WK 1 PEDS

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West Coast University, Orange County *

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307

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Health Science

Date

Feb 20, 2024

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docx

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1 WEEK 1 BALL: 1, 2, 4-11, 15, 17 ATI: 1-10  Chap 1: Nurse’s Role in Care of Child: Hospital, Community, and Home o Nurse provides care for healthy children, those with illness, injuries, and chronic conditions o Contribute to health and welfare o Monitor growth and development o Help them adapt to and manage their health conditions o Healthcare settings:  Hospital  Physician’s office, clinics, healthcare centers  Child’s home  Rehab centers  Schools, childcare centers, camps  The community o Role of nurses:  Uses family-centered care approach  Focus on promoting health of children from newborn through young adulthood  Protect from illness and injury  Recognize presentation of disease between children and adults  Assist and educate the family to care for child  Includes: direct care, client education, advocacy, and case management  Collaborate with other healthcare professionals  Additional competencies:  Interact with children of different ages and their families  Modifying physical assessment techniques for age and development of child  Identify strategies to reduce child’s pain and stress  Accurately calculating medication dosages and volume for administration  Consider child’s developmental status  Adapt nursing procedure to developmental age o Direct Nursing Care  Nurse assesses the child  Identifies the health concerns  Lists the nursing diagnoses  Implements/evaluates care  Designed to meet physical/emotional needs of child and family

2  Offered in a sensitive manner  Compatible with cultural beliefs of child and family  Nurses minimize the psychologic and physical distress  Provide support to families o Patient education  Goal is to help parents or guardians make informed choices about health and healthy behaviors  Help children adapt to hospital settings and prepare them for procedures  Teach parents to look for important signs or responses to therapies, increase child’s comfort, and even provide advanced care  Assessment of knowledge regarding health conditions/practices, past experiences, and attitudes/beliefs are the start point of education  Promote adherence – client/parent follows recommended care for health problem o Patient advocacy  Acting to safeguard/advance the interests of another  Nurse must be aware of needs of child and family, family resources, and healthcare services available in community  Nurse must protect child/family by taking action with incidents related to incompetent, unethical, or illegal practices o Case management  Process that involves the assessment, planning, facilitation, and delivery of healthcare services  Promotes continuity of care  May be used to care for patient when hospitalized and for long-term care of chronic conditions  Discharge planning – promotes smooth, rapid, and safe transition into community and improves results of treatment o Research  Helps develop, refine, and expand knowledge  Focus on evaluating innovations in care o Nursing process  Clinical reasoning – assessing client cues and information, synthesizing information, applying it to understand child/family problem/concern, then plan/evaluate child’s care  Critical thinking – individualized, creative thinking or reasoning process

3 o Evidence based research  Problem-solving approach that integrates research evidence with healthcare professional’s clinical expertise  Keeps nursing practice current o Settings of Pediatric Care  Acute care: emergency department, observation or short-stay unit, post anesthesia, ICU, general inpatient, outpatient o Family-centered care  Efforts made to meet emotional, social, and developmental needs of children and families seeking healthcare o Pediatric Health Statistics  Infant mortality – death in infants under 1 year of age  5 leading causes of mortality  Congenital malformations  Low birth weight  Maternal complications  SIDS  Unintentional injuries (leading cause older than 1 year to 19 year)  Morbidity – illness or injury that limits activity, requires medical attention or hospitalization, or results in chronic condition  5 leading causes of hospitalization  Mood disorders  Pneumonia  Asthma  Appendicitis  Epilepsy o Healthcare Issues  Healthcare financing  Cost and access are important policy issues  CHIP created in 1997 to serve uninsured children up to age 19  Healthcare technology  Research and technology have enabled many children with congenital anomalies and low birth weights to survive  Has led to technologic advances and development of portable medical equipment for home care o Legal Concepts and Responsibilities  Regulation of Nursing Practice  Each state regulates nursing practice with a nurse practice act

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