The Transition from Hospital to Home for a Patient with Bronchopulmonary Dysplasia: A Multidisciplinary Approach.

DIURETICS; H2 receptor antagonists; PATIENT aftercare; ADRENOCORTICAL hormones; INFANT development; HOME care services; MEDICAL care; CONTINUING education units; BRONCHODILATOR agents; DIET therapy; HEALTH care teams; PEDIATRIC nursing; OXYGEN therapy; VASODILATORS; BRONCHOPULMONARY dysplasia; CONTINUING education of nurses; DISCHARGE planning

Purpose: The purpose of this article is to explore the optimal approach to transitioning patients with bronchopulmonary dysplasia (BPD) from the hospital to home setting. Design: A review of current literature on BPD was performed using PubMed and Scopus with the search terms bronchopulmonary dysplasia, nursing care, intensive care, outpatient management, neurodevelopmental outcomes, nutrition, respiratory therapy, and pharmacologic therapy. A total of 15 out of 32 peerreviewed journal articles published between the years 2001 and 2019 were reviewed. Types of articles included original research, reviews, and case reports. Methods: Approaches to transitioning patients with BPD from a respiratory, pharmacological, nutritional, and neurodevelopmental standpoint were compared and summarized. Conclusions: The implementation of an interprofessional care approach during discharge may have an effect on reducing readmission rates and improving overall outcomes in patients with BPD. Further research is needed to improve the understanding of the discharge and follow-up management of these patients. Practice Implications: Patients with BPD are complex and benefit from interprofessional care throughout the course of their illness, especially at times of transition. Nurses are integral members of this team of providers. Educating nurses on best practices will assist them in providing expert care to this patient population. [ABSTRACT FROM AUTHOR]

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