Randomized Control Trial Model

The research proposal will be submitted for approval to Douglas College Research Ethics Board. The completed application is included in Appendix 1. Since the research involves young children who are deemed a vulnerable population, written consent will be obtained from their parents or legal guardians hereinafter referred to as “representatives”. The representatives will consent for usage of the participants’ medical records by the researchers. In particular, the researchers will screen the participants’ medical records for the information pertaining MMR vaccination and ASD diagnosis. The researchers will inform the representatives that the purpose of the research is is to determine the correlation between autism

Children presenting to the emergency department are often subjected to painful and anxiety-producing procedures, both for diagnostic purposes and for treatment of symptoms. Historically, pediatric patients have not been afforded the same level of care as adults with regard to the management of procedural pain. Pain in the young child age group (1-7 years) has often been under-treated,

Children have multiple or prolonged exposure to trauma, experience various symptoms and reactions, and long for progressive techniques to heal their pain.

I spent the past week reviewing all the data I have collected to this point. The data and health needs reported in Healthy People 2020, as well as the epidemiological and community data I collected, convey consistent themes. The HP 2020 topics of injury and violence prevention, hearing and communication disorders, oral health and access to health services all appear to be topics of concern and are identified health needs of the community I am targeting. With epidemiological data showing the rates of autism climbing at steady levels, the need for an increase awareness and planned interventions involving these health topics will be essential to meet the objectives established by the federal government.

Vaccine completion rates were similar to those reported by others and did not differ according to the levels of intervention delivered

The Centers for Disease Control and Prevention (CDC) claim that immunizations are one of the most successful interventions in public health history (2015). The CDC is qualified to make this statement as research shows the vaccinations have eradicated smallpox and nearly eliminated the polio virus, in addition to diminishing the occurrences of preventable infectious diseases such as measles, diphtheria and whooping cough (2015). However, despite the statistics and research, in 2015, only 71.6% of the children between 19 and 35 months received the combined 7 vaccine series (CDC, 2015). This decline in vaccination rate can have devastating effects not only on the individual child, but also on the community, as a whole. Consequently,

In this article Munro, Watson, and McFadyen, (2006) conduct a controlled trial in which assesses the significance of the training personnel who work directly with people who possess mental health and substance e abuse problems receive. The sample was administered in a NHS mental health service and incorporated a sample size of 49 (27.8%) mental health nurses, either in adult generic mental health or addictions services, out of 176 nurses who were initially invited to take the survey. 24 of the nurses were assigned to the experimental group (receiving training) and the rest (25) of the nurses were sent to the control group (receiving no training). Data was retrieved at three different times using surveys. The first survey was taken before training , training would last for 4 days, and then the latter two surveys were allotted following right after and then again 6 months later.

Nevertheless, infant health evaluation from time to time is important since it helps professionals to advise parents on what to expect in the coming months. Therefore, time to talk about vaccines is stressful, but when a child is ready to receive vaccines, nothing is more paramount than making the time to assess the parents’ information requirement as well as the impact they make in

My ideal audience for this presentation would include new and parents to be, so that they are able to make educated decisions with regards to vaccinating their children. The information about vaccinations will be beneficial for every person in the world. This presentation will also be educational to any person that plans to become a parent, or a grandparent, at any time in the near, or not so near, future.

Pediatric pain management is measured subjectively because it is based off of what the patient says or how the nurse interprets the pain scale. Pain is rated using different scales, unfortunately these different scales could yield different results. Nurses are trained to use pediatric pain scales to analyze and treat pain but parents are not supplied with the tools to manage pain when the patient goes home. With 84% of all pediatric surgical procedures performed on an outpatient basis, the importance of teaching parents how to assess for and manage pain has become more important than ever (Rony, Fortier, Chorney, Perret, & Kain, 2010). According to Rony’s et al. (2010) study, it is apparent that pediatric pain is not being treated effectively. The study showed that 58.8% of children were receiving less than the daily recommended does prescribed by the pediatrician (p.1). Results of the study also showed that parents had false assessments on if their child was actually in pain. 36% of parents believed that if their child was in pain, they would cry out for the parent , 30% agreed that their child would always tell them if they are in pain, while 22% said that the child would report their pain immediately (Rony, Fortier, Chorney, Perret, & Kain, 2010, ). Children do not always verbalize when they are in pain. Sometimes the pain can be so intense that a child is unable to talk. If the child catches on to the parents negative perception of pain medications, the child may not

The method of selecting the sample was clearly defined and the sample size met the suggested guideline for minimum sample size. Data was collected using the National Immunization Survey (NIS) in two phases. Phase I, a telephone survey was conducted to identify households that have children aged 19-35 months, followed by Phase II, surveys were mailed to those children’s vaccination providers. Of the 17,313 children aged 19-35 months sampled by the NIS in 2009, the researchers

Today I was able to accomplish my goals of seeing how the nurses interact with the different age groups and learning more about immunizations. Today there were several patients coming in to get vaccines, ranging from the age of 4 months to 13 years old. During each appointment, I was able to observe how the nurse interacted with them, for example using a high-pitched voice for the baby and being more playful for the older children. I was also able to observe the nurse preparing and giving several vaccinations. The nurse walked me through how she organizes all her vaccines and keeps track of which vaccine is which and also where to give them. She explained that if she gives multiple vaccines she likes to give a more painful shot on one

Peter Stalmans and associates143 conducted a randomized control trial. Its data support the finding that intravitreal injection of ocriplasmin leads to resolution of vitreomacular traction, induction of posterior vitreous detachment, and closure of a macular hole in some cases. The incidence of vitrectomy was lower among the patients who received ocriplasmin than among those who received placebo. A sham injection would have provided a better comparison with the natural history of the disease process than that provided by the group of patients who received a placebo, which was chosen to control for the effect of an intravitreal injection. The main visual symptom of vitreomacular traction and macular holes is decreased visual acuity. Although more

When I attended the immunizations clinic at Terrace Public Health Unit, there was lots of teaching in regards to immunizations and developmental stages for children between the ages of 2 months and 18 months old. For the purpose of this section, I will look at the 2 month old visits because these visits have the most teaching about immunizations. The principles that were integrating into the teaching of immunizations for the 2 month visits were atraumatic, and family centred. The teaching that the public health nurse provided to mothers who was still breastfeeding her infant when the infant is receiving the immunization just to breastfeed to distract and minimize the pain and distress.

There are many things that I would change to make sure that independent studies are effectively used in the classroom. I think one of the things that I would do is make sure that I do different levels of independent study. In each of the models there is a building block that needs to be done before we establish what most of us think of as an independent study. For example, I would use the Treffinger model for self-directing learning (Johnsen & Goree, 2009, pg. 420). At the end of each nine-weeks the students would have a project to be completed on a topic that we have covered (Johnsen & Goree, 2009, p. 426). They would have minimal class time but be guided through the process giving the different steps, when they are due, and defining