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8086074-Overview-of-Child-Health-Nursing-Lecture-Notes-pediatrics

8086074-Overview-of-Child-Health-Nursing-Lecture-Notes-pediatrics

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Overview of Child Health Nursing Child Health Nursing Focuses on protecting children from illness and injury Assists children to obtain optimal levels of wellness Primary roles of the Pediatric Nurse Care provider Educator Advocate Pediatric Health Statistics Infant Mortality o Number of deaths per 1000 live births during 1 st year of life. o Infant mortality rate is an indicator of how healthy the nation is. o This rate is used to compare national health care to previous years and to other countries. o There has been a great decrease in the number of deaths over the past century. In 1997, 6.9 per 100 live births. Childhood Mortality For children older than one year, death rates have always been less than those for infants. In later adolescence, there is a sharp rise in deaths. Injuries; the leading killer in childhood Injuries cause more death and disabilities in children than any diseases. Some examples include: o Motor vehicle accidents are the leading cause of death in children over 1 year of age. o Majority of deaths are due to no use of seatbelts.
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Drowning is 2 nd leading cause of death in boys 1-14; both sexes 15-24 years old. Drowning is the 3 rd leading cause of death for girls 1-14. Burns are the 2 nd leading cause of death from injury in girls and the 3 rd in boys from 1-14 years old. Childhood Morbidity (Illness) An illness or injury that limits activity, requires medical attention or hospitalization, or results in a chronic condition. Examples: o Congenital heart defects o Asthma o Cerebral Palsy o Cystic Fibrosis Concerned with helping to decrease these statistics as children miss school and other activities when ill. Advanced Practice roles for nurses in Child health nursing Family nurse practitioner Neonatal nurse practitioner Pediatric nurse practitioner Nurse midwife Growth and Development Growth : used to show an increase in physical size or a significant change. Includes: o Height o Weight o Head circumference Development : Used to denote an increase in skill or ability to finction . Measured by: o Observing child do specific tasks o Parents description of child’s ability o Using standardized testing (Denver II screening test) Principles of Growth and development
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G & D is a continuous process from birth to death o Rate of growth varies at different times G & D proceeds in an orderly manner o Growth from smaller to larger o Development: from sitting to crawling to walking Different children pass through the predictable stages at different rates All body systems do not develop at the same time. CNS, Cardiac develops quickly. Lungs are typically the last to develop. Development is Cephalicaudal , which is the 3 rd principle of G & D. “Head to toe”.
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