Intro to Peds Flashcards
1
Q
Objectives
A
- Understand factors that affect morbidity and mortality in the pediatric population
- Identify how health disparities and social determinants of health affect pediatric population
- Recognize potential ethical and legal issues distinct in pediatrics
- Understand the principles of prescribing medication in pediatrics
2
Q
Factors that Affect Health
- I______
- _____ and _____ care 10-25% of women do not get this in first trimester
- _____ Births - on the decline but low birth weight unchanged
- Infant _____ - on the decline but disparity among ethnic groups persists
- B_______ - 70% of all new mothers
- O_____/O_____ - 32% of all children
- S_____ lifestyles - 62% of children do not participate in moderate or vigorous physical activity, 40% spend >2 hrs/day in front of a screen
A
- Insurance
- Prenatal, Perinatal
- Premature
- Mortality
- Breastfeeding
- Obesity/Overweight
- Sedentary
- Infant mortality higher in POC*
- Breastfeeding is best -> fed is best (adopted moms etc)*
3
Q
Cause of Death
Children aged 1-4 years (3)
Children aged 5-14 years (3)
A
- Accidents (unintentional injuries) - burns, car accidents
- Congenital malformations, deformations, chromosomal abnormalities
- Assault (homicide)
- Accidents (unintentional injuries)
- Cancer
- Intentional self harm (suicide - bullying)
4
Q
Social Determinants of Health
- E_____ Stability
- Neighborhood and Physical ______
- E_____
- F_____
- Community and S____ Context
- Health ____ System
A
- Economic
- Environment
- Education
- Food
- Social
- Health Care
5
Q
Health Disparities
- Infant mortality increases as the mothers level of _____ decreases
- Children from poor families are less likely to be ______ at 4 yrs of age and less likely to receive _____ care
- Children with ____ insurance are less likely to be in excellent health compared to those with ____
- Low income areas have higher hospital _____
- Children from ethnic minorities and from poor families utilized hospital ______ rooms more
- Children from poor families are twice as likely to have p______ problems compared to higher income families
A
- education
- immunized, dental
- public, private
- admissions
- emergency
- psychosocial
6
Q
Culture
- B______
- V_____
- Standard of ____
- L_____
- D____
- Questions to ask
- What _____ (concerns) you the most about your child’s illness?
- What do you think ____ your child’s illness?
A
- Beliefs
- Values
- Behavior
- Language
- Dress
- worries
- caused
7
Q
Two Generation or Dual Patient
- Unique _____ in pediatrics
- Pediatric Patient and _____
- Both require s____ and g_____
- the child is the _____ the parent/guardian makes the ______
- NP role is to make sure you _____ the ____’s voice in the conversation
A
- Concept
- Parent
- support and guidance
- focuse, decisions
- include the child
8
Q
Shared Decision Making
A
Is a process in which clinicians and patients work together to make decision and select tests, treatments and care plans based on clinical evidence that balances risks and expected outcomes with patient preferences and values.
9
Q
Ethical Issues
- Respect of person =
- Challenges autonomy =
- Doing good =
- Do no harm =
- Distribution of goods =
A
- Autonomy
- Paternalism
- Beneficence
- Nonmaleficence
- Justice
10
Q
Legal Issues
Adult usually >
Mature Minor >
E_____ Minor
Interest of the ____ (public health)
A
18
14
Emancipated
state
11
Q
Stress
Definitions
- The body’s alert systems are elevated to a greater degree. The activation is time-limited and buffered by a caring adult relationship. This allows the brain and organs to recover.
- A normal and essential part of healthy development. It is characterized by brief increases in heart rate and blood pressure, as well as mild elevations in hormonal levels.
- Occurs with strong, frequent, or prolonged adversity. It is characterized by disruption of brain architecture and other organ systems. Toxic stress is associated with increased risk of stress related disease and cognitive.
A
- Tolerable Stress Response
- Positive Stress Response
- Toxic Stress Response
12
Q
Adverse Childhood Experiences - ACES
- P_____ Abuse
- E_____ Abuse
- S_____ Abuse
- D_____ Violence
- Parental _____ Abuse
- M____ Illness
- S____ or D____
- C____ or Im_____ Family
A
- Physical
- Emotional
- Sexual
- Domestic
- Substance
- Mental
- Suicide or Death
- Crime or Imprisoned
13
Q
ACE-Q
What are some types of questions to ask?
A
14
Q
ACE-Q SCORING
Score 0-3 without symptomatology =
Score 1-3 with symptomatology or > 4 ACE score =
A
Anticipatory Guidance
Refer to Treatment
15
Q
Prescribing Medication
- ____ based
- ___ Label Use
- Apps (4)
- AHRQ ePSS
A
- Weight
- Off
- Apps
- Epocrates
- Lexicomp
- Skyscape Medical Resources
- Medscape
