Pediatric Perspective Flashcards
Role of the Pediatric Nurse
– Therapeutic Relationship
– Family Advocacy and Caring
– Disease prevention and Health promotion
– Health Teaching and Promotion
– Injury Prevention
– Support and counseling
– Coordination and Collaboration
– Ethical Decision making
Variety of Age groups
Neonate- 0- to 28 days
Infant- 1 mos- 1 year
Toddler- 1 year- 3 year
Preschooler- 3 year - 5 year
School age- 6 year - 12 year
Adolescent- 13 year to 18 year
Child Health Promotion
Provides opportunities to reduce differences in current health status among members of different groups and ensure equal opportunities and resources to enable all children to achieve their fullest health potential
PATIENT & FAMILY-CENTERED CARE
> Recognizes the family as the constant in a child’s life
Approach to the planning, delivery & evaluation of care
Nurses support families in their caregiving & decision-making roles
Acknowledges diversity among family members & structures & backgrounds
Leading Health Indicators
Physical inactivity
Overweight and obesity
Tobacco use & vaping
Substance abuse
Responsible sexual behavior
Mental health
Injury and violence
Environmental quality
Immunization
Access to health care
Dental Care
Dental caries are preventable
Dental hygiene beginning with first tooth eruption
Role of fluoridated water
Early dental preventive care
Parent and child teaching
The Single most common Chronic disease of childhood
Dental Caries
Immunization Nurse Role
> Review individual immunization records at every clinic visit
Avoid missing opportunities to vaccinate
Encourage parents to keep immunizations current
Keep up with changes in immunization schedules, recommendations, and research related to childhood vaccines
www.cdc.gov/vaccines
Childhood health problems
Obesity and Type 2 Diabetes
Childhood Injuries
Violence
Mental Health Problems
Mortality
means Death
Infant Mortality:
Death in the first year of life
Recorded per 1000 live births
Neonatal mortality (<28 days of life)
postneonatal mortality (28 days to 11 months)
Childhood Mortality :
Usually presented per 100,000 population
Morbidity
means Disease
Childhood morbidity
Statistics rates per 1000 population
Difficult to define
>It may denote acute illness, chronic disease, or disability
Childhood morbidity
> Acute illness: symptoms severe enough to limit activity or require medical attention
> Respiratory illness = approximately 50% of all acute conditions
> Infections and parasitic disease = 11%
> Injuries = 15%
The “New Morbidity”
AKA Pediatric Social Illness
> Behavior, social, and educational problems
> Psychosocial factors:
-Poverty, violence, aggression, noncompliance, school failure, and adjustment to parental separation and divorce
> Mental health issues
Family-Centered Care: Two Basic Concepts
Enabling:
>Current abilities and competencies
>Acquire new abilities and competencies as needed
Empowerment:
>Interaction that allows the family to maintain or acquire a sense of control
>Behaviors that foster family’s strengths, abilities, and actions
Goals of Atraumatic Care
> Prevent or minimize separation from the family
Promote a sense of control
Prevent or minimize bodily injury and pain
Examples:
>Foster the parent-child relationship
>Prepare the child before any treatment or procedure
>Control pain
>Provide play activities for the expression of fear and aggression
