Week 1 PowerPoint Flashcards
what do we need to know before we can advocate
the needs
what is the infant morality compared to nonhispanic blacks and nonhispanic white infants
black is 2x as high
what is the most common cause of death of children from 1-9 years old
unintentional injury
under 1 year death
suffocation
1-4 year death
drowning
5-9 year death
MVA
10-14 year death
MVA
15-19 year death
MVA
where are common morbidity-illness/injury
mood disorders
pneumonia
asthma
appendicitis
epilepsy
what are adverse childhood experiences
trauma or abuse in childhood that causes increased sensitivity to stress and mental illness later in lifw
T2DM increase or decrease
increase
teen preg increase or decrease
increase
safe sleep habits
back to sleep and nothing in the crib
education relating to children 1-4 years
car seat or safe sleep
car seat
- safe sleep is infants
proxy custody
parent placed the child in care of someone else
emancipated minors
self supporting under 18
any female minor who has a child
emancipated and can sign for child
mature minors
14-18
assent
7 and older child that can reason and talk with them and involve in healthcare
- still cannot consent
treatment without parental consent
emergency and life saving
do we need to work together with family
yes
who defines what is a family
the child/family
- always different
family is the Childs ____ source of emotional, physical, and financial well being
main
atraumatic care
promoting least amount of trauma
how do we do atraumatic care
prevent or minimize separation
promote sense of control
ABC of safe sleep
always alone
back to sleep
crib
since the infant is not really aware how do we promote safety to the infant
maintain normal routine
school age might exhibit what defense mechanism
regression
toddlers might see illness as
punishment
we need to do what with adolescences
listen more
anxiety is related to a. loss of
control
who are we only aloud to give health info to
parents or guardiansw
when does discharge begin
on admission
rooming in
24-7 parental visitation, parental involvement with care
4 R’s that promote coping and normal development
recreation - toys and games
rest - calm enviornment
relationship - family and peers
routines - maintain as much of a normal routine as possible
prepare parents to act as
case managers
pediatric procedure prepartion
- infant
none
pediatric procedure prepartion
- toddler
simple expiation right before since they have no concept of time
- do not ask
pediatric procedure prepartion
- preschool
simple explanations and drawing
allow them to touch the equipment
pediatric procedure prepartion
- school aged
learn and thorough expiation, drawing, color and pictures
reward afterwards
pediatric procedure prepartion
- adol
clear explaitions and orally and writing
assess for fear
how often to check IV
hourly
do we use glutueous maximus
no
what is IM site preferance
vastas lateralis
vastas amount
1-2 mL
deltoid amount
0.5mL
what should we do to prevent seepage of IM injection
Z track
greater than 3 years pinna
up
less than 3 years pinna
down
stress of child and family is related to
separation, fear of unknown, loss of control
play is a technique we use for
teaching and coping
play room is
safe
do we make parents restrain
no they are the safe person
