
- Startle reflex when moved quickly or hears loud noises
- Sucking reflex – sucks on anything placed in mouth
- Rooting reflex – opens mouth and turns head to the side where cheek is stroked
- Grasps and lets go of anything placed in hand
- Focuses on objects 8-12 inches away
- Hearing is fully mature
- Begins to gurgle, coo and grunt
- Moves head side to side while lying on stomach
Hospital Stressors
- Startles at loud noises and sudden movement
- Blinks in response to bright light
- Impaired basic needs
Coping Behaviours
- Crying
- Sucking
- Quiets to soft music, singing or gentle talking
- Soothes when rocked or swaddled in a blanket
Interventions
- Encourage parent presence and participation in care at all times
- Show parent how to touch or hold infant if connected to medical equipment
- Avoid quick movements
- Decrease noise levels and bright lights
- Avoid hunger and maintain warm room temperature
- Talk in soft, soothing voice 8-12 inches away from the infant’s face
Pain Management / Comforting Techniques
- Singing
- Soft music
- Swaddling
- Light up toys
- Infant massage
- Comfort Positioning
- Non-nutritive sucking – soother/pacifier
- Encouraging statements