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Cardiac surgery and the CICU environment are traumatic to infants and their families. Infants are exposed to overwhelming stress which can result in increased pain, physiologic instability, behavioral disorganization, disrupted attachment, and altered brain development. The purpose of this manuscript is to: 1. Clearly describe the uniqueness of the cCHD infant, including the medical, neurological, and parental challenges. The experiences in the CICU shape the developing brain and alter recovery and healing, thus adversely impacting development. Applying IFDC with a recovery perspective in all aspects of caregiving will provide opportunities for individualization of care and parent engagement, allowing infants in the CICU to recover from surgery while supporting both short and long-term neurodevelopment. Infants born with critical congenital heart disease cCHD are the most fragile subset of patients with CHD because they require open-heart surgery in the newborn period in order to survive. These infants are at three to four times the risk for developing learning disabilities, behavioral problems, mental health problems, and other developmental deficits or delays compared to children with structurally normal hearts 1 — 6.
Just as secular marriages have problems, so do temple marriages. We love each other very much and are each others support system. He may never come out and say it, but if you mention marriage outside of the church and he's OK with it, you have a slight chance of being happily married to her and not being mormon. JS married a girl her age when he was 37, after having told her that he had been threatened by an angel with a flaming sword and promising her entire family salvation if she consentedI decided to read the ces letter. I just found this blog. You matter, they love you, so please don't ever feel alone-your husbands hearts are right there with you.