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Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Federation of Registered Nurses' Colleges – Pediatric Nursing Area

Exposing milk to high temperatures (over 80 °C [176 °F]) may induce changes in the fatty acid profile if compared to fresh breast milk. To avoid the nutrient destruction, the right preparation must be respected. Evidence shows that the major changes in the overheated milk affect amino acids essential for human growth. The right heating of the milk (in particular powder formulas) must be guaranteed at a temperature not lower than 70 °C (158 °F) to prevent the proliferation of bacteria, of ...

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Federation of Registered Nurses' Colleges – Pediatric Nursing Area

It is common practice to reheat several times both breast and formula milk, using methods that do not guarantee the correct temperature such as pots, bottle warmers, microwave ovens. The preparation of milk before administration can be via baby bottles warmers with a set default temperature. Liquid formula can be warmed in hot water up to 35 °C (95 °F), while the milk powder must be added to water at a temperature of 70 °C (158 °F). Breast milk should be administered at room temperature. At ...

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Federation of Registered Nurses' Colleges – Pediatric Nursing Area

The skin breakdown. i.e. the destruction of soft tissues is a disregarded situation. Believing that children are not exposed to tissue damage is wrong. On the contrary, they are at greater risk of prejudices subsequent to the action of forces such as pressure, friction and stretching. Before replacing a feeding, peristomal, ventilation and / or respiration device it is necessary to inspect the skin, optimize nutrition, managing the environmental humidity and verify the integrity of the devices. ...

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Federation of Registered Nurses' Colleges – Pediatric Nursing Area

Newborn hearing screening allows an early detection of congenital hearing loss, whose prevalence is 1-3 cases per thousand births in the absence of risk factors. It must be performed in all birth centers, on all newborns before discharge, by trained personnel, in well defined ideal environmental conditions and using appropriate instruments. The screening aims at diagnosing within the first 3 months of life and intervene within 6. The first level neonatal screening provides for the automatic ...

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association of Physiotherapists (AIFI)

There are very limited evidences regarding the benefit of diaphragmatic breathing administered in order to improve the distribution of ventilation by reducing energy consumption, decrease dyspnea and increase exercise capacity. On the other hand, it has been shown that, in patients with moderate to severe chronic obstructive pulmonary disease (COPD), this practice may cause some adverse effects such as an increase in asynchronous and paradoxical breathing movements of the rib cage, decreased ...