Overview of Pediatric Nursing Care
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© Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR UNITSALE OR I DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Overview© Jonesof & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC PediatricNOT Nursing FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Care© Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Rawpixel.com/Shutterstock NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC CHAPTER 1 NOTIntroduction FOR SALE ORto Children’sDISTRIBUTION Health Care NOT FOR SALE OR DISTRIBUTION CHAPTER 2 Care Across Clinical Settings © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. 9781284375473_CH01_001_013.indd 1 06/07/17 2:03 PM © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE CHAPTER OR DISTRIBUTION 1 NOT FOR SALE OR DISTRIBUTION Introduction© Jones to & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Children’sNOT Health FOR SALE Care OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Rawpixel.com/Shutterstock NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC LEARNING OBJECTIVESNOT FOR SALE OR DISTRIBUTION KEY TERMS NOT FOR SALE OR DISTRIBUTION 1. Analyze how contemporary issues in children’s Anticipatory guidance health may be encountered in pediatric nursing Binuclear family practice. Clinical judgment ©2. Jones Identify & and Bartlett apply the Learning, components LLC of “Bright Concept-based© Jones learning & Bartlett Learning, LLC NOTFutures” FOR SALEcreated ORby the DISTRIBUTION American Academy of Critical thinkingNOT FOR SALE OR DISTRIBUTION Pediatrics. Empowerment 3. Identify how the concept of “new morbidity” for Enabling children in urban rural and suburban environ- Extended family ments may aff ect nursing practice. Family-centered care © Jones & Bartlett4. Analyze Learning, models ofLLC critical thinking that can be© Jones Family & strengthsBartlett Learning, LLC NOT FOR SALE ORapplied DISTRIBUTION to the complexities of pediatric nursing.NOT FOR New morbidity SALE OR DISTRIBUTION 5. Analyze the care needs of families of diverse constellations (teen parents, single parents, parenting by grandparents, extended families, blended families© Jones and culturally & Bartlett diverse Learning,families). LLC © Jones & Bartlett Learning, LLC 6. Apply the philosophyNOT FOR of family-centered SALE OR DISTRIBUTION care to NOT FOR SALE OR DISTRIBUTION common pediatric staff –family encounters. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. 9781284375473_CH01_001_013.indd 2 06/07/17 2:03 PM Introduction: Contemporary Issues in Children’s Health 3 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FORIntroduction: SALE OR DISTRIBUTION Contemporary Issues NOT FOR SALE OR DISTRIBUTION in Children’s Health Providing comprehensive well-child and health restora- tion nursing care for children© Jones across & Bartlett the developmental Learning, LLC © Jones & Bartlett Learning, LLC period is a complex endeavor.NOT ChildrenFOR SALE are part OR of families, DISTRIBUTION NOT FOR SALE OR DISTRIBUTION and families are unique in their composition, strengths, and needs. Children progress from total dependence on caregivers as babies to independence as young adults. is time period—from birth to young adulthood—is dynamic© Jones and can &be Bartlettchallenging. Learning, Pediatric nurses LLC must be © Jones & Bartlett Learning, LLC preparedNOT to FORprovide SALE support, OR education, DISTRIBUTION and meticulous NOT FOR SALE OR DISTRIBUTION care to children from diverse cultural, racial, and ethnic backgrounds, and from diverse family structures. Some Figure 1-2 © Monkey Business Images/Shutterstock families are able to provide for their children’s basic needs © Jones &such Bartlett as health Learning, care, whereas LLC others experience stressors© Jones & Bartlett Learning, LLC that adversely inuence their children’s health and well- NOT FOR SALE OR DISTRIBUTION NOTLavorato, FOR SALE & Patten, OR 2013). DISTRIBUTION A comprehensive plan for being (Figure 1-1). Contemporary times have brought both a child’s health should include early assessments and economic and health challenges that can greatly inuence screenings, immunizations, disease prevention, acute a pediatric nurse’s experiences in caring for children and care for illness and injuries, and, if needed, chronic care their families. for lifelong conditions that rst present in childhood. In today’s world, any© given Jones child & may Bartlett experience Learning, many eLLC term anticipatory guidance© Jones is used &to Bartlettdenote the Learning, LLC socioeconomic factorsNOT that inuenceFOR SALE his or OR her DISTRIBUTIONhealth. process of preparing parents,NOT guardians, FOR orSALE caregivers OR DISTRIBUTION Current research shows that large numbers of families for what to expect as the child grows, develops, and in the United States and elsewhere are experiencing matures (Figure 1-2). unemployment, frequent moves, food insecurity, and lack of© consistentJones & health Bartlett care andLearning, insurance. LLC Hunger— © Jones & Bartlett Learning, LLC a basic human experience—has been documented as NOT FOR SALE OR DISTRIBUTION FAMILY EDUCATIONNOT FOR SALE OR DISTRIBUTION a national problem with adverse health and cognitive Definitions of Anticipatory Guidance consequences, aecting physical, academic, and social functioning during childhood (Coleman-Jensen, Rabbitt, Anticipatory guidance is a phrase used to define informa- Gregory, & Singh, 2015a, 2015b; Kushel, Gupta, Gee, & tion provided to parents so they can expect, plan for, and © Jones &Haas, Bartlett 2006; Melchior Learning, et al., LLC 2012; Weinreb et al., 2002)© Jonescope with & Bartlett actual or potential Learning, problems LLC associated with normal growth and development of a child before those NOT FORand SALE contributing OR DISTRIBUTION to long-term mental health issuesNOT FOR SALE OR DISTRIBUTION from adolescence into adulthood (McIntyre, Williams, problems arise. As a child progresses from infancy to adolescence, particular points along the developmental path require preparation. Anticipatory guidance gives the healthcare team the opportunity to teach parents or care- © Jones & Bartlett Learning, LLCgivers about what to expect. For© instance, Jones teaching & Bartlett about Learning, LLC NOT FOR SALE OR DISTRIBUTIONthe increasing mobility of infants,NOT which FOR progresses SALE from OR DISTRIBUTION rolling over to crawling to walking, will help parents plan for a safe environment and prevent falls or other accidents. Teaching parents about toddlers’ needs for constant super- © Jones & Bartlett Learning, LLC vision and their© Jonesinherent clumsiness& Bartlett can Learning,help parents plan LLC to prevent accidents and injuries. NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Pediatric nurses must be committed to viewing their patients and families in a holistic and comprehensive light. © Jones & Bartlett Learning, LLC © Jonese key & to Bartlett understanding Learning, the complexity LLC of providing NOT FORFigure SALE 1-1 OR DISTRIBUTION NOTpediatric FOR SALEnursing careOR is DISTRIBUTION to understand the important role © Nolte Lourens/Shutterstock that childhood plays in a developing person. Child health © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. 9781284375473_CH01_001_013.indd 3 06/07/17 2:03 PM 4 Chapter 1 Introduction to Children’s Health Care © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALERESEARCH OR DISTRIBUTIONEVIDENCE NOT FOR• Preterm SALE infant: OR DISTRIBUTION Born prior to 36 weeks’ gestation • Neonate: First 28‒30 days of life ith globalization and immigration, pediatric healthcare • Infant: One month to end of the rst year Wteams must be aware of international child health • Toddler: One year old through second year of life concerns. One major concern that arises on an international • Preschooler: ird birthday through h year of life scale is poverty. Currently,© Jones approximately & Bartlett 20% of U.S.Learning, families LLC• School-age child: Sixth© birthday Jones through & Bartlett 12th year Learning, LLC are living in poverty.NOT On a globalFOR scale,SALE poverty OR affects DISTRIBUTION ap- of life NOT FOR SALE