Week 6 Lecture 2019.pptx - Caring for the child with a...

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Caring for the child with a chronic condition, alterations in musculoskeletal function, alterations in skin integrity Ball, Bindler & Cowen 12,29,31 ATI 27, 28, 29, 30, 31, 32 Grace Sekayan RN, MSN-ANL Dr. Weam Alkhatib, RN, PhD, CNS, MSN
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objectives Identify chronic illnesses and challenges faced with caring for a chronically ill or disabled child Understand various musculoskeletal issues of the pediatric population Understand necessary nursing care management Review skin alterations to skin integrity Identify various infections and infestations common in the pediatric population Determine important nursing practices to ensure optimal care and communication with families/caregivers
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The Child with chronic conditions A CHRONIC CONDITION is an illness that lasts at least 3 months Genetic, inheritable Congenital defect or damage during fetal development Insult or injury associated with birth Acquired conditions through injury or acute medical condition Limitations Disfigurement Dependency on medication or diet Dependency on medical technology to function Need for medical care and services beyond needs of a healthy child Ongoing treatments at home or at school
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Role of the nurse Roles Health supervision through span of childhood Multidisciplinary collaboration Partners in care with parents for home management Community referrals Planning educational services Promoting well-being of child and family Promotion of G/D of siblings New diagnosis Page 251 for age appropriate approaches Address fears and concerns Sibling response/ adjustment monitoring, family stress response Discharge planning and home care Provide contact information, community resources Decrease/alleviate fears and anxieties Support groups Social services, financial planning, time management, ongoing assistance PRN Coordination of care In home care coordination Case managers Organization of multidisciplinary team, appts, contact information, access to resources
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Community site of care Office or health center Routine visits and episodic occurrences Specialty referral centers Regional centers, clinics PT/OT, Nutritionist Schools Entitled by law to free education Educational system planning IFSP, IEP, IHP, ITP (see page 254-255) Parents are the greatest advocates to ensure child’s needs are met Promote autonomy and self-care skills if possible Home care Extensive training, education, preparation for family/caregivers Risk for caregiver burden Respite care necessary Emergency preparedness Battery packs, feeds, back-up technologies
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Alterations in musculoskeletal function: feet and legs Please review pp. 826-830 Metatarsus adductus Most common foot deformity Inward turning of forefoot, “in- toeing”, “pigeon-toed” Equal in males and females; common in __________ Seen in __________ , more likely cause from intrauterine
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  • Fall '18
  • Cutaneous conditions, Powerpoint Gonzalez

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