Phototherapy in the home setting.

Physiologic jaundice is a self-limiting process affecting approximately 50% of normal-term infants during the first week of life. Phototherapy has proven to be effective in reducing or preventing the rise in bilirubin levels in the newborn when it is related to this natural process. However, phototherapy generally prolongs the length of hospital stay for the jaundiced newborn. The trend toward early discharge and the increase in the availability of highly sophisticated technical equipment designed for home use affords the family the opportunity to actively engage in the decision to take their child home early, thus reducing expenses and time spent in the acute care setting. Home care also allows the family to stay together while caring for the jaundiced newborn and promotes early bonding of all family members, including siblings. This article presents an overview of home phototherapy, focusing on the role and responsibility of the nurse and education of the parent/caretaker.