Legal Flashcards
legal issues in pediatric nursing
- informed consent
- child participation in healthcare decisions
- patients rights vs parental rights
- ethical dilemmas such as withholding/withdrawing medical treatment
informed consent and its effect on nursing care
- formal preauthorization for an invasive procedure
- nurses must confirm it and answer questions about procedure
when can a minor seek their own care?
adolescents can legally give informed consent in special circumstances (reproductive, mental health, emancipated minors)
assent
voluntary agreement of a child to accept treatment in research
pediatric patient
infant, children, and adolescent up to 18 year old
family centered care
partnership approach that involves families in decision making, meets cultural needs, and ensures emotional/developmental needs are met
leading cause of mortality and morbidity for each age group
unintentional injuries
safe sleep
- ABC
- alone in their bed
- on their back
- in a crib
- best way to avoid SIDS
first step in pediatric assessment
obtain history
what do you use open ended questions for
obtain patient/parent perception of illness
what do you use close ended questions for
to clarify info
head to toe assessment age considerations
- newborns and infants should remain with parents
- toddlers and preschoolers may need distractions
- school age children can follow instructions
- adolescents require privacy
pediatric assessment vs adult assessment
a pediatric assessment accounts for developmental stages, varying levels of cooperation, and different normal ranges for growth/vitals/reflexes
how to test for hip dysplasia and what s/s you will see
- ortolani test detects hip dislocation when abducting thighs
- barlow test identifies instability when pushing the femur posteriorly
- allis sign is unequal knee heights
- s/s of hip dysplasia is asymmetric thigh folds
