Week 8 Flashcards
childhood injuries
Injuries are the leading cause of death and disability among children in Canada.
Unintentional injuries are the leading cause of death among children ages 1 to 14.
Ages <1 year and 1 to 9 years injuries
Threat to breathing, motor vehicle crash, drowning
Ages 10 to 14 years injuries
Motor vehicle crash, drowning, fall
Ages 15 to 19 years Injuries
Motor vehicle crash, poisoning, drowning
Unintentional injury hospitalization
Ages <1 year and 1 to 4 years: Falls, threat to breathing, fire/hot object, poisoning
Ages 5 to 19 years: Falls, struck by/against an obstacle, motor vehicle crash
infant mortality
Congenital anomalies and preterm birth are the first two leading causes of death.
Birth weight is a major determinant of newborn death
Leading causes of death during infancy are related to issues during the perinatal period.
childhood morbidity
May denote acute illness, chronic disease, or disability
Morbidity is not distributed randomly among children.
Respiratory illness accounts for the majority of all acute conditions.
mental health concerns
Up to 15% of Canadian children have mental health issues.
Anxiety, attention deficit, depression, addiction, autism spectrum disorders, behavioural disorders, eating disorders, and schizophrenia
Suicide remains a serious issue among children and youth.
Vulnerable populations
canadian pediatric nursing standards; standard 1
Supporting and Partnering with the Child and their Family Pediatric Nurses partner with the child and their family to achieve their optimal level of health and well-being leading to resilient families and healthy communities.
canadian pediatric nursing standards; standard 2
Advocating for Equitable Access and the Rights of Children and their Family
Pediatric Nurses demonstrate and mobilize their understanding of the social determinants and other systemic factors that impact child health.
canadian pediatric nursing standards; standard 3
Delivering Developmentally Appropriate Care
Pediatric Nurses perform assessment based on growth and development and deliver pediatric-specific care.
canadian pediatric nursing standards; standard 4
Creating a Child & Family Friendly Environment
Pediatric nurses play an essential role in creating a child and family friendly environment that welcomes families and promotes hope and healing. It is understood that the environment changes as the child grows and is influenced by multiple factors including but not exclusive to psychological, spiritual, and social.
canadian pediatric nursing standards; standard 5
Enabling Successful Transitions
Pediatric Nurses support the child and family through health care transitions to maximize their well-being. This may include, but is not limited to, hand-off between healthcare providers, admission and discharge, and facility transfer
family centred care
Active partnership between families and health care providers in planning, providing, evaluating care
atraumatic care
Therapeutic care that minimizes or eliminates the psychological and physical distress experienced by children and their families in the health care system
trauma informed care
Recognizes and responds to how individuals’ past experiences of trauma can overlap and intersect to shape their interpretation of new events
Emphasizes minimizing risk of medical care triggering traumatic events
Prioritizes individuals’ safety, control, and choice
Provision of therapeutic care in settings, by personnel and through the use of interventions, that eliminate or minimize psychological and physical distress
Effects of hospitalization
Effects may be seen before admission, during hospitalization, or after discharge.
The child’s concept of illness is more important in predicting anxiety than is intellectual maturity.
Regression, separation anxiety, apathy, fears, sleep disturbances
Family-centred care and supportive practices
restrain use in pediatric setting
Any physical, chemical or environmental measures used to control the physical or behavioral activity of a person or a portion of his/her body. (College of Nurses of Ontario, 2009)
The principle of that “all possible alternative interventions are exhausted” prior to the use of restraint (College of Registered Nurses of Nova Scotia, 2002)
adolescent health transition timeline
Patient teaching
Treatment rationale
Symptoms of worsening condition
Danger signs
When to seek help from a health professional
Skills required by young adults engaging in care
Self-advocacy, self-management, independent health care behaviours
Detailed written plan of care