Child health nursing

3.  Child Health Care has changed dramatically in recent years due to
advances in medical knowledge and understanding of emotional
response of children, Health exists when an individual meets minimum
physical, physiological, intellectual, psychological and social aspects to
function appropriately for their age and sex level

4.  Pediatric can be defined as the branch of science that deals with the
care of children, from conception to adolescence, in health and illness.

5.  Pediatric nursing is the specialized area of the nursing practice
concerning the care of children during wellness and illness, which
includes preventive, promotive, curative and rehabilitative care of
children.

8.  It is based on the philosophy that quality care can be provided in an
environment that support family integrity and promote psychological
and physiological health of the family
ENABLING
EMPOWERING

9.  Advancement in the medical field has created the care of children too technologically
versatile. The nurse also needs to be technologically competent enough to meet the
nursing care disorders even in the fetal period.
Laboratory
methods
diagnostic
technology
computer
skills
aggressive
technology

10.  To maintain the consistency of care is to designate one primary nurse
and as many associates to provide the same standard of nurse is not
working, care. Primary nursing is promoted in pediatric care to provide
consistent caregivers to care for the child. It also focuses family unit as
an integral component in planning and implementing care

11.  It is considered as an extension of primary nursing. It is usually used in
outpatient setting by assigning a case manager to a patient or a group
of patients. It utilizes time line or critical path or practice guidelines.
Variations in timelines are noted to identify delay in provision of care
that helps to resolve the problems related to patient system or
community

12. ADVANTAGES:
 Improved patient family satisfaction.
 Decreased fragmentation of care.
 Ability to describe and measure outcomes for a homogenous group of
patients

13.  A child friendly environment should be provided to a child who is
admitted to hospital.
 child friendly with adequate safety and facilities precautions.
 Education for play should be provided.
 Staff should be sensitive to the family's individual needs according to
the social educational, cultural and religious background. Children's
ward should be equipped skilled staff.
 Liberal visiting hours and permitting parents to be with hospitalized
children also promotes child-oriented environment in a hospital.

14.  Quality of life is being emphasized in addition to physical health.
 In addition, technological advances present issues at the end of life.
Therefore, pediatric nurses must expand the scope of health care they
provide to include assessment of psychosocial factors in areas of self-
esteem and independence, making home visits and using excellent
interviewing skills to obtain information that may assist in the care
related to these areas.

15.  A child whose rights are restored and upheld has an improved
opportunity for growth, development, education and health. As
advocates for children, nurses support policies that protect children's
rights and improve children's healthcare. Parents and guardians
generally make choices about their child's health and services. As the
legal custodians of minor children, they decide what is best for their
child.

17.  The increase in stressors such as war, terrorism, school violence and
natural disasters Such as hurricane, tsunami may reduce children's
coping abilities, and may lead to alterations in growth and development.
 Children who have experienced these events are at risk for post-
traumatic a stress disorder behavioral problems and depression These
disasters may be most difficult for children who have previously gone
through a major loss or already suffer from anxiety or depression.
Pediatric nurses must be aware of word threats on children, so that
they can assess for alterations intervene to promote security and
stability

18.  Efforts to reduce costs have also led to an increased emphasis a
preventive care. Anticipatory guidance is vital during each health
contact with children and their families. Education of the family includes
everything from keeping the home safe to preventing illness. These are
major points of emphasis for pediatric nurses as they deliver care to
children and their families.

21.  care of children is the recent trend. The sub areas are neonatology,
perinatology, pediatric surgery, pediatric cardiology etc. child health will
also progress by various movements towards the aim to improve the
survival and well being of all children.

22. Design:
 This is a qualitative interview study with experts in pediatric end-of-life care. A
qualitative content analysis was performed.
Setting/participants:
 We conducted 17 semi-structured interviews with health care professionals
caring for severely ill children/adolescents, from different professions, care
settings, and institutions.
Result
 Despite a perceived need for pediatric advance care planning, several barriers
to its implementation were identified. The results remain to be verified in a
larger cohort of health care professionals. Future research should focus on
developing and testing strategies for overcoming the existing barriers.

23. SUMMARY

25. BOOK REFERENCE:
 Wongs essential of paediatric nursing 8th edition by marilyn J. hocken berry, david
WilsonChild health nursing 2 nd edition by Padmaja, jaypee publisher pvt lid.
 Pediatric nutrition by suraj guptee 2 nd edition, PEEPE publisher , pg nol to 9
 Nilson paediatric nursing book; 4th edition; pg no 448-452
 OP Ghai edition 8th page number 229 to 237
NET REFERENCE:
 https://emedicine.medscape.com/article/965367-overview
 https://www.scribd.com/presentation/501276847/Changing-Trends-in-Paediatric-
Nursing