Exam 1; Week 4 Flashcards
Why is utilizing a treatment room important?
it maintains the bed as a safe haven
What is a behavioral pain tool used to assess pain?
FLACC SCALE
What age would the FLACC scale be used?
less than 4 years of age
Who also can use the FLACC scale?
Non-verbal and or cognitive impairment children
What does a high FLACC score mean?
more uncomfortable
What are 2 very important things to consider with the pain scale?
behavioral and physiologic factors
What kind of pain scale do you want to use in children who are greater than 4 years of age?
self-report pain scale, FACES
What describes, assesses, and documents a patient’s pain?
PQRSTU
What does PQRSTU stand for?
- Provocation/Palliation
- Quality/Quantity
- Region/Radiation
- Severity
- Timing
- Understanding of the pain scale (documentation)
What are examples of alternative medicine or complimentary management?
- Herbal remedies
- Aroma therapy
- Acupuncture
- Reiki
- Massage
- Gentle
- Slow
- Responsive
- Intentional
- Boundaries
What are 2 examples of local anesthetics?
- needle free lidocaine
2. EMLA - 2.5% lidocaine and 2.5% prilocaine. with occlusive dressing :)
What does the world health organization say about pharm management of pain in kids?
- dosing at regular intervals
2. using appropriate route
What are 2 non-opioids that can be used to treat pain?
- Tylenol
2. ibuprofen
What is the safe dose range for Tylenol?
10-15mg/kg/dose Q 4-6 hrs.
What dose should you not exceed with Tylenol? MAX
Do not exceed 5 doses in 24 hours in children
- No more than 4000 mg in adults/day
What is the safe dose range for ibuprofen?
5-10 mg/kg/dose Q 6-8 hrs.
What dose should you not exceed with ibuprofen? MAX
30 mg/kg/day or 3200 mg/day is Maximum
What is the goal for health care for children
improve the quality of healthcare for children and their families
What is the importance of family in care?
they are a constant in the child’s life!
- enable to create opportunities
- empower to acquire a sense of control
What are 3 forms of disparities in pediatric health?
- race
- ethnicity, socioeconomic status
- geographic factors
What are 3 hoped improvements of health status with children?
- increase immunization rates
- decrease adolescent birth rates
- improved health outcomes
What is the goal of healthy people 2020?
- eliminate health disparities
2. increase quality and length of life
What are leading health indicators?
- overweight and obese
- injuries and violence
- sub abuse
What is 1 thing that people don’t think of but it is super important for health promotion in kids?
dental hygiene and oral health
What is the most common cause of death and disability in children in U.S.
injuries
What is the leading cause of mortality or unintentional injuries in children?
suicide
How many children have mental health problems?
1 out of 5
How many children have serious emotional problems that affect daily functioning?
1 our of 10
define infant mortality
of deaths during 1st year of life per 1000 live births - congenital anomalies
What form of illness is most responsible for childhood morbidity?
respiratory
define emancipated minor:
self-supporting adolescent (<18) not living at home, not subject to parental control can give informed consent
Who else can give consent for a child?
minor parents
