Settings of pediatric illness care delivery

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Settings of pediatric illness care delivery

  1. 1. Settings ofPediatric Illness Care Delivery Kinna P. Siarro, RN
  2. 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. 3. Factors• Family preference• Familys 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
  4. 4. HOMECARE
  5. 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. 6. • The quality of care and family life is enhanced by a general knowledge of the childs: Condition Treatment regimens Medical equipment Signs of complications Resources: who and when to call for assistance
  7. 7. OFFICE ANDCLINIC SERVICES
  8. 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. 9. • This leads to an increased role of the office nurse to: • Assess a childs and familys 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
  10. 10. SCHOOL ORDAYCARE
  11. 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. 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
  13. 13. CAMP
  14. 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. 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
  16. 16. HOSPITAL OREXTENDED-CAREFACILITY
  17. 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. 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.

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