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PEDIATRIC NURSING Caring For Children and Their Families

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PEDIATRIC NURSING Caring For Children and Their Families MODULE 1 What is Pediatric Nursing? Caring for children and families Promoting health and wellness through ... – PowerPoint PPT presentation

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Title: PEDIATRIC NURSING Caring For Children and Their Families


1
PEDIATRIC NURSING Caring For Children and Their
Families
  • MODULE 1

2
What is Pediatric Nursing?
  • Caring for children and families
  • Promoting health and wellness through several
    roles
  • Care provider - Manager of care
  • Educator - Collaborator
  • Research
  • Advocate

3
Nursing Process
  • Foundation for all nursing
  • Assessment
  • Nursing diagnosis
  • Planning
  • Implementation/interventions
  • Evaluation
  • See page 31, Box 2-3

4
Special Competencies
  • Medication dosage calculation
  • Pediatric-specific skills
  • Neonatal, infant and child resuscitation
  • Play therapy
  • Family-centered care
  • Developmentally appropriate care and communication

5
Peds Nursing Issues
  • Safety of culture and environment
  • Access to healthcare
  • Divorce, abuse, drug use- exposure in home
  • Lack of prenatal care and appropriate screenings
  • Violence and bullying in school

6
  • Injury and accidents
  • Nutrition and obesity rates eating disorders
  • Peer pressure, drug and alcohol use
  • Sexual activity and rates of STD and teen
    pregnancy
  • Mental health
  • Child abuse and neglect

7
Care Settings
  • Acute care- hospital setting
  • Critical care hospital unit
  • Specialty clinics for children with special needs
  • Public health department
  • School
  • Home health and hospice care
  • Primary care facilities

8
Definition of Family
  • Family is who they say they are
  • Biological
  • Legal
  • Emotional
  • Two or more persons
  • Nuclear, alternative, adoptive, foster, and group

9
Growth and Development
  • Growth vs Development
  • Piaget-cognitive
  • Freud-psychosexual
  • Erikson-psychosocial
  • Table 4-1 pages 56-57
  • Kohlberg- moral (wont focus on)

10
Communication
  • Techniques
  • Verbal
  • Nonverbal
  • Active listening
  • Play
  • Purpose??

11
Stages of G D
  • Infant
  • Toddlers
  • Preschoolers
  • School age
  • Adolescent

12
Emotional Factors
  • Separation anxiety
  • Stranger anxiety
  • Tantrums
  • Depression
  • Self image
  • Insecurity

13
Safety/Accident Prevention
  • Environmental
  • Equipment
  • Medication
  • Anticipatory guidance
  • Risk factors

14
Pain Management
  • Nonpharmacologic
  • Pharmacologic
  • Non-opioid
  • Opioid

15
(No Transcript)
16
Anatomic Differences
  • Respiratory
  • Small, short, narrow airways
  • Obligatory nose breathers
  • Immature respiratory system

17
  • Skin
  • Larger body surface area
  • Increase fluid loss
  • Problems with temp regulation

18
  • Cardiac
  • Increased heart rate
  • Congenital anomalies
  • Decreased blood pressure
  • Increased oxygen demand
  • Increased metabolic demand

19
  • Renal
  • Immature, not effective for filtration
  • Cant concentrate urine
  • Small changesbig consequences
  • Differing lab values by age group
  • Small bladder capacity
  • Prevent UTI
  • 1-2mL/kg/hr

20
  • GI
  • Feces changes based on diet and age
  • Dietary inclusions
  • Allergies
  • Congenital disorders

21
  • Neuro
  • Primitive reflexes
  • Replaced slowly with gross and fine motor
    movement
  • Cephalocaudal proximodistal
  • Dependent on nutrition and function of other body
    systems

22
  • Immune
  • Need acquired immunity in infancy
  • 3-4 months of age
  • Immunizations
  • Immature immune system, not adequate until early
    childhood

23
  • Musculoskeletal
  • Spurts and lulls
  • Mastery of motor skills is influenced by
    environment and stimulation
  • Highly individualized
  • 2-4-6-8-10/12 concept

24
GD Templates
  • http//www.atitesting.com
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