Introduction to PEDIATRIC NURSING
Differences between Adult and Pediatric Nursing
Anatomical differences- body size
maturation changes- body system
physiological- lack of reserve
congenital defect and genetic variance
developmental issue (communication barriers)
legal issue
emotional differences
procedures
DEFINITION OF PEDIATRICS
A branch of medical science that deals with the care of children from conception to adolescence in health
and illness. it is concern with preventive, promotive, curative and rehabilitative care of children.
Dr. ABRAHAM JACOBI- father of pediatric
Pediatric nursing is all around development of body, mind and spirit of the growing individual.
involves in giving assistance, care and support to the growing and developing children to achieve their
individual potential for functioning with fullest capacity.
Lilian Wald 1893- the founder of visiting nursing in the US begins teaching a home class on nursing for
lower East Side of NY women after a trying time at an orphanage where children were maltreated.
GOAL OF PEDIATRIC NURSING
To provide skillful intelligent need based comprehensive care to the children in health and illness.
to interpret the basic needs of children to their parents and family members and to guide them in child
care.
to promote growth and development of children towards optimum state of health for functioning at the
peak of their capacity in future.
to prevent disease and alleviate suffering in children
QUALITIES OF A PEDIATRIC NURSE
1. Love for children
2. patient and pleasant
3. friendly and diligent
4. skillful
5. scientific knowledge and experience
FAMILY CENTERED CARE
An institution where individuals related through biology or enduring commitments and representing
similar or different generation and genders, participate in roles involving mutual socialization, nurturance
and emotional commitment (Lerner, Sparks and McCubbin).
KEY ELEMENT OF A FAMILY CENTERED CARE
Family is constant
facilitate family professional collaboration
-care of an individual child
- program development and implementation
-policy formation
-exchanging complete and unbiased information
- honors the cultural diversity- ethnic social racial economic educational and geographic diversity.
-recognizing and respecting different method of coping and supporting.
FAMILY CENTERED CARE CONCEPT
Enabling
enable families by creating opportunities and means for all family members to display their current
abilities and competencies to acquire new ones.
Empowering
interact such that families maintain or acquire a sense of control over their lives and acknowledge positive
changes.
AUTRAUMATIC CARE
“First do no harm”
Provision of therapeutic care in settings by personnel through the use or minimize the psychologic and
physical distress experience by children and their families in the health care system.
THERAPEUTIC CARE
Prevention
diagnosis
treatment
palliation of acute and chronic condition
SETTING
home
hospital
health care setting
Personnel means anyone directly involved in providing therapeutic care.
Interventions
psycho logic- preparing for procedures
Physical- preparing space or room for the family/pt.
Psychologic Distress
anxiety
fear
anger
disappointment
sadness
shame
guilt
Physical Distress
sleeplessness
immobilization
3 Principles
Prevent or minimize the child’s separation from family
promote a sense of control
prevent or minimize bodily injury and pain
ROLES OF NURSES
Primary caregiver
health educator
nurse counselor
social worker
team coordinator
manager
child care advocate
consultant
researcher
TRENDS IN CHILD HEALTH NURSING
expanded role of pediatric nurse
family centered care
child initiated care
nursing process approach
interdisciplinary approach
EXPANDED ROLES OF PEDIATRIC NURSE
Pediatric nurse practitioner/ nurse specialist
pediatric nurse clinician- oncology, neonatology
child and family advocate
community pediatric nurse
ISSUES IN CHILD HEALTH NURSING
Withdrawing and withholding life support
disinterest
consistency
omniscience (the state of knowing everything)
omni pecipience (Perceiving everything.) not comparable.
Prepared by:
Arlene Palad, RN
