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MEDICAL PERSPECTIVE: Dr. Nimmagadda

MEDICAL PERSPECTIVE: Dr. Nimmagadda. What we mean by “high risk” Birth weight less than 3 pounds (Very Low Birth Weight or VLBW) Living in low-income household (social disadvantage). Current Trends. Increasing numbers of VLBW infants Decreasing mortality rates

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MEDICAL PERSPECTIVE: Dr. Nimmagadda

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  1. MEDICAL PERSPECTIVE: Dr. Nimmagadda • What we mean by “high risk” • Birth weight less than 3 pounds (Very Low Birth Weight or VLBW) • Living in low-income household (social disadvantage)

  2. Current Trends • Increasing numbers of VLBW infants • Decreasing mortality rates • Heavy resource allocation toward neonatal intensive care

  3. Current Survival Rates

  4. Current Outcomes • Primary long-term risk is developmental sequelae & poor learning • Optimal outcomes achieved through: • Medical home • Close monitoring of growth & development • Maximal social supports • Timely treatment modalities

  5. The Medical Home • Center for Healthy Families Provision of primary pediatric care, education, social support, and advocacy for high risk infants and children ages zero to five years. Comprehensive care from a multidisciplinary team

  6. The Clinic Team • Pediatrician • Nurse Practitioner • Nurse Educator • Social Worker • Registered Dietician • Physical Therapist • Occupational Therapist • Speech & Swallow Therapist • Home Nurse (collaborative relationship)

  7. What we know • Social factors exert a profound influence on the health of children • Early childhood is a “critical” period for brain development • Effectiveness of early childhood intervention programs persists into school years

  8. What we face • Awareness of the importance of social factors • Recognition that access to health care and social services is paramount to good health • Realism that resources to overcome social barriers are often beyond our reach

  9. The Result • Complex, unfamiliar social service systems make advocacy difficult, inefficient, and ineffective. • Social issues seem untreatable • Medical treatments become irrelevant

  10. The Medical-Legal Partnership • Valuable means for effective advocacy • Addresses significance of social factors • Places solutions to social barriers within reach • Increases the return on our initial investment • Improves overall health of highest risk infants

  11. Making a Difference…

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