Meeting the Health Needs of Child and Adolescent Populations Copyright ©2008 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Community Health Nursing, 5/e Mary Jo Clark 16 CHAPTER

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Biophysical Considerations Age and maturation –Development –Menarche Genetic inheritance –Health problems specific to children

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Child and Adolescent Populations (continued) Physiologic function –Incidence/prevalence of specific physical health problems –Accidents –Congenital malformations –Neoplasms –Assault/homicide –Heart disease

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Psychological Considerations Family dynamics Parental expectations Discipline Parental coping/mental health Mental health problems among children and adolescents Abuse

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Physical Environmental Considerations Lead exposure Insecticide exposure Air pollution Safety hazards Accidents/Drowning

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Sociocultural Considerations Factors affecting access to health care –Family income and employment –Family educational level –Parental work schedules –Legislation –Media impact on role models

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Behavioral Considerations Nutrition Rest and exercise Violence

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Health System Considerations Attitudes toward health and health care Usual sources of health care –Routine use of emergency departments Use of health care services –Uninsured families

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Primary Prevention Measures Ensure access to health care Promote growth and development Provide adequate nutrition

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Primary Prevention Measures (continued) Promote safety Prevent communicable diseases Dental care Support for effective parenting

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Ensuring Access to Health Care Effective way to promote health Ensure regular source of primary health care

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Ensuring Access to Health Care (continued) Assess adequacy of primary care services Support education of primary providers Develop information systems to monitor health activities

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Promotion of Growth and Development: Role of Community Health Nurse Educate the public and families regarding developmental milestones that children and adolescents need to accomplish Alert parents to the challenges posed by these milestones

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Promotion of Growth and Development: Role of Community Health Nurse Advocate for community programs and environmental conditions that promote growth and development

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Providing Adequate Nutrition Educate the public regarding dietary needs and requirements for children and adolescents Promote policies that diminish access to “junk food” for children and adolescents Advocate for nutritional supplemental programs and for adequate nutrition programs in schools and other institutional settings

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Promoting Safety: Role of Community Health Nurse Promote the use of safety devices and equipment Educate families and children about the need for effective restraints Campaign for strict enforcement of restraint legislation for all vehicle occupants

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Promoting Safety: Role of Community Health Nurse Educate the public about general safety behaviors and the use and storage of poisonous materials Advocate for effective labeling of hazardous substances

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Preventing Communicable Diseases: Role of Community Health Nurse Immunization programs and campaigns Educate the general public regarding practices to prevent specific communicable diseases such as HIV/AIDS Educate about hygiene practices Educate about the prevention of contamination of food and water supplies

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Dental Care: Role of Community Health Nurse Educate parents about dental care in very young children Advocate for the need for preventive dental care Become involved in promoting fluoridation of community drinking water

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Dental Care: Role of Community Health Nurse Provide referrals for financial assistance to families in need

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Effective Parenting Support: Role of Community Health Nurse Establish formal networks with families in need Educate of families regarding the needs of children and adolescents

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Effective Parenting Support: Role of Community Health Nurse (continued) Interact with parents who express the common frustrations of parenthood Provide referrals for respite services and childcare services for families in need Provide parents both positive and negative feedback on their performance as parents

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Secondary Prevention Measures: Screen for Health Problems Provide routine and specialized screening services Advocate for access to these services for child and adolescent populations

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Secondary Prevention Measures: Care of Minor Illnesses Educate the public about appropriate home treatment for minor illnesses and when professional care is required Educate parents about minor health problems in children and adolescents

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Secondary Prevention Measures: Care of Minor Illnesses Educate on signs of illness in children Assess the health status of specific children –Make recommendations for appropriate interventions –Make referrals for medical assistance

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Secondary Prevention Measures: Care of Children and Adolescents with Chronic Conditions Assist with medication management Advocate for environmental modification Provide emotional support and recognize the needs of those caring for children and adolescents with chronic conditions

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Secondary Prevention Measures: Care of Children and Adolescents with Chronic Conditions Provide referrals for services and counseling Provide education about the particular health condition Promote healthy diets and physical activity

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Secondary Prevention Measures: Children and Adolescents with Terminal Illnesses Direct involvement in the provision of palliative care, the referral of clients for palliative care services, their work to assure the availability of palliative care services in the community and their accessibility to all those in need of them Assist with communication, emotional, and grief issues surrounding the dying child and their families

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. Palliative care:

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Tertiary Prevention Measures Prevent recurrence of problems –Prevent lead poisoning

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Tertiary Prevention Measures Prevent further consequences –Diabetes education Promote adjustment for those with chronic illness or disability –Prevent further loss of function

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Resources CDC Adolescent Youth Centers for Disease Control and Prevention official web page focusing on adolescence, links to many other web data bases and programs.CDC Adolescent Youth Youth Risk Behavior Surveillance System offers the latest national government data and statistics concerning risk behaviors in Youth.Youth Risk Behavior Surveillance System

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Resources The School Health Profiles helps state and district education and health agencies monitor the current status of school health education; school health policies related to HIV infection/AIDS, tobacco use prevention, unintentional injuries and violence, physical activity, and food service; physical education; asthma management activities; and family and community involvement in school health programs. State and local education and health agencies conduct the survey biennially at the middle/junior high school and senior high school levels in their states or districts, respectively.The School Health Profiles

Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Resources Youth Suicide Prevention Programs: A Resource Guide from the National Center for Injury Prevention and Control.Youth Suicide Prevention Programs: A Resource Guide Advocates for Youth Advocates for Youth is dedicated to creating programs and advocating for policies that help young people make informed and responsible decisions about their reproductive and sexual health. Advocates provides information, training, and strategic assistance to youth-serving organizations, policy makers, youth activists, and the media in the United States and the developing world.Advocates for Youth