Pediatric Clinical Makeup - 4 hours Patient/Family-Centered Care Student version I. Introduction: I-III Part Make Up What is patient/family-centered
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Pediatric Clinical Makeup - 4 hours Patient/Family-Centered Care Student version 

I. Introduction: I-III Part Make Up 

What is patient/family-centered care? Watch the video entitled: Patient & Family-Centered  Care: Moments that Make all the Difference (5:41) and define patient & family-centered care in  your own words.  

______________________________________________________________________________ ______________________________________________________________________________ 


patient and family-centered care - Video Posted on eLearning 

What are three potential benefits of patient-centered care? 

1. 

2. 

3. 

NCLEX-style question: 

A nurse is assessing a client in the preoperative care unit. The client states "I am not sure I am  ready to have this surgery." How would the nurse respond? 

1. "Why don't you want to have surgery today?" 

2. "You signed the consent and operating room is ready." 

3. "You are just nervous; the medicine will calm you down." 

4. "Would you like to speak to the surgeon about your surgery?" 


________________________________________________________ 

II. Communicating with Children: 

View the Communicating with Children in Healthcare (2:11) video and answer the following  discussion questions: 

Communicating with Children - Video Posted on eLearning 

Why should we worry about the quiet child?  

______________________________________________________________________________ ______________________________________________________________________________ 

Discussion question: What are your thoughts on parents "being present" during procedures,  critical incidents? Give brief rationale 


Pediatric Clinical Makeup - 4 hours Patient/Family-Centered Care Student version 


Case Study Jacob, age 7, has just been admitted to the medical/surgical unit of the children's  hospital for a displaced fracture of the right femur as the result of being hit by a car. He is  accompanied by his parents John and Lynda. As the nurse talks with Jacob and the family about  how family-centered care is implemented at the hospital, he becomes concerned that the parents  may not understand what he, the nurse, is trying to convey. On further inquiry, the nurse  discovers that the parents did not complete high school and their ability to read is limited. 

A. What can the nurse tell the parents about family-centered approach to care? 


B. What are some verbal and nonverbal communication techniques the nurse can utilize  with Jacob and his family? 

C. What is health literacy and what are some techniques the nurse can utilize to ensure that  the family understands all aspects of Jacob's care? 

D. What is atraumatic care and how is that important in pediatric nursing? 

E. What are some other techniques the nurse can utilize to minimize the amount of  physical stress Jacob and his family experience during her hospital stay?

Pediatric Clinical Makeup - 4 hours Patient/Family-Centered Care Student version 


NCLEX-style question: 

The nurse is recommending a change in practice based on evidence-based practice. Which  statement by the nurse reflects an understanding of evidence-based practice 

1. "I think we should change the practice because the way I learned to in school was  different. Both my teachers and the book said to do it this way." 

2. "For the last couple years, I have it this way and the outcomes have been good. So I  would like to change the practice." 

3. "I was at a conference recently and heard about this new technique and I have two recent  research publications that support it." 

4. "We keep doing the same thing and getting the same outcomes that no one is happy with  so let's try something different and see what happens." 


_________________________ 


III Child Advocacy: 

Finding courage to talk about sexual abuse - Video posted on eLearning 

Ted Talk Finding Courage to Talk About Sexual Abuse by Jill Tolles (13:10)  


Video reflection questions: 

How often are children sexually abused? ___________________________ What is the percentage of the time do children know their abuser? ______________________ What percentage report their abuser ______________________ 

What is the difference between a safe surprise and unsafe secrets- give an example of each? Safe surprise ___________________________________________________________ Unsafe secret ___________________________________________________________ 

Who was Jill's hero? __________________  

How can you be a hero? _____________________________________________

Pediatric Clinical Makeup - 4 hours Patient/Family-Centered Care Student version 


How childhood trauma effects health outcomes - Video posted on eLearning Ted Talk How Childhood Trauma Effects Health Outcomes by Nadine Burke Harris (16:11) 

What is ACE scores? _______________________________________________ According to the CDC (in the video), how often do adults have 4 or more ACES? _______ What is the link between ACE score and health?  

How could you collaborate e with other healthcare providers to manage with positive ACEs? 


Case Study Russell George, 7 weeks old, arrives by ambulance to the emergency department  accompanied by his mother, who is hysterical. EMS reports that the infant was found in his crib  unresponsive. He is breathing irregularly at 14 breaths per minute; pupils are fixed and dilated.  Skin is cool and dry to the touch. Heart rate is 100 beats per minute, and temperature 99.2°F.  

A. What would be priority nursing interventions for Russell? 


B. What laboratory and diagnostic testing would the nurse expect to be  

ordered?  


Russell's mother tells the nurse that she was at school and her boyfriend (not Russell's father)  was watching him for "about an hour." The boyfriend had told her that Russell had just gone to  sleep a few minutes before she got home. When she went to check on Russell about an hour later  she found him unresponsive and "breathing funny" and called the ambulance. 

C. What subjective and objective information would cause the nurse to notify social  services?

Pediatric Clinical Makeup - 4 hours Patient/Family-Centered Care Student version 


NCLEX-style question: 

Which nursing assessment findings are physical signs of sexual abuse of a female child? Select  all that apply. 


1. Enuresis 

2. Vaginal Tears 

3. Red and swollen labia and rectum 

4. Cigarette burns 

5. Injuries in different stages of healing 

6. Lice infestation 

_______________________________________ 



 

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