Pediatric Nursing Fundamentals / Lecture 1 Flashcards
Unique Exposure
Trans-placental
Breastfeeding
Atraumatic Care
Providing therapeutic care through interventions that minimize physical and psychological distress to children and families.
Family-centered Care
plan, evaluate, and deliver care as a team with the patient and their family
What are some ways to provide atraumatic care?
Involve everyone, explain procedures in whays they can understand, distraction, calm parents and family, create a space that is close to home for the child, minimize use of restraints, provide pain management and assess pain frequently, use multiple pain charts, use topical/local anesthetics
Primary Role of a pediatric nurse
advocate, educate and manage
Secondary role of pediatric nurse
collaborator, care coordinated, consult
Standards of practice
minimally accepted of an individual nurse
Factors that influence the health of a child
Family roles, structure, gender, lifestyle, nutrition, activity, stress, socioeconomic status, spirituality, religion, surrounding communities, violence with peers or family
Convention-Rights of the Child
Protection, Provision, Participation
Autonomy
independence and freedom
Beneficence
Having the welfare and health of the child in mind
Nonmaleficence
do no harm
Assent
the child’s ability to participate in health care decisions
Veracity
Full disclosure, honesty
Communication-Infants
- respond to crying in a timely fashion
- use soothing voice
- talk to the baby directly
- allow the infant time to warm up to you
Communication- Toddlers
- approach toddlers carefully
- use toddlers preferred words for objects
- use stories, books, dolls or songs
- tell them about procedures right before they happen
Communication- Preschool
- tell them about procedures 1hr before they happen
- use puppets or story telling
- speak honestly
- use simple terms
- allow choices
Communication- School-age
- use diagrams, books and pictures
- allow the child to express feelings
- allow for questions
- tell about procedures a couple days in advance
Communication- adolescents
- Allow for privacy
- ensure confidentiality
- prepare a week before procedure
Cone of learning
10%-read 20%-hear 30%-see 50%-hear and see 70%-what we say 90%what we say and do
