Child health Nursing
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Child health Nursing or Pediatric nursing is
the nursing care of neonates and children up to adolescence,
usually in an in-patient hospital or day-clinic. Pediatrics comes from the
Greek words 'paedia' which means child, 'iatrike' which means treatment.
Pediatric
nursing is the specialized area of the nursing practice concerning the care of
children during wellness and illness, which includes preventive, promotive,
curative and rehabilitative care of children.
Modern
concept of child health nursing-
The present concept of health care of
children focus on prevention of illness and promotion of health rather than
treatment of illness alone. the goal of paediatric nursing is to focus on the
growth and development of children and promote on state of health physically,
mentally and socially. by providing effective nursing care to children we can
minimise psychological trauma of hospitalization and help children to adjust
the situation. play therapy has very important role in this condition. to
provide comprehensive care we should understand growth and development process
of the children and their response to the therapy. as per modern concept of
Child Health Nursing we provide children centric and family involving care to
the child . Parents are involved in Planning and implementation of nursing care
so that the child feels at home. This modern concept is well understood by the
word ACADEMIC.
A- Advocate for child and family
C- Communicate for child
A- Activate the child activity
D- Disseminate information about child care
E- Educate the public about child health
M- Motivate people in care of child
I- Investigate available resources
C- Collaborative care activity
Principles of child health nursing
1. Build a
working relationship with the parents and their children from the time of first
contact.
2. Nurse
should be aware that all behaviors of parents and children are meaningful.
3. Accept
parents and their children exactly as they are. 4. Allow them to know that
their problems are important and the nurse is there to aid in their solutions.
4. The paediatric
nurse should have empathy for parents and children.
5. Willing
to acknowledge the parent's right to their own decisions concerning their
accident.
6. Allows
the parents amd their children to express their emotions, even negative
emotions.
7. Speak a
language understandable to the parent and children.
8. Ask
questions limited to a single idea or reference.
9. Have an
empathy for parents and children.
10. Must
help the parents to feel that there is unity among the health team.
Trends in child health nursing
child centered care
flexible visiting hours
High technology care
in patient support group
school teachers involved in the care of
hospitalized child
play in school and Hospital
care by parents and family members specially mother
health and nursing team collaboration
evidence based practice
prevention of disease and promotion of
health
Nursing Management
of hospitalized child –
1. In the most instances, the nurse is
the primary person involved in the care of a hospitalized child.
2. The nurse is first one to see the
child and family and spend more time with them than other health care
personnel.
3. Nurse must try to minimize the Childs distress
so that the hospital stay will be as pleasant an experience as possible.
4. Nurse must try to minimize the Effect
of Hospitalization Developmentally. When addressing the fear, separation
anxiety and loss of control that occur in hospitalized children, the nurse
should consider Childs age and cognitive/developmental level.
5. While Preparing the Child and Family
for Surgery, The parents should be allowed to stay with the child until surgery
begins, and after surgery in post anesthesia area.
6. The Nurse should Maintain Safety
During Hospitalization.
7. Provide Basic Care for the
Hospitalized Child ,Basic care involves general hygiene measures including
bathing, hair care, oral care, and nutritional care.
8. If parents are present allow them to
provide care for the child to decrease the Childs stress. Older children may perform hygiene measures
themselves but may need some assistance from nurse.
9. Provide Play, Activities, and
Recreation for the Hospitalized Child.
10.
Promote
Schoolwork and Education During Hospitalization.
11.
Assess
the factor that may influence the families reaction to the child's
hospitalization. Encourage families to have support system in place before,
during and after hospitalization.
12.
Prepare
the Child and Family for Discharge. Discharge planning actually begins upon
admission. On discharge children and their parent receives written instruction
about home care and copy of retained in the medical records. Explain,
demonstrate and request a return demonstration of any treatment or procedure to
be done at home.
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Thank you so much respected sir
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