Perspectives of Pediatric Nursing Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

Features of Pediatric Nursing Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.2

Role of the Pediatric Nurse  Therapeutic Relationship  Family Advocacy and Caring  Disease Prevention and Health Promotion  Health Teaching  Injury Prevention  Support and Counseling  Coordination and Collaboration  Ethical Decision Making Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.3

Family-Centered Care: Two Basic Concepts  Enabling  Current abilities and competencies  Acquire new abilities and competencies as needed  Empowerment  Interaction that allows the family to maintain or acquire a sense of control  Behaviors that foster family’s strengths, abilities, and actions Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.4

Mosby items and derived items © 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.5 The nurse is assigned to care for a chronically ill child who is hospitalized. The child is 14 months old, and is the youngest of 9 children ranging in age from 2 months to 17 years. Which nursing action is the best example of enhancing family-centered care? A.The nurse answers the call light promptly. B.The nurse asks the mother to describe the child’s feeding history. C.The nurse offers to feed the child and allow mom to take a nap. D.The nurse allows all of the siblings to remain in the room as much as they wish. Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.5

Atraumatic Care  Eliminate or minimize distress  Psychologic  Physical Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.6

Goals of Atraumatic Care  Prevent or minimize separation from the family  Promote sense of control  Prevent or minimize bodily injury and pain Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.7

Mosby items and derived items © 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.8 Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.8 Which nursing intervention is most effective in providing atraumatic care to a 3-year-old boy preparing for major surgery? A. Explain to the child that he will be away from his parents for only a short time. B. Allow a parent to accompany the child to the preoperative holding area. C. Give the child a teddy bear from the hospital’s toy closet. D. Hold the child’s hand as you accompany the child to the preoperative holding area.

Development  Developmental processes are unique to each stage of development:  Infant  Toddler  Early Childhood  Adolescence  Continuous screening and assessment are essential for early intervention when problems are found. Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.9

Factors giving rise to pediatric social illness or new morbidity. Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.10

Pediatric Nursing The single most common chronic disease of childhood is? A.Arthritis B.Cancer C.Dental caries D.Diabetes Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.11

Dental Care  Dental caries are preventable  Dental hygiene beginning with first tooth eruption  Role of fluoridated water  Early dental preventive care  Parent and child teaching Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.12

Child Health Promotion  Provides opportunities to reduce differences in current health status among members of different groups and ensure equal opportunities and resources to enable all children to achieve their fullest health potential Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.13

Mosby items and derived items © 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.14 The most common nutritional problem in American children is: A.Lack of breastfeeding B.Obesity C.Access to healthy food D.Vitamins Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.14

Health Care for Children  Healthy People 2020  Framework for identifying essential components for child health promotion programs  Designed to prevent future health problems in children  Goal to increase quality and length of healthy life and eliminate health disparities Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.15

Leading Health Indicators (Healthy People 2020) 1.Physical inactivity 2.Overweight and obesity 3.Tobacco use 4.Substance abuse 5.Responsible sexual behavior 6.Mental health 7.Injury and violence 8.Environmental quality 9.Immunization 10.Access to health care Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.16

Clinical Reasoning and Providing Nursing Care Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.17

The Nursing Process  Assessment  Diagnosis  Outcomes Identification  Planning  Implementation  Evaluation Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.18