This document outlines the objectives, principles, and benefits of an advanced nursing course on management of common acute pediatric health problems. The course aims to develop students' skills in pediatric health assessment and management of urgent/emergent issues in hospital settings. It covers topics like the role of advanced pediatric nurses, principles of patient- and family-centered care, benefits of this approach for patients, families, and healthcare providers, and conclusions about incorporating these concepts into practice.
SBHC Innovations: The Intersection of Public Health and EducationCHC Connecticut
This document summarizes a webinar discussing considerations for reopening school-based health centers during the COVID-19 pandemic. Experts discussed various reopening models including in-person, hybrid, and distance learning and the mental health impacts on students. They also addressed health, educational, and operational concerns and the role school-based health centers can play in supporting students, staff, and collaborating with schools. This includes providing medical services, COVID-19 testing and education, mental health support, and helping establish safety protocols and track cases. Advocacy efforts to support these programs were also discussed.
This document provides an overview of genetic resources for primary care providers. It discusses the newborn screening process in Massachusetts and conditions screened for, including how screening has expanded. It provides tips on how to unite a patient's features to form a differential diagnosis, including checking relevant syndromes on OMIM and GeneReviews. The document also offers guidance on next steps if a diagnosis is confirmed, such as focusing on management and providing family resources. Resources mentioned include ACT sheets, the NHGRI Morphology Series, GeneReviews, rare chromosome websites, and patient advocacy organizations.
Proposed changes in health care payment, from fee-for-service to alternative, risk-sharing payment models, can have a substantial impact on health services for children, especially those with complex care needs. In addition, tying payment to value can increase use of ambulatory and preventive services and encourage creative outreach. However, abrupt changes can interrupt continuity and reduce access to care.
The document discusses strategies for engaging communities in COVID-19 vaccination efforts. It provides data on current US COVID cases and deaths. It also summarizes two new oral antiviral treatments: Paxlovid, which reduces risk of hospitalization by 89% if taken within 3 days of symptoms, and Molnupiravir, which is about 50% effective within 5 days. The document then outlines best practices for conducting community outreach, including assessing needs, partnering with local organizations, addressing misinformation, and creating convenient vaccination opportunities through schools and businesses.
Pediatric Vaccines in the Team-Based Care ModelCHC Connecticut
This document provides information about continuing education credits for healthcare professionals and a presentation on COVID-19 and the pediatric vaccine. It states that Community Health Center is jointly accredited to provide continuing education. It also discloses that there are no conflicts of interest and the views expressed are not official policy. The presentation discusses topics like COVID cases and variants, risks for children, vaccine safety and efficacy data, addressing hesitancy, and ensuring equitable access.
Cynthia's Resume Health Communication SpecialistCynthia Strong
Cynthia Strong is seeking a position as a Health Communication Specialist. She has 25 years of experience as a Physical Therapist Assistant and has a Master's in Healthcare Administration. She has expertise in treating medical conditions, conducting classes, and marketing to target audiences. She is skilled in health communication principles, public speaking, and collaborating on projects. Her experience includes coordinating in-services, assisting physical therapists, and managing business operations for home health agencies.
This webinar discusses childhood trauma related to COVID-19 and beyond. It notes that over 100,000 US children have lost caregivers to COVID, disproportionately affecting Black and Latinx children. The pandemic has also led to decreased well visits and increased neglect and abuse reports. Moving forward, the webinar emphasizes the importance of discussing potentially traumatic events with families, providing psychoeducation, and implementing self-care strategies to address the fatigue caused by the ongoing impacts of the pandemic.
SBHC Innovations: The Intersection of Public Health and EducationCHC Connecticut
This document summarizes a webinar discussing considerations for reopening school-based health centers during the COVID-19 pandemic. Experts discussed various reopening models including in-person, hybrid, and distance learning and the mental health impacts on students. They also addressed health, educational, and operational concerns and the role school-based health centers can play in supporting students, staff, and collaborating with schools. This includes providing medical services, COVID-19 testing and education, mental health support, and helping establish safety protocols and track cases. Advocacy efforts to support these programs were also discussed.
This document provides an overview of genetic resources for primary care providers. It discusses the newborn screening process in Massachusetts and conditions screened for, including how screening has expanded. It provides tips on how to unite a patient's features to form a differential diagnosis, including checking relevant syndromes on OMIM and GeneReviews. The document also offers guidance on next steps if a diagnosis is confirmed, such as focusing on management and providing family resources. Resources mentioned include ACT sheets, the NHGRI Morphology Series, GeneReviews, rare chromosome websites, and patient advocacy organizations.
Proposed changes in health care payment, from fee-for-service to alternative, risk-sharing payment models, can have a substantial impact on health services for children, especially those with complex care needs. In addition, tying payment to value can increase use of ambulatory and preventive services and encourage creative outreach. However, abrupt changes can interrupt continuity and reduce access to care.
The document discusses strategies for engaging communities in COVID-19 vaccination efforts. It provides data on current US COVID cases and deaths. It also summarizes two new oral antiviral treatments: Paxlovid, which reduces risk of hospitalization by 89% if taken within 3 days of symptoms, and Molnupiravir, which is about 50% effective within 5 days. The document then outlines best practices for conducting community outreach, including assessing needs, partnering with local organizations, addressing misinformation, and creating convenient vaccination opportunities through schools and businesses.
Pediatric Vaccines in the Team-Based Care ModelCHC Connecticut
This document provides information about continuing education credits for healthcare professionals and a presentation on COVID-19 and the pediatric vaccine. It states that Community Health Center is jointly accredited to provide continuing education. It also discloses that there are no conflicts of interest and the views expressed are not official policy. The presentation discusses topics like COVID cases and variants, risks for children, vaccine safety and efficacy data, addressing hesitancy, and ensuring equitable access.
Cynthia's Resume Health Communication SpecialistCynthia Strong
Cynthia Strong is seeking a position as a Health Communication Specialist. She has 25 years of experience as a Physical Therapist Assistant and has a Master's in Healthcare Administration. She has expertise in treating medical conditions, conducting classes, and marketing to target audiences. She is skilled in health communication principles, public speaking, and collaborating on projects. Her experience includes coordinating in-services, assisting physical therapists, and managing business operations for home health agencies.
This webinar discusses childhood trauma related to COVID-19 and beyond. It notes that over 100,000 US children have lost caregivers to COVID, disproportionately affecting Black and Latinx children. The pandemic has also led to decreased well visits and increased neglect and abuse reports. Moving forward, the webinar emphasizes the importance of discussing potentially traumatic events with families, providing psychoeducation, and implementing self-care strategies to address the fatigue caused by the ongoing impacts of the pandemic.
Telemedicine has grown significantly in India over the past two decades. The COVID-19 pandemic accelerated this growth as telemedicine allowed for continued access to healthcare while reducing exposure. National telemedicine guidelines released in 2020 facilitated widespread telemedicine use. Telemedicine was used in both public and private sectors in urban, rural, and remote areas for non-COVID and COVID care, including triaging, home monitoring, and continuing medical education. While unable to replace in-person care, most patients expressed satisfaction with telehealth services. Telemedicine is likely to remain an integral part of India's healthcare system post-pandemic.
The document discusses strategies to increase patient engagement in their own healthcare. It outlines three key areas: improving health literacy, promoting shared decision-making, and supporting self-management of chronic conditions. Effective interventions include providing tailored written and online health information, training healthcare professionals in communication skills, using decision aids and question prompts, and delivering self-management education programs. Governments need a coherent strategy targeting multiple levels to inform and empower patients in their care.
A presentation given by Gabrielle Murphy at The Journey, CHA Conference 2012, in the 'Innovations in Mental Health Care for Children and Young People' stream.
This presentation to the Australian Disease Management Association looks at integrated whole-person chronic care with a focus on the Canadian system.
Using information from BHI’s report Healthcare in Focus 2014: How does NSW compare? and the Commonwealth Fund International Health Policy survey of older adults, the presentation covers healthcare delivery, patients and providers perspectives on chronic disease care in Australia, Canada and 10 other countries, with insights from one province, Ontario, on Canadian primary healthcare reforms.
Commonwealth Fund data for 2013 and 2014 is available on the Bureau of Health Information’s interactive portal, Healthcare Observer, at bhi.nsw.gov.au
Partners in the fight against global tooth decay and committed to working together to achieve the common goal that every child should stay cavity free during their lifetime.. https://www.linkedin.com/groups/Public-Health-Dentistry-4172190
Tele-resuscitation and tele-consultation can improve neonatal care in rural hospitals. Tele-resuscitation supports pediatricians during complex resuscitations, improves quality of care, and reduces transfers. Neonatologists use tele-consultation to positively influence management decisions. Virtual rounding allows neonatologists to provide care to preterm infants in rural hospitals, reducing their hospital stay and need for support. Telehealth expands access to specialty neonatal care for rural communities.
The document summarizes evaluation forms from Eastern Virginia Medical School's program to expand care for uninsured patients in the western Tidewater area of Virginia over three reporting periods. It describes the program goals of providing medical care and establishing primary care physicians for patients. Key outputs included over 450 patient visits, 132 unique patients served with 192 appointments in the first period, and over 500 visits and 268 patients in the second. Benefits included establishing regular sources of healthcare and comparable treatment to national standards. Medical students, residents, and attending physicians contributed over 1000 service hours across periods to the Western Tidewater Free Clinic through this program.
The document discusses resources for those suffering from eating disorders in Canada. It notes that an estimated 400,000 Canadians have anorexia or bulimia, and 22% of sufferers will die from their illness. There is a lack of adequate resources for adults in Simcoe County, with only outpatient services for those under 18. The document advocates for more training of healthcare professionals on eating disorders and a holistic approach to treatment that addresses both physical and underlying mental/emotional issues.
Sj47 -The State of Youth Mental Health in VirginiaAnne Moss Rogers
Children’s Mental Health: Challenges and Opportunities--This is the presentation by Margaret Nimmo Crowe to a special subcommittee of the commonwealth, Executive Director for Voices for Virginia’s Children. More info here: http://1in5kids.org/2014/10/29/sj-47-workgroup-takes-childrens-mental-health/
This document discusses a study on supporting children's adherence to anti-retroviral (ART) therapy in Malawi. The study followed 47 HIV-positive children on ART over 6 months to a year. 72% of children never missed a dose according to caregiver reports. Clinic attendance was also good, with over 80% of visits either on time or within a week of the scheduled date. Focus groups and interviews with caregivers provided insights into challenges of supporting children's adherence, such as costs of medication and transport as well as caregiver responsibilities, but also motivations like seeing children's health improve. The findings highlight the need for more affordable and less complex ART regimes as well as tools to help caregivers support children's adherence
Read the 2016 Community Health Needs Assessment (CHNA) about East Tennessee Children's Hospital's plans to serve the community. Learn more at https://www.etch.com/chna
Telehealth and Patient Engagement Strategies: The Operation Team Perspective CHC Connecticut
This document provides information about telehealth and patient engagement strategies from an operations team perspective during the COVID-19 pandemic. It discusses how a community health center implemented a telehealth program, including establishing teams to support telehealth providers, patients, and COVID-19 testing. The document outlines workflows for telehealth visits, including deciding between phone or video visits and scheduling in-person visits when needed. It also provides data on the increase in telehealth calls and examples of telehealth outreach projects to keep patient visits and schedules full during the pandemic.
Data Driven Telehealth: Understanding the Impact & Measuring SatisfactionCHC Connecticut
This document summarizes a presentation on data driven telehealth given on October 7, 2020. It provides an overview of COVID-19 cases in the US at the time, resources on COVID-19, and discusses the transition to virtual visits made by the Family Health Centers in response to the pandemic. Specific details are given on the implementation of virtual visits, utilization of recalls for patient management, and results from patient and clinician satisfaction surveys that showed high ratings for telehealth. The presentation aimed to understand the impact of telehealth and how to measure patient satisfaction with virtual care delivery during COVID-19.
Case management in behavioral health involves coordinating community services to provide customized mental health care according to an individual's needs. A case manager assesses treatment needs, develops and monitors treatment plans, and ensures the individual's needs, strengths, preferences, and goals are addressed regarding legal, vocational, educational, financial, health, and self-care issues. In initial assessments, case managers collect information on the individual's work, education, legal, living, family, income, health, substance use, and safety situations to develop a discharge plan with short and long-term goals prioritizing steps to achieve independence and well-being.
The document summarizes key elements of Australia's National Health Reform agreement, including the establishment of new national bodies, funding arrangements, and performance standards. It discusses the role of states in public hospital systems and outlines reforms in New South Wales, such as the establishment of NSW Kids and Families to coordinate pediatric services statewide. The summary focuses on high-level healthcare reforms and changes to governance structures in Australia and NSW.
Beyond Checklists: Care Planning for Children with Special Health Care Needs ...LucilePackardFoundation
What does it take to create and implement an effective, family-centered plan of care for a child with special health care needs? In this webinar, two expert speakers discussed their approaches to the process of care planning in two very different settings—Children's Hospital of Philadelphia and a small private practice in Vermont.
advanced role of nurse practitioner
Define preoperative nursing and operating room nurse.
Describe phases of the preoperative period.
Describe the physical environment of the OR.
Show specific areas within the operating room (OR).
Locate and describe the use of furniture and equipment in the operating room.
Identify the role of each member of the operating room team.
Discuss how environmental layout contributes to aseptic technique.
Perioperative nursing care is crucial in ensuring the well-being and safety of patients throughout the entire surgical process.
It requires a high level of skill, knowledge, and attention to detail.
play a vital role in promoting positive surgical outcomes and providing patients with the support and care they need during this vulnerable time.
Rider, 2005 Comparison of CW-BH Values and PrinciplesFrank Rider
This document compares the principles of behavioral health and child welfare systems. Some key similarities include the importance of collaboration with children and families, individualized service planning, and providing services in the least restrictive environment possible. Some differences include behavioral health's focus on functional outcomes while child welfare focuses on safety, permanency and well-being. The document also stresses the importance of coordination across systems serving children, culturally competent services, and planning for transitions.
Pediatric nursing involves the care of children from conception through adolescence to promote health and treat illness. It aims to provide quality care in an environment that supports families and children's psychological and physical well-being. Advances in medicine have made pediatric care more technologically advanced, requiring nurses to have strong technical skills. Primary nursing is commonly used and assigns one main nurse and backup nurses to ensure consistent care for each child. Factors like childhood trauma, disabilities, and family issues must all be considered in pediatric nursing to optimize outcomes and quality of life.
The purpose of this Health Policy Study is to better understand adolescents’ views on what are considered core components of the medical home and identify barriers to promoting adolescent health in relation to the medical home.
In addition, this study sought to better understand the needs and challenges in providing adolescents with access to medical homes—from the perspective of both adolescents and experts in adolescent health and medical home policy. To accomplish these goals, researchers conducted focus groups with adolescents, presented these findings to experts, and gathered experts’ reactions to the adolescents’ perspectives. This report includes a detailed description of the methods used for this study, followed by a summary of key focus group findings and the expert reactions to these findings.
Telemedicine has grown significantly in India over the past two decades. The COVID-19 pandemic accelerated this growth as telemedicine allowed for continued access to healthcare while reducing exposure. National telemedicine guidelines released in 2020 facilitated widespread telemedicine use. Telemedicine was used in both public and private sectors in urban, rural, and remote areas for non-COVID and COVID care, including triaging, home monitoring, and continuing medical education. While unable to replace in-person care, most patients expressed satisfaction with telehealth services. Telemedicine is likely to remain an integral part of India's healthcare system post-pandemic.
The document discusses strategies to increase patient engagement in their own healthcare. It outlines three key areas: improving health literacy, promoting shared decision-making, and supporting self-management of chronic conditions. Effective interventions include providing tailored written and online health information, training healthcare professionals in communication skills, using decision aids and question prompts, and delivering self-management education programs. Governments need a coherent strategy targeting multiple levels to inform and empower patients in their care.
A presentation given by Gabrielle Murphy at The Journey, CHA Conference 2012, in the 'Innovations in Mental Health Care for Children and Young People' stream.
This presentation to the Australian Disease Management Association looks at integrated whole-person chronic care with a focus on the Canadian system.
Using information from BHI’s report Healthcare in Focus 2014: How does NSW compare? and the Commonwealth Fund International Health Policy survey of older adults, the presentation covers healthcare delivery, patients and providers perspectives on chronic disease care in Australia, Canada and 10 other countries, with insights from one province, Ontario, on Canadian primary healthcare reforms.
Commonwealth Fund data for 2013 and 2014 is available on the Bureau of Health Information’s interactive portal, Healthcare Observer, at bhi.nsw.gov.au
Partners in the fight against global tooth decay and committed to working together to achieve the common goal that every child should stay cavity free during their lifetime.. https://www.linkedin.com/groups/Public-Health-Dentistry-4172190
Tele-resuscitation and tele-consultation can improve neonatal care in rural hospitals. Tele-resuscitation supports pediatricians during complex resuscitations, improves quality of care, and reduces transfers. Neonatologists use tele-consultation to positively influence management decisions. Virtual rounding allows neonatologists to provide care to preterm infants in rural hospitals, reducing their hospital stay and need for support. Telehealth expands access to specialty neonatal care for rural communities.
The document summarizes evaluation forms from Eastern Virginia Medical School's program to expand care for uninsured patients in the western Tidewater area of Virginia over three reporting periods. It describes the program goals of providing medical care and establishing primary care physicians for patients. Key outputs included over 450 patient visits, 132 unique patients served with 192 appointments in the first period, and over 500 visits and 268 patients in the second. Benefits included establishing regular sources of healthcare and comparable treatment to national standards. Medical students, residents, and attending physicians contributed over 1000 service hours across periods to the Western Tidewater Free Clinic through this program.
The document discusses resources for those suffering from eating disorders in Canada. It notes that an estimated 400,000 Canadians have anorexia or bulimia, and 22% of sufferers will die from their illness. There is a lack of adequate resources for adults in Simcoe County, with only outpatient services for those under 18. The document advocates for more training of healthcare professionals on eating disorders and a holistic approach to treatment that addresses both physical and underlying mental/emotional issues.
Sj47 -The State of Youth Mental Health in VirginiaAnne Moss Rogers
Children’s Mental Health: Challenges and Opportunities--This is the presentation by Margaret Nimmo Crowe to a special subcommittee of the commonwealth, Executive Director for Voices for Virginia’s Children. More info here: http://1in5kids.org/2014/10/29/sj-47-workgroup-takes-childrens-mental-health/
This document discusses a study on supporting children's adherence to anti-retroviral (ART) therapy in Malawi. The study followed 47 HIV-positive children on ART over 6 months to a year. 72% of children never missed a dose according to caregiver reports. Clinic attendance was also good, with over 80% of visits either on time or within a week of the scheduled date. Focus groups and interviews with caregivers provided insights into challenges of supporting children's adherence, such as costs of medication and transport as well as caregiver responsibilities, but also motivations like seeing children's health improve. The findings highlight the need for more affordable and less complex ART regimes as well as tools to help caregivers support children's adherence
Read the 2016 Community Health Needs Assessment (CHNA) about East Tennessee Children's Hospital's plans to serve the community. Learn more at https://www.etch.com/chna
Telehealth and Patient Engagement Strategies: The Operation Team Perspective CHC Connecticut
This document provides information about telehealth and patient engagement strategies from an operations team perspective during the COVID-19 pandemic. It discusses how a community health center implemented a telehealth program, including establishing teams to support telehealth providers, patients, and COVID-19 testing. The document outlines workflows for telehealth visits, including deciding between phone or video visits and scheduling in-person visits when needed. It also provides data on the increase in telehealth calls and examples of telehealth outreach projects to keep patient visits and schedules full during the pandemic.
Data Driven Telehealth: Understanding the Impact & Measuring SatisfactionCHC Connecticut
This document summarizes a presentation on data driven telehealth given on October 7, 2020. It provides an overview of COVID-19 cases in the US at the time, resources on COVID-19, and discusses the transition to virtual visits made by the Family Health Centers in response to the pandemic. Specific details are given on the implementation of virtual visits, utilization of recalls for patient management, and results from patient and clinician satisfaction surveys that showed high ratings for telehealth. The presentation aimed to understand the impact of telehealth and how to measure patient satisfaction with virtual care delivery during COVID-19.
Case management in behavioral health involves coordinating community services to provide customized mental health care according to an individual's needs. A case manager assesses treatment needs, develops and monitors treatment plans, and ensures the individual's needs, strengths, preferences, and goals are addressed regarding legal, vocational, educational, financial, health, and self-care issues. In initial assessments, case managers collect information on the individual's work, education, legal, living, family, income, health, substance use, and safety situations to develop a discharge plan with short and long-term goals prioritizing steps to achieve independence and well-being.
The document summarizes key elements of Australia's National Health Reform agreement, including the establishment of new national bodies, funding arrangements, and performance standards. It discusses the role of states in public hospital systems and outlines reforms in New South Wales, such as the establishment of NSW Kids and Families to coordinate pediatric services statewide. The summary focuses on high-level healthcare reforms and changes to governance structures in Australia and NSW.
Beyond Checklists: Care Planning for Children with Special Health Care Needs ...LucilePackardFoundation
What does it take to create and implement an effective, family-centered plan of care for a child with special health care needs? In this webinar, two expert speakers discussed their approaches to the process of care planning in two very different settings—Children's Hospital of Philadelphia and a small private practice in Vermont.
advanced role of nurse practitioner
Define preoperative nursing and operating room nurse.
Describe phases of the preoperative period.
Describe the physical environment of the OR.
Show specific areas within the operating room (OR).
Locate and describe the use of furniture and equipment in the operating room.
Identify the role of each member of the operating room team.
Discuss how environmental layout contributes to aseptic technique.
Perioperative nursing care is crucial in ensuring the well-being and safety of patients throughout the entire surgical process.
It requires a high level of skill, knowledge, and attention to detail.
play a vital role in promoting positive surgical outcomes and providing patients with the support and care they need during this vulnerable time.
Rider, 2005 Comparison of CW-BH Values and PrinciplesFrank Rider
This document compares the principles of behavioral health and child welfare systems. Some key similarities include the importance of collaboration with children and families, individualized service planning, and providing services in the least restrictive environment possible. Some differences include behavioral health's focus on functional outcomes while child welfare focuses on safety, permanency and well-being. The document also stresses the importance of coordination across systems serving children, culturally competent services, and planning for transitions.
Pediatric nursing involves the care of children from conception through adolescence to promote health and treat illness. It aims to provide quality care in an environment that supports families and children's psychological and physical well-being. Advances in medicine have made pediatric care more technologically advanced, requiring nurses to have strong technical skills. Primary nursing is commonly used and assigns one main nurse and backup nurses to ensure consistent care for each child. Factors like childhood trauma, disabilities, and family issues must all be considered in pediatric nursing to optimize outcomes and quality of life.
The purpose of this Health Policy Study is to better understand adolescents’ views on what are considered core components of the medical home and identify barriers to promoting adolescent health in relation to the medical home.
In addition, this study sought to better understand the needs and challenges in providing adolescents with access to medical homes—from the perspective of both adolescents and experts in adolescent health and medical home policy. To accomplish these goals, researchers conducted focus groups with adolescents, presented these findings to experts, and gathered experts’ reactions to the adolescents’ perspectives. This report includes a detailed description of the methods used for this study, followed by a summary of key focus group findings and the expert reactions to these findings.
FidelityEHR Care Coordination eBook Final PrintMatt Schubert
FidelityEHR is an electronic health record designed to support coordinated care models and improve outcomes for children and youth with behavioral and mental health challenges. It was developed based on evidence-based practices like system of care and wraparound models. FidelityEHR allows for family-driven, youth-guided care by capturing each person's insights and preferences. It also supports culturally competent, individualized, and community-based care. The platform facilitates team collaboration and tracks outcomes to help organizations deliver high-fidelity coordinated care.
FidelityEHR is an electronic health record designed to support coordinated care models and improve outcomes for children and youth with behavioral and mental health challenges. It was developed based on evidence-based practices like system of care and wraparound models. FidelityEHR allows for family-driven, youth-guided care by capturing each person's insights and preferences. It also supports culturally competent, individualized, and community-based care. The platform facilitates team collaboration and tracks outcomes to help organizations deliver high-fidelity coordinated care.
Family Adoption Programme first year mbbs.pptxKritikaMishra43
This document outlines an adoption program for Indian medical students to gain experience in community-based healthcare and improve equity in rural health. Through the Family Adoption Programme (FAP), students are assigned 5-7 households in a village to monitor over their 4 years of medical school. Students collect health and socioeconomic data on families, provide basic medical care, screen for diseases, and educate communities. The goal is for students to act as the primary healthcare contact and drive improvements in health outcomes, sanitation, and more. The FAP aims to develop students' communication skills and orientation towards primary care while addressing rural health inequities.
Impact of Intervention Program on Quality of End of Life Care Provided by Ped...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
Impact of palliative care education on nurses' knowledge, attitude and exper...Alexander Decker
1) The study evaluated the impact of palliative care education on nurses' knowledge, attitude, and experience in caring for chronically ill children.
2) A questionnaire was used to assess nurses' knowledge, attitude, and experience before and after receiving education based on guidelines developed by the researchers.
3) The results showed that the majority of nurses had a bachelor's degree but none had cared for dying children in the past year. There were also significant improvements in nurses' knowledge, attitude, and experience regarding palliative care after receiving the educational intervention.
Ader et al (2015) The Medical Home and Integrated Behavioral Health Advancing...Ben Miller
This document discusses recommendations for advancing the integration of behavioral health and primary care. It recommends:
1. Building demonstration projects to test integrated care approaches and evaluate them using standardized measures.
2. Developing training programs for integrated care teams, which typically include the patient, primary care provider, behavioral health specialist, and care manager.
3. Implementing population-based strategies to improve behavioral health and strengthen relationships between practices and community resources.
This document provides guidelines for behavior guidance techniques used in pediatric dentistry. It discusses the importance of dental care for children and outlines a variety of behavior guidance methods. Predictors of child behavior, such as developmental level and past dental experiences, can help dentists choose the appropriate guidance techniques. Communication between the dentist, staff, child and parents is key. Informed consent is also important when using techniques beyond basic communication. The document provides a framework to help dentists safely and effectively deliver quality dental care to children.
PCG Human Services White Paper - Cross-System Approaches That Promote Child W...Public Consulting Group
Child welfare agencies can successfully partner with Medicaid and managed care organizations to address the complex health and behavioral needs of children who experience maltreatment. If prevention and intervention efforts are applied early and effectively, these high-risk children and youth may avoid costly health conditions and experience improved health and psychological outcomes.
Child abuse and neglect is an important concern that negatively affects the physical and psychological well-being of a population that is already vulnerable. Increased preventive services to children in high-risk households can help states minimize the cost of health/medical services to deep-end youth, reduce the number of children with chronic medical conditions and can improve general well-being outcomes. Providing targeted prevention programs and interventions to these children of at-risk families have been shown to reduce the cost of providing intensive services to children with poor health outcomes later on.
Children who are investigated for maltreatment or enter the child welfare system have greater health needs. Children investigated by the welfare system have been found to have 1.5 times more chronic health conditions than the general population. After controlling for other risk factors, children with maltreatment reports have a 74-100% higher risk of hospital treatment. Over 28% of children involved with maltreatment investigations are diagnosed with chronic health conditions during the three years following the investigation.
This document summarizes issues related to pediatric adherence for HIV treatment in children and adolescents. It provides data on pediatric enrollment and adherence from ICAP programs in multiple countries. Key challenges to pediatric adherence are forgetting doses, staying away from home, and sleeping through doses. Developmental factors like age and disclosure status can also impact adherence. The document discusses strategies to support pediatric adherence, including education, reminders, involvement of caregivers, clinics that are child-friendly, and multidisciplinary teams. Country examples from South Africa, Kenya, and Ethiopia demonstrate approaches like appointment diaries, integration of services, and collaboration between medical and psychosocial teams to address children's developmental needs.
Patient and carer education is critical for empowering individuals to take an active role in their health. It allows for informed decision making, improved adherence to treatment plans, enhanced coping skills, and shared decision making between patients and their healthcare providers. Effective education should be tailored to the individual's needs and preferences, using various materials and clear language to communicate information while allowing opportunities for questions.
Promote children's social emotional and behavioral healthlimiacorlin
State policymakers can promote children's social, emotional, and behavioral health through a continuum of strategies. An effective approach establishes aspirations and uses data to drive decisions, measure progress, and ensure accountability. Key elements include supporting healthy development, families, and treatment for those in need. Data on conditions like autism and ADHD in children informs target-setting to improve outcomes. Recommended strategies begin with promoting early childhood social and emotional development through initiatives to increase public understanding and integrating support into existing programs.
This document provides an overview of health education, including its definition, relevance to student outcomes, and evidence-based strategies for implementation. It defines health education as planned learning opportunities for students to develop health-informed decision making and lasting healthy behaviors. The document summarizes evidence that health education can positively impact physical, social/emotional, academic, and behavioral outcomes. It also provides a tiered list of strategies for implementing health education, ranging from low to high resource demands, including using tools to select curricula, promoting family involvement, and integrating lessons across subjects and grade levels.
Identifying infants and young children with developmental disorders.pdfDanielPuertas9
This document provides guidance for pediatricians on promoting early identification of developmental disorders in infants and young children. It outlines a universal system of developmental surveillance at every well-child visit and standardized developmental screening at 9, 18, and 30 months. Any concerns identified through surveillance should prompt further screening or direct referral. Special attention to surveillance is recommended at age 4-5 years prior to school entry, with screening if concerns arise. The goal is to identify issues early and connect children to intervention services.
Competency 2 AssessmentInstructions This Competency AssessmChantellPantoja184
Competency 2 Assessment
Instructions:
This Competency Assessment will allow you to apply concepts of population-based practice and community as partners.
For this course Competency Assessment, you will need to conduct a community assessment using assessment and evaluation tools, identify principles of community-based participatory research, and describe data sources using mixed methods for evaluation in a particular community context.
Many of you have traveled and participated in international/global immersion experiences, or a local practice where you may be an outsider (not a member of the community for whom you are caring). Others of you may aspire to practice in international settings. Also, in this unit, you have been introduced to the idea of genetics/genomic risks.
For this assignment, submit your assignment in which you do the following:
1. State two issues that may be of concern among vulnerable populations and possible solutions to combat such issues.
Please Note!
My 2 Vulnerable Populations are:
a.
Children of low-income families
b.
The Mentally disabled
Emphasis should be focused on the following topics:
·
Increase school dropout.
·
Use of Drugs.
·
Low quality of health/Poor health outcomes/Inadequate healthcare/ poor healthcare
·
Increase risk of chronic health conditions such as diabetes.
·
Increase mental health needs
2. Succinctly describe the relationship between health literacy and population health outcomes.
3. What has been your experiences understanding 1) and 2).
4. As you process some of the ethical issues and concerns about ethical engagement highlighted in the readings and media offerings for this unit
Please identify how you will ensure your engagement is helpful rather than well intended but ineffective (or worse).
· Submit your reflection by the last day of this unit.
(min. 5 pages- not including cover page or references)
Studies of parenting find that low family income and maternal hardship hamper children’s cognitive and social competence. 14 Moreover, parents in poor living environments have difficulty nurturing and protecting their children, increasing the likelihood that children will gravitate into activities and peer associations leading to school dropout, premature sexual experience, use of drugs, and other deviant behavior. 15 Family deprivations also increase the probability of abuse and neglect of children, who then seek to escape the household early, associate with inappropriate peers, form tenuous sexual partnerships, have early pregnancies, and often replicate the pattern of inadequate parenting they experienced as children. 16
Recommendation
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Triage & emergency management of pediatrics patientsAklilu Endalamaw
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5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
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Role of MSc pediatrics & Child Health nurse
1. College of Health Sciences & Medicine, School of Health
Sciences, Department of Pediatrics & Child Health
Nursing
Course Title: Advanced Management of Common
Acute Pediatrics Problems
• Course code: PNurs5053
• Credit value: 3CHRs (6EtCTS)
• Placement: First year
By Aklilu Endalamaw
11/21/2020 Aklilu Endalamaw 1
2. Course description
This course is designed to further build the learner’s skills in
advanced pediatric health assessment and to integrate
appropriate management plans for children presenting with
urgent or emergent health issues in a hospital setting.
11/21/2020 Aklilu Endalamaw 2
3. Course Objectives
Develop basic knowledge on the epidemiology of illness.
Demonstrate advanced skill in triaging and presenting findings.
Integrate path physiology, epidemiology, developmental stage, and age in the
development of a differential diagnosis based on a presenting symptom.
Manage cases during an emergency situation.
Apply strategies used to enhance, maintain and restore health.
Demonstrate increasing ability to communication to other health care providers and
patients and families.
Use consultation and referral approach to other health care providers when necessary
Review using electronic/Internet-based sources of information about evidence-based
health care for children and adolescents.
11/21/2020 Aklilu Endalamaw 3
4. Unit- I:
Role of the advanced pediatrics Nurse in Acute Care
11/21/2020 Aklilu Endalamaw 4
5. Objectives
At the end of this session, learners will able to:
߷ Demonstrate the role of pediatrics and Child Health Nurse
specialist (MSc level)
߷ Practice family centered care & therapeutic communication
11/21/2020 Aklilu Endalamaw 5
6. Cont…
According to EFMHCAAA. scope of practice for health professionals
in Ethiopia. 2014
In addition to the tasks of Nurse Professional, the Pediatrics and
Child Health Nurse Specialist may perform:
Obtain comprehensive history, perform physical examination,
order investigations, and diagnose paediatric cases including
chronic and acute conditions;
Formulate a holistic, culturally sensitive, family-centred plan of
care in collaboration with the child and family as active
participants;
11/21/2020 Aklilu Endalamaw 6
7. Cont…
Provide comprehensive health plans by teaching, counselling,
and advising children and their families about growth and
development, health promotion, health status, illnesses, illness
management plans, as well as providing anticipatory guidance;
Treat childhood illnesses, chronic and acute conditions, or any
other condition (childhood emergencies and administering
immunizations) that is within the skill, expertise, and
knowledge of the profession;
Prescribe/order appropriate pharmacological and non-
pharmacological interventions11/21/2020 Aklilu Endalamaw 7
8. Cont…
Provide appropriate child and family education
regarding purpose, regimens, side effects, possible
interactions of medications and/or treatments, cost,
and alternative treatments or procedures;
Monitor child and family response to treatments
Participate in Continuous Quality Improvement
processes to assure provision of quality health care
11/21/2020 Aklilu Endalamaw 8
9. Cont…
Synthesize and use the results of evaluation to make or
recommend changes including policy, procedure, or
protocol documentation
Conduct researches to improve the health of pediatrics
population
Take leadership and managerial role in health care settings
11/21/2020 Aklilu Endalamaw 9
10. Patient- and family-centered care
• Patient- and family-centered care is an approach to the
planning, delivery, and evaluation of health care that is
grounded in a mutually beneficial partnership among
patients, families, and health care professionals
(Dudley N. et al, 2015).
• In pediatrics, patient-and family-centered care is based
on the understanding that the family is the child’s
primary source of strength and support.11/21/2020 Aklilu Endalamaw 10
11. Cont….
• This approach to care recognizes that the
perspectives and information provided by families,
children, and young adults are essential components
of high-quality clinical decision-making.
• Patients and family are integral partners with the
health care team.
11/21/2020 Aklilu Endalamaw 11
12. Cont…
Patient- and family-centered care embraces the following
concepts(American Academy of Pediatrics, 2014):
(1) care is provided for a person, not a condition;
(2) the patient is best understood in the context of his or her
family, culture, values, and goals; and
(3) honoring this context will result in better health care, safety,
and patient satisfaction.
11/21/2020 Aklilu Endalamaw 12
13. The core principles of patient- and family
centered care
• Patient- and family-centered care is grounded in collaboration
among patients, families, physicians, nurses, and other
professionals in clinical care as well as for the planning,
delivery, and evaluation of health care, and in the education
of health care professionals and in research, as well.
• These collaborative relationships are guided by the following
principles:
11/21/2020 Aklilu Endalamaw 13
14. Principles Cont…
፩. Listening to and respecting each child and his or her family.
Honoring racial, ethnic, cultural, and socioeconomic background
and patient and family experiences and incorporating them in
accordance with patient and family preference into the planning
and delivery of health care.
፪. Ensuring flexibility in organizational policies, procedures, and
provider practices so services can be tailored to the needs, beliefs,
and cultural values of each child and family and facilitating choice
for the child and family about approaches to care (Tarini BA et al,
2007).
11/21/2020 Aklilu Endalamaw 14
15. Principles cont…
፫. Sharing complete, honest, and unbiased information with patients and
their families on an ongoing basis and in ways they find useful and
affirming, so that they may effectively participate in care and decision-
making to the level they Health information for children and families
should be available in the range of cultural and linguistic diversity in the
community and take into account health literacy.
In hospitals, conducting physician rounds in the patients’ rooms with
nursing staff and family present can enhance the exchange of information
and encourage the involvement of the family in decision-making (Landry
MA et al, 2007; Muething SE et al, 2007; Simmons JM, 2006; Rosen P et al,
2009).
11/21/2020 Aklilu Endalamaw 15
16. Principles cont…
፬. Providing and/or ensuring formal and informal support (eg, peer
to-peer support) for the child and family during each phase of the
child’s life. Such support is provided so that Health Insurance
Portability and Accountability Act and other relevant ethical and
legal guidelines are followed.
፭. Collaborating with patients and families at all levels of health
care: in the delivery of care to the individual child; in professional
education, policy-making, program development, implementation,
and evaluation; and in health care facility design.
11/21/2020 Aklilu Endalamaw 16
17. Principles cont...
• As part of this collaboration, patients and families can serve as
members of child or family advisory councils, committees, and task
forces dealing, for example, with operational issues in health care
facilities; as collaborators in improving patient safety; as
participants in quality-improvement initiatives; and as leaders or co-
leaders of peer-support programs (Conway J et al, 2010; Johnson B
et al, 2008).
• In the area of medical research, patients and families should have
voices at all levels in shaping the research agenda, in determining
how children and families participate in research, and in deciding
how research findings will be shared with children and families
11/21/2020 Aklilu Endalamaw 17
18. Principles cont…
፮. Recognizing and building on the strengths of individual children
and families and empowering them to discover their own
strengths, build confidence, and participate in making choices and
decisions about their health care.
A self-assessment tool is available for families to evaluate whether
the care they are receiving fits into the realm of family-centered
care and also can be used by pediatrics and child health nurse to
evaluate the care they deliver .
11/21/2020 Aklilu Endalamaw 18
19. Benefits to be expected when engaging in patient- and
family-centered pediatric practice
Patient- and family-centered care can improve
ሀ. Patient and family outcomes,
ለ. Improve the patient’s and family’s experience,
ሐ. Increase patient and family satisfaction,
መ. Build on child and family strengths,
ሠ. Increase professional satisfaction,
ረ. Decrease health care costs, and lead to more effective use of
health care resources
11/21/2020 Aklilu Endalamaw 19
20. Patient and family outcomes
• High-quality, patient- and family centered primary care is
associated with a significant reduction in non-urgent emergency
department visits in children .
• Family presence during health care procedures decreases anxiety
for the child and the parents.
• Children whose mothers were involved in their care recovered
faster and were discharged earlier .
• Children who had undergone medical procedure cried less, could
be less restless, and required less medication when their parents
were present and assisted in pain assessment and management .
11/21/2020 Aklilu Endalamaw 20
21. Cont..
• Parents of infants who received more patient-and family-
centered care and in discharge planning could more satisfied
with the care they received, demonstrated increased
competence and confidence in infant caregiving, and were
more willing to seek help from health care providers.
11/21/2020 Aklilu Endalamaw 21
22. Staff Satisfaction
• Those who participate in education programs with families as
teachers believe that these experiences are highly valuable.
• When patient-and family-centered care is the cornerstone of
culture, staff members have more positive feelings about their
work that does emphasize emotional support.
• This may lead to improved job performance, less staff
turnover, and a decrease in costs .
11/21/2020 Aklilu Endalamaw 22
23. BENEFITS OF PATIENT- AND FAMILY-CENTERED CARE
FOR Pediatrics & Child Health Nurse professionals
• Those who practice patient- and family-centered care may
experience the following benefits:
1. A stronger alliance with the family in promoting each child’s
health and development .
2. Improved clinical decision-making based on better
information and collaborative processes.
3. Improved follow-through when the plan of care is developed
collaboratively with families.
11/21/2020 Aklilu Endalamaw 23
24. Cont…
4. Greater understanding of the family’s strengths and caregiving
capacities.
5. More efficient and effective use of professional time,
including the use of patient- and family-centered rounds.
6. More efficient use of health care resources (eg, more care
managed at home, decrease in unnecessary hospitalizations and
emergency department visits, more effective use of preventive
care).
11/21/2020 Aklilu Endalamaw 24
25. Cont…
7. Improved communication among members of the health care
team.
8. A more competitive position in the health care marketplace.
9. An enhanced learning environment for future pediatricians
and other professionals in training
10. A practice environment that enhances professional
satisfaction in both inpatient and outpatient practice.
11. Greater child and family satisfaction with their health care.
11/21/2020 Aklilu Endalamaw 25
26. Cont…
12. Improved patient safety from collaboration with
informed and engaged patients and families
13. An opportunity to learn from families how care
systems really work and not just how they are intended
to work.
14. A possible decrease in the number of legal claims,
claim severity, and legal expenses.
11/21/2020 Aklilu Endalamaw 26
27. Conclusions
1. Patient- and family-centered care are incorporated into all
aspects of their professional practice.
2. You should unequivocally convey respect for families’ unique
insights into and understanding of their child’s behavior and
needs, should actively seek out their observations, and should
appropriately incorporate family preferences into the care plan.
3. In hospitals, conducting attending PCHN rounds (ie, patient
presentations and discussions) in the patients’ rooms with
nursing staff and the family present should be standard practice.
11/21/2020 Aklilu Endalamaw 27
28. Cont…
4. Parents or guardians should be offered the option to be present with
their child during medical procedures and offered support before, during,
and after the procedure
5. Families should be strongly encouraged to be present during
hospitalization of their child, and PCHN should advocate for improved
employer recognition of the importance of family presence during a
child’s illness.
6. Patients and families should have a voice in shaping the research
agenda, and they should be invited to collaborate in pediatric research
programs. This should include determining how children and families
participate in research and deciding how research findings will be shared
with children and families.
11/21/2020 Aklilu Endalamaw 28
29. Cont…
7. PCHN should share information with and promote the active
participation of all children, including children with disabilities, if
capable, in the management and direction of their own health care.
The adolescent’s and young adult’s capacity for independent
decision-making and right to privacy should be respected.
8. In collaboration with patients, families, and other health care
professionals, PCHN should modify systems of care, processes of
care, and patient flow as needed to improve the patient’s and
family’s experience of care.
11/21/2020 Aklilu Endalamaw 29
30. Cont…
9. PCHN should share medical information with children and families in
ways that are useful and affirming. This information should be complete,
honest, and unbiased.
10. PCHN should encourage and facilitate peer-to-peer support and
networking, particularly with children and families of similar cultural and
linguistic backgrounds or with the same type of medical condition.
11. PCHN should collaborate with patients and families and other health
care providers to ensure a transition to good-quality, developmentally
appropriate, patient- and family-centered adult health care services.
11/21/2020 Aklilu Endalamaw 30
31. Cont…
12. In developing job descriptions, hiring staff, and designing
performance appraisal processes, PCHN should make explicit the
expectation of collaboration with patients and families and other
patient- and family-centered behaviors.
13. PCHN should create a variety of ways for children and
families to serve as advisors for and leaders of office, clinic,
hospital, institutional, and community organizations involved
with pediatric health care.
11/21/2020 Aklilu Endalamaw 31
32. Cont…
14. The design of health care facilities should promote the
philosophy of patient- and family-centered care, such as
including single room care, family sleeping areas, and availability
of kitchen and laundry areas and other areas supportive of
families. PCHN should advocate for children and families to
participate in design planning of health care facilities.
15. Education and training in patient and family-centered care
should be provided to all trainees, students, and residents as well
as staff members
11/21/2020 Aklilu Endalamaw 32
33. Cont…
16. PCHN should advocate for and participate in research on
outcomes and implementation of patient- and family-centered
care in all venues of care.
17. Incorporating the patient- and family-centered care concepts
described in this statement into patient encounters requires
additional face-to-face and coordination time by pediatricians.
This time has value and is an investment in improved care, leading
to better outcomes and prevention of unnecessary costs in the
future. Payment for time spent with the family should be
appropriate and paid without undue administrative complexities.11/21/2020 Aklilu Endalamaw 33
34. Take an institutional assignment
• Will you integrate patient- and family-centered care in
hospitals, clinics, and community settings, and in broader
systems of care?
• How can you integrate patient- and family-centered care in
hospitals, clinics, and community settings, and in broader
systems of care?
11/21/2020 Aklilu Endalamaw 34
35. References
• American Academy of Pediatrics, Council on Children With Disabilities, Medical Home
Implementation Project Advisory Committee. Patient- and family-centered care coordination: a
framework for integrating care for children and youth across multiple systems. Pediatrics.
2014;133(5):e1451–60. Available at: http://pediatrics. aappublications.org/content/133/5/e1451.
full.html. Accessed November 6, 201
• Tarini BA, Christakis DA, Lozano P. Toward family-centered inpatient medical care: the role of
parents as participants in medical decisions. J Pediatr. 2007;151(6):690–695, e1
• Landry MA, Lafrenaye S, Roy MC, Cyr C. A randomized, controlled trial of bedside versus
conference-room case presentation in a pediatric intensive care unit. Pediatrics. 2007;120(2):275–
280 4.
• Muething SE, Kotagal UR, Schoettker PJ, Gonzalez del Rey J, DeWitt TG. Familycentered bedside
rounds: a new approach to patient care and teaching. Pediatrics. 2007;119(4):829–832 5.
• Simmons JM. A fundamental shift: familycentered rounds in an academic medical center.
Hospitalist. 2006;10:45–46 6.
• Rosen P, Stenger E, Bochkoris M, Hannon MJ, Kwoh CK. Family-centered multidisciplinary rounds
enhance the team approach in pediatrics. Pediatrics. 2009;123(4). Available at:
www.pediatrics.org/cgi/content/ full/123/4/e603
• Conway J, Johnson BH, Edgman-Levitan S, et al. Partnering with patients and families to design a
patient- and family-centered health care system: a roadmap for the future—a work in progress.
Bethesda, MD: Institute for Family-Centered Care and Institute for Healthcare Improvement; 2006.
Available at: http://www.ipfcc.org/pdf/ Roadmap.pdf. Accessed July 19, 2010 8.
• Johnson B, Abraham M, Conway J, et al. Partnering With Patients and Families to Design a Patient-
and Family-Centered Health Care System: Recommendations and Promising Practices. Bethesda,
MD: Institute for Family-Centered Care; 2008
11/21/2020 Aklilu Endalamaw 35