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1. Introduction of Pediatric
Nursing .

2. .
.

3. Pediatrics define – the pediatric is may be define as the branched of medical science
that deal with child development and care and with the disease of childhood and their
treatment.
Pediatric is Greek word “pedia” mean child and “iatric” mean treatment and “ics” mean
branch of science.
The father of pediatric as known as Abraham Jacob (1830 – 1919)
.

4. .
Pediatrics Nursing– to care of the child with physically, spiritual, mentally, and
emotionally under the nurse and nursing in 24 hourly nursing care. as known as
pediatrics nursing.
Pediatrics nursing is the medical care of neonate and children's up to adolescence,
usually in an patient hospital or day- clinic. It is art and science of giving nursing care
to children's from birth through adolescent with emphasis on the physical growth,
mental, emotional and psycho-social development.

5. .  Activate the child activity.
 Good communication for child.
 Education the public about the child health.
 Accept parents and their children's exactly as they are.
 Build a working relationship with the parents and their
children's from the time of first contact.
 Nurse should be aware that all behavior of parents and
children's are meaningful.

6. .  Empathy for children's and parents.
 Acknowledge the parents right to decision concerning to
their children's.
 Use of local language so parents can understand.
 Answer all question of parents.
 Justification of practices.
 Dose limit for occupational exposure.

8. .
Role of pediatrics nurse:-
 Pediatrics nurse should provide preventive, promotive, curative and rehabilitative
care of child.
 Care in and level of health service, as therapeutics agent.
 She act as cases finder and compassionate skilled care giver as needed by the
today society.

9. .
 Primary care include provide comfort, feeding bathing, safety.
 Health assessment and immunization is primary care in the community.
 Provide health care for the child who required treatment from disease.
 Deal with child disabilities.
 Managing conflict on the team.

10. .
 Keeping patient and families satisfied.
 Stay current with change in policies and procedure.
 Ensure good communication with team members.
 Meeting regulatory requirement.
 Maintain safe patient care environment.

11. .
 Making staff decision.
 Facilities education and orientation.
 Making patient care assignment.
 Acting as preceptor(senior person) for new staff.
 Arrange patient transfer.

12. . Role of pediatrics nurse in child care:-
• Care giver.
• Advocate role.
• Educator.
• Managerial role.
• Nurse practicener.
• Team leader.

13. . • Recreationist.
• Nurse counselor.
• Nurse researcher.

14. .
Emerging challenges in pediatric care
1. New specialist and areas : today nurse are working with
new specialist and various new areas which are demand of
today. Eg. NICU, PICU, OT, emergency ward. And other ward.
2. Special problem : today children's are suffering with various
problem related to unhealthy environment, family matter, bad
habits, physical abuse, drugs abuse, pediatric nurse needs
special attention and appropriate management.

15. . 3. High risk children's : some child have special risk or
suffer from more dangerous disorder condition eg. HIV,
congenital problem and diabetes, nurse needs to provide
the care.
4. Illiteracy and poverty : these are also two major
obstacles for the appropriate care of child.
5. Legal condition : there are some legal issue related
consumer protection eg. Malpractice and neglect.

16. . 3. Illness : some child are suffer from severe chronic and
acute illness which needs to be special attention.
4. Decision making: in some cases ethical decision making
such as refusal of treatment.

17. . child care in india
The child are very important in future for India so that
care of the child is very important. The growth and
development of the child is an important aspect of a
family. The care are provide to with different steps by
age.

18. . There are following aspects of child care.
• Maternal child health.
• Reproductive child health programme.
• Child survival and safe mother hood programme.
• ICDS programme.
• IMNCI programme.

19. . • BFHI programme.
• Balwadi nutrition programme.
• Child guidance programme.
• School health services and education programme.
• PHC and CHC.

20. . • Maternal child health:- Maternal health is the health of
women during pregnancy, childbirth, and the postpartum
period. It encompasses(अंतर्गत कई) the health care dimensions
of family planning, preconception (पक्षपात), prenatal,
and postnatal care in order to ensure a positive and fulfilling
experience, in most cases, and reduce maternal morbidity and
mortality, in other cases.

21. . • Reproductive Child Health Programme :- RCH is an
acronym for Reproductive and Child Health. It is a
program that aims at combating and reducing the
mortality rates of mothers, infants, and
children and was launched in October 1997.

22. . • ICDS programme :- Integrated Child Development
Services is a government program in India which
provides nutritional meals, preschool education, primary
healthcare, immunization, health check-up and referral
services to children under 6 years of age and their
mothers.
• Launch year: 1975 , Sector: Child development
• Ministry: Ministry of Women and Child Development.

23. . • IMNCI Programme:- IMNCI is an integrated approach to
child health that focuses on the wellbeing of the whole
child. IMNCI aims to reduce death, illness and disability,
and to promote improved growth and development among
children under five years of age. IMNCI started in India in
2003.

24. . • BFHI programme:- The Baby Friendly Hospital
Initiative (BFHI), also known as Baby Friendly Initiative
(BFI), is a worldwide programme of the World Health
Organization and UNICEF, launched in 1992 in India
following the adoption of the Innocent Declaration on
breastfeeding promotion in 1990.

25. . • Balwadi nutrition programme :- The Balwadi Nutrition
Programme is a healthcare and education programme
launched by the Government of India to provide food
supplements at Balwadis to children of the age group 3–6
years in rural areas. This program was started in 1970
under the Department of Social Welfare, Government of
India.

26. . • Child guidance programme :- Child Guidance Center
offers families comprehensive diagnostic assessments by
qualified team of Child development professional, Child
counselors, Psychiatrist, Psychologist and Speech
therapist. It offers specialized screening and diagnosis of
children suspected at risk or showing learning, behavior,
attention, and developmental difficulties.

27. . • School health services and education programme :- The
School Health Programme is the only public sector
programme specifically focused on school age
children. ... It responds to the increased need of stress
our children face, increases the efficacy of other
investments in child development and ensures good
current and future health.

28. . • PHC and CHC :- PHC is the first contact point between
village community and the medical officer. The PHCs were
envisaged to provide an integrated curative and
preventive health care to the rural population with
emphasis on preventive and promotive aspects of health
care. The PHCs are established and maintained by the
State governments under the Minimum Needs Programme
(MNP)/ Basic Minimum Services (BMS) Programme.

29. . • CHC:- are being established and maintained by the State
government. As per minimum norms, a CHC is required to
be manned by four medical specialists i.e. surgeon,
physician, gynecologist and pediatrician supported by 21
paramedical and other staff. It has 30 in-door beds with one
OT, X-ray, labour room and laboratory facilities. It serves as
a referral centre for 4 PHCs and also provides facilities for
obstetric care and specialist consultations.

30. . Trends Of Pediatric
Today society is complex and ever changing. change are
brought by new technique and technologies. these change
have an impact the society as a whole. Children's are
expected to grow and learn to their fullest potential in the
changing society and change in health system,

31. . it is important for the nurse to recognize the great
improvement in child care. The child health care system
should focus to meet the needs of children's and their
families by providing comprehensive child health care
during the illness as well as in health. The child health care
is required for promotion of health, prevention of disease,
provision of treatment and follow up. Nurse are involve in
implementation if these services and programmes.

32. . It is responsibility of nurse to implement the concept of health
promotion and preventive pediatrics. The measures
includes maintain of family health clinics, under five clinics,
school health programmes, camps, home health care,
immunization against preventable communicable disease,
education for prevention of accidents and poisoning case
of children's and health teaching.

33. . Inspite of decrease in family size, some problem that existed
in the past namely female feticide, neglect, maltreatment
still persist.

34. . Trends of pediatric nursing.
• Scientific treatment from infancy to adolescent.
• Administration of vaccines for preventable disease.
• Monthly assessment of growth and development.
• Focus on prevention.
• Advancement of science and technology in medical field.
• Practice by registered nurse and pediatrician.
• Problem solving approach.

35. . • Evidence based practice.
• Family center care.
• Regular laboratory examination in school, families & commu.
• Knowledge health workers.
• Focus on promotion of child health.
• Provides ordered medical therapies in home and hospital.
• Motivate people and families to participate in child care.

36. .
Concept of preventive pediatric
preventive pediatric comprises effort to avert rather than
cure disease and disabilities. The aims of preventive care
are:
1. Preventive of disease.
2. Promotion of physical well being.
3. Promotion of mental well being.
4. Promotion of social well being.

37. . To achieve these aims, we must adopt the strategy of primary
health care to improve child health care through such
activities as:
• Growth monitoring.
• Oral rehydration.
• Nutritional surveillance.
• Promotion of breast feeding.

38. . • Immunization.
• Family education.
• Regular health checkup.
• Health education.
• Case finding and early treatment.
Preventive measures should be practices in family, schools,
hospitals, clinics, center and community.

39. .
Modern Concept of Child Care
Today society is complex and ever changing. change are
brought by new technique and technologies. these change
have an impact the society as a whole. The increase
complexity of medical and nursing technique has created
a need for special area for child care. The child health
care has prime importance as the mortality and
morbidity rates higher in this group.

40. . The goal of pediatric nursing is to the growth and
development of the children's and promote an optimum
state of physical, mental and social health, so that they
may function at the peak of their capacity. Since most of
children's response are influence by the phase of growth
and development, the age of the child most significant
factors affecting nursing activities.

41. . The role of pediatric nurse is constantly changing. These
change are the result of evolving concept of wellness and
illness, scientific and technological discovers in the field of
health and medical care.

42. . Caring is an essential ingredient in the role of pediatric nurse,
caring is a way of relating to others that develop in depth
through reciprocal trust and honesty. The caring nurse
perceives children's and their parents as having a dignity
for future development caring for children's and their
families is of the outmost important in pediatric nursing.

43. Dr. Ajeem Khan
Vice-Principal
Ph.D. Nursing(Child Health Nursing)