Unit 29 Peds Health Supervision Flashcards
Where are settings for child healthcare?
- Private physician’s office
- Community Health Departments
- Sliding-scale clinics
- Homeless shelters
- Day Care Centers
- Schools
What are issues covered in a psychosocial assessment? (things covered in primary care settings)
- Health insurance coverage
- Transportation to health care facilities
- Financial stressors
- Family coping
- School’s response to chronic illness
What are the three components of Health Supervision and what needs to be done?
Developmental surveillance and developmental screening
Injury and disease prevention: PROVIDE EDUCATION
- universal screenings,
- risk assessments,
- selective screenings (based on risks)
Health promotion OFFER ANTICIPATORY GUIDANCE
What should the pediatric nurse providing health supervision focus on?
The wellness of the child, NOT the illness
What are components of developmental surveillance/screenings? and an example of one.
Noting and addressing parental concerns
Obtaining a developmental hx
Making accurate observations
Consulting with relevant professionals
-Developmental screening example: CDC Milestones
What is a universal screening?
Screening of an entire population regardless of the child’s individual risk
What is selective screening?
Done when a risk assessment indicates the child has one or more risk factors for a disorder (ex: Parent has MI, child is evaluated for cardiovascular risks)
What can constant lead exposure lead to?
Neuro Deficits
What are types of screenings performed?
Metabolic Hearing Vision Iron-deficiency anemia Lead Hypertension Hyperlipidemia
What are important factors for using a vision screening chart?
- Place a mark 20 ft from the chart
- Place the chart at child’s eye level
- Align child’s heels on the mark
- Have the child read each line with one eye covered and then with the other eye covered
- Have child read each line with both eyes
What are other injury and disease prevention methods and which is the most important?
- **SAFETY education, parents should always be safety role models
- Anticipatory guidance to prevent age related issues
- Immunizations
What is passive and active immunity?
Passive immunity is produced when the immunoglobulins of one person are transferred to another (ex: breastmilk)
Active immunity is acquired when a person’s own immune system generates the immune resonse
What is the absolute contraindication and others to receiving a vaccine?
Absolute = Allergic to the specific vaccine
Others
- Mederate to severe illness
- Egg allergy
- Live vaccines when you are immunosuppressed (ex: HIV, etc.)
What are types of vaccination routes?
IM, SC, Intranasal, PO
What are anticipatory guidance topics for health promotion?
- Oral health care
- Healthy weight
- Healthy activity
- Personal hygiene
