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PEDIATRIC NURSING Caring For Children and Their Families

PEDIATRIC NURSING Caring For Children and Their Families. MODULE 1. What is Pediatric Nursing?. Caring for children and families Promoting health and wellness through Clinical practice Education Research Advocacy. Special Competencies. Medication dosage calculation

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PEDIATRIC NURSING Caring For Children and Their Families

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  1. PEDIATRIC NURSINGCaring For Children and Their Families MODULE 1

  2. What is Pediatric Nursing? • Caring for children and families • Promoting health and wellness through • Clinical practice • Education • Research • Advocacy

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

  4. 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

  5. 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

  6. 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

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

  8. Growth and Development • Growth vs Development • Freud • Erickson • Paiget • Kohlberg- moral (won’t focus on)

  9. Communication • Techniques • Verbal • Nonverbal • Purpose??

  10. Infant • Toddlers • Preschoolers • School age • Adolescent

  11. Emotional Factors • Separation anxiety • Stranger anxiety • Tantrums • Depression • Self image • Insecurity

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

  13. Pain Management • Nonpharmacologic • Pharmacologic • Non-opioid • Opioid

  14. Anatomic Differences • Respiratory • Small, short, narrow airways • Obligatory nosebreathers

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

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

  17. Renal • Kidneys less able to concentrate urine • Increased specific gravity • Small changes=big consequences • Differing lab values by age group • Small bladder capacity • Prevent UTI • 1-2mL/kg/hr

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

  19. Neuro • Primitive reflexes • Replaced slowly with gross and fine motor movement

  20. Hematology • Rapid heart rate and higher hematocrit increase oxygen delivery • Lab results vary by age group

  21. Immune • Need acquired immunity in infancy • Immunizations • Immature immune system

  22. Musculoskeletal • Spurts and lulls • Mastery of motor skills is influenced by environment and stimulation • Highly individualized

  23. Endocrine • Inability to regulate blood glucose levels for first few years

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