Nt current principles, practices and trends in pediatric nursing (2)
MURUGANANDAN . M.Sc (N)
PEDIATRICS - Meaning• It is derived from Greek words.• PEDIA means CHILD• IATRIC means TREATMENT• ICS means BRANCH OF SCIENCE,
PEDIATRICS – Definition.• Pediatrics can be defined as the branch of medical science, that deals with the care of the children, from conception to adolescence, in health and illness.• It is concerned with preventive, curative, & rehabilitative care of children.
Importance of PEDIATRICS• Major consumers of health care.• 35 – 40 of total population are children below the age of 15.• More vulnerable to various health problems.• Majority of Childs morbidity & mortality preventable.• Needs special care to survive & thrive.• Wealth of tomorrows society &nation.
Criterias for identifying - High Risk Infants• Birth weight less than 2.5kg• Twin births• Birth order 5 or more• Spacing of children less than 2years• No breastfeeding or insufficient breastfeeding along with artificial feeding• Failure to gain weight during 3 successive months• Weight below 70% of the reference standard• History of death of 2 or 3 siblings before the age of 24 months• Death of either or both parents• Children with PEM and severe acute infections.
Pediatric Nursing 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.
• Pediatric nursing practice is concerned with # Well being of the children towards optimal functioning. # Integration of developmental needs of children into nursing care with holistic approach. # Integration of scientific principles and theory related to child health into nursing practice. # Delivering care to the family- child unit. # Interdisciplinary team approach to plan and provide child care in comprehensive manner # Focusing on the ethical, moral and legal problems regarding child care.
• To provide skillful, intelligent, need based comprehensive care to the children in health and sickness.• To interpreted the basic needs of the children to their parents and family members and to guide them in child care.• To prevent disease and alleviate suffering in children.• To promote growth and development of children towards optimum state of health for functioning at the peak of their capacity in future.
• Build a working relationship with the parents and their children from the time of first contact .• Should be aware that all behaviors should be meaningful.• Should accept parents and their children exactly as they are.• Allow them to know that their problems are important, and the nurse is there to aid in their solutions.
• Have an empathy for parents and children.• Willing to acknowledge the parents right to their own decisions concerning their accident.• Allows the parents and the children to express their emotions, even negative emotions.• Ask questions limited to a single idea or reference• Speak a language understandable to the parent and children.• Must help the parents to feel that there is unity among the health team.
• Attention to the full range of human experiences and responses to health and illness without restriction to a problem- focused orientation.• Integration of objective data with knowledge gained from an understanding of the patient or group’s subjective experience.• Provision of a caring relationship that facilitates health and healing.
Aspects of Pediatric NursingPediatric nursing practice depends on the 3 aspects. They are as follows:• Family centered care.• A traumatic care• Case management.
Aspects of Pediatric nursing practice A traumatic care Case management.Family centered care.
the family is a constant family/ professional collaboration Exchanging complete and unbiased information honoring of cultural diversity different methods of coping family- family support Appreciating families as families
The overriding goal in providing a traumatic care is first do no harm.3 principles provide the framework for achieving this goal: Prevent or minimize the child’s separation from the family. Promote a sense of control. Prevent or minimize bodily injury and pain.
It is an approach to coordinate care and control costs. The benefits of case management include improved patient/ family satisfaction, Case managers are responsible and accountable for particular groups of patients and often use timeless derived from standards of care.
QUALITIES OF PEADIATRIC NURSE.Be a loving person and have liking for the children.Have patience, pleasant appearance and ability to understand the childs behavior.Be able to maintain good IPR with children.Be friendly ,honest, gentle, diligent and humorous.Have good observation, judgment and communication ability-based on scientific knowledge and experienceBe well-informed, skillful, responsible, truthful, trustworthy.
Role of PEADIATRIC NURSENurse Nurseconsultant Researcher
Remarkable changes have occurred in the field of pediatric nursing in recent years• Modern approach of child health care emphasizes on preventive care rather than curative care.• Growth of specialization within the field of pediatric medicine has had an impact on nursing care of children.
• Independent practitioner who can fulfill an autonomous position as a member of an interdisciplinary health team.• Acceptance of family centered care of children impart more responsibility on pediatric nursing and pediatric nurse• Involving in research and findings newer techniques in nursing sciences.
Pediatric care need specialized education and training of pediatric nurse.Increasing number of HIV infected innocent children create problems in pediatric care and nursing practices .Increasing number of psychological problems among children due to unhealthy competition, comparison, single parent and family disruption
• Ethical decision making in ethical dilemmas about issues like refusal of treatment , euthanasia, prolongation of life, prenatal genetic screening, abortion, invitro fertilization, allocation of scarce medical resources and rights of children in health care research etc.• Moral dilemmas for pediatric nurses arise from power conflicts about treatment in which the nurse may need to decide whether to continue to co-operate with the health team and follow the physicians directions or not to follow them.• Legal issues related to consumer protection act, malpractice and negligence are great challenges in all areas of nursing practice and also in child care.