Monday, December 24, 2012

Unique Characteristics of Chilidren

                                                                            

Piaget Stages of Development
 
 
 
Knowledge of growth and development will help the nurse understand the unique characteristics of the child they are caring for, and allow them to understand child's perception and reaction and have effective communication.  Developmental theories  provide explanations of the child's behavior and offer guidelines for pediatric care.  There are many child-development theories the one that our still relevant today are    Erickson, Piaget, and Freud's theories.
 
 
 
Milestones (intellectual/language development)

 Development in milestones provide standards of reference that assist the healthcare providers in differentiating between normal and abnormal signs, symptoms and behaviors.
 
 
Caring for children are primary focus is the physiologic stabilization of acutely ill or injured children, psychologic well being is just as important.  It is easy today to incorporate psychosocial care interventions into the child's care plan minimizing the emotional impact of the child's hospitalization. 
  • Keeping parents with the child during procedures (family centered Care).
  • Utilize your ChildLife specialist 

Sunday, December 16, 2012

Medication Administration Safety





No interruption zone.



http://nurseelise.edu.glogster.com/elise-medication-safety-administration/

Thought I would share my  Glog on medication safety, did you know most medication errors occur in pediatrics.  This might be a good topic for our next post, stay tuned

Pediatric Safety and Family Centered Care

The Pediatric Patient:

Before we can start exploring best clinical  practices in caring for pediatrics we first must explore the key elements in family centered care in the  pediatric patient.  In pediatric nursing you are not just caring for the patient but the family.  The family is intrusting you to care for their most precious gift,  their child. 

 
In the past decade we have changed are model of care for the pediatric patient and have gone to family centered care approach.  We have found that partnering with the family in their love ones care has positive outcomes for the patient.  It has been almost 10 years ago when I first viewed the video of Josie King Story, her story is still relevant today and a reminder to why family centered care can save lives. 

How can you help promote family centered, by allowing parents to participate in daily rounds.
  • The two main purposes of rounds are to make decisions regarding the plan of care, and to ensure communication among the caring team ( providers, nurses, respiratory therapist, pharmacy).
  • In 2007, the American College of Critical Care Medicine released a recommendation that parents/guardians of pediatric patients be given the opportunity to participate in rounding.
  • 90% of parents in a 2011 Survey said that they would like to be present for rounds when their child was hospitalized.
  • Parents want the opportunity to decide whether or not to participate in rounds.  Parents feel frustrated adn distrustful if they feel that information is being withheld or inconsistent.
  • Parental participation in rounds may reduce anxiety by giving parents a forum to learn more about their child's care and may foster a sense of mutual respect between parents and health care providers.
After viewing the Josie King Story, and then reading how allowing parents to particpate in daily rounds, you cannot help to think if Sorrel King was allowed to round with the team at Johns Hopkins, would Josie be alive today.



McPherson,G.,Jefferson, R., Kissoon, N., Kwong, L. and Rasmussen, K. (2011). Toward the inclusion of parents on pediatric critical care unit rounds. Pediatric Critical Care Medicine(12)6, P255-261.

Sunday, December 9, 2012

Welcome to Nurse Elise's assessing and caring for pediatric patient blog.  My hopes for this blog is to share best practices when caring for the pediatric population, for nursing students.  Caring for sick children can be scary and overwhelming, but it is also challenging and rewarding. 

 
As a nurse who specializes in pediatrics, I feel it is important to devote my knowledge and skill in the care of children.   The hope would be to have a place that I may share resources to nursing students who may benefit from a blog that would alleviate  the feeling of being scared and overwhelmed when caring for the pediatric population.  Most important to inspire in a rewarding

Saturday, December 1, 2012

Pediatric Nursing Rocks !!

 
Providing nursing care for the pediatric patient comes with its challenges but has the most rewards. This blog will provide a place where nursing students can prepare for their pediatric clinical experience. It will provide best practices, and will review the unique and different characteristic of children (Children are not small adults). Helping you to become more prepared and knowledgeable when caring for the pediatric patient.