2. • The ill child benefits from being at
home or in a homelike environment,
and this setting is preferred when
possible
• Many additional factors influence the
increasing use of nonhospital care
for sick children, even those who are
seriously ill and those dependent on
medical technology
3. Factors
• Family preference
• Family's ability to comprehend and
provide medical therapies
• Increasing availability of community
health services
• Availability of programmable I.V. pumps,
feeding pumps, and other devices
• Shortened length of hospital stays
• Limitations of insurance benefits for
inpatient care
5. • Anticipatory guidance, planning,
teaching are strategies used to
prepare the child and family for care
at home during acute or chronic
illness
• Specific issues & skill development
depend on the age & condition of
the child, the home situation, family
resources & abilities, community
environment & resources
6. • The quality of care and family life is
enhanced by a general knowledge
of the child's:
Condition
Treatment regimens
Medical equipment
Signs of complications
Resources: who and when to call
for assistance
8. • Conditions that were previously
diagnosed and treated in the
hospital are now managed on an
outpatient basis
• Increased early discharge of
hospitalized children with outpatient
follow-up requires more care by
family
9. • This leads to an increased role of
the office nurse to:
• Assess a child's and family's coping
with home care
• Provide education and support
• Administer treatments in an
outpatient setting
• Act as a liaison between the child
and family, the home health nurse,
and the health care provider
11. • Children and youth with chronic
and/or ongoing health concerns are
able to remain in school and
participate in activities with their
peers
• Adaptive education and medical
technology are bringing new
opportunities that foster
development and socialization for
children with special needs
12. • Assessment of changing health,
wellness counseling, health
teaching, referral, and skilled care
are among the roles of a school
nurse
• Interventions may include
medication administration, glucose
monitoring, urinary catheterization,
tube feedings, and initial crisis
intervention
14. • Summer camp is an exciting
experience for children
• They learn about nature and
themselves
• They experience independence and
group living
• They get a change of pace from
their usual routines
15. • Many camps are set up for children
with chronic or handicapping
conditions where their special needs
are met and they have an
opportunity to learn, play, and
socialize with other people who are
much like themselves
• In these settings, the nurse serves
the role of camp counselor,
confidant, and provider of care
17. • Inpatient facilities have special
programs to facilitate the age- and
development-related needs of
infants, children, and youth
• Nursing care is directed toward the
child and family members
18. • Where the facility is not wholly
dedicated to children, attention is
given to ensure pediatric standards
of care are met throughout the
continuum of care: laboratory,
diagnostic imaging, surgery,
physical therapy, and emergency
department.
