Perspectives of Pediatric Nursing
The Art of Pediatrics
● With family centered care, recognize the family as a constant in the child’s life and address the
needs of all family members
● Atraumatic care is the provision of therapeutic care in settings, by personnel, and through use of
interventions that minimize or eliminate the psychological and physical distress expereinced by
children and their families in health care systems
○ Taking child to a treatment room to start IV to keep patients room a sacred space to
working with parents to maintain the childs sleep schedule and scheduling care so as to
not interrupt the child’s normal pattern
Family Centered Care Atraumatic Care
● Recognizes family as constant in child’s life ● Therapeutic care
● Systems must support, respect, ● Settings
encourage, and enhance strength and ● Personnel
competence of family ● Interventions
● Needs of all family members should be ● Reduce psychologic distress
addressed ● Minimize physical distress
● Concepts of enabling and empowering ● First do no harm
A Few Basics
● Children are not little adults
● Children understand more than they can express
● Priorities are similar as the adult
● Get down to the child’s eye level
○ Develop and maintain eye contact
● Reassess, reassess, reassess
● Be honest
● Look, before you touch , ask for permission
● Talk to the parents and include the child
○ Avoid separation, unless suspicioun of abuse
○ Watch for non verbal messages
Why Is it Important to Pediatric Nursing?
● Health and Welfare of Children and Families
○ Morbidity and Mortality
○ Safety
○ Injury Prevention
○ Growth and Development
Key Components
○ Therapeutic relationships, support and counseling
, ○ Family and child advocacy
○ Health promotion and health maintenance, safety and injury prevention
○ Ethical decision making
○ Research and health care planning
Health
● A state of complete physical, mental, and social well being
● Mortality: death
● Morbidity: illness
Mortality
● Mortality
● Number of deaths occurring for a specific time frame
● Vital statistics
● Presented: # per 100,00 cases
● Infant mortality
○ Of deaths within 1st year of life per 1,000
● Childhood Mortality
○ Lower than infant
○ Ages 5-14: lowest death rate
○ > 14 : rate sharply increases (homicide, suicide, injuries)
● Most deaths are preventable
● Number one death is unintentional injury
Infant Mortality
● 5.44 deaths per 1,000 live births
● Racial disparity in 2017-2019 average
○ White non hispanic 4.6
○ African american 10.8
○ Hispanic 5.0
○ American indian/alaska native 8.4
○ asian/pacific islander 3.8
● Us ranked 50th globally among 195 countries
● Infant death is considered between conception through child’s first birthday
The Art of Pediatrics
● With family centered care, recognize the family as a constant in the child’s life and address the
needs of all family members
● Atraumatic care is the provision of therapeutic care in settings, by personnel, and through use of
interventions that minimize or eliminate the psychological and physical distress expereinced by
children and their families in health care systems
○ Taking child to a treatment room to start IV to keep patients room a sacred space to
working with parents to maintain the childs sleep schedule and scheduling care so as to
not interrupt the child’s normal pattern
Family Centered Care Atraumatic Care
● Recognizes family as constant in child’s life ● Therapeutic care
● Systems must support, respect, ● Settings
encourage, and enhance strength and ● Personnel
competence of family ● Interventions
● Needs of all family members should be ● Reduce psychologic distress
addressed ● Minimize physical distress
● Concepts of enabling and empowering ● First do no harm
A Few Basics
● Children are not little adults
● Children understand more than they can express
● Priorities are similar as the adult
● Get down to the child’s eye level
○ Develop and maintain eye contact
● Reassess, reassess, reassess
● Be honest
● Look, before you touch , ask for permission
● Talk to the parents and include the child
○ Avoid separation, unless suspicioun of abuse
○ Watch for non verbal messages
Why Is it Important to Pediatric Nursing?
● Health and Welfare of Children and Families
○ Morbidity and Mortality
○ Safety
○ Injury Prevention
○ Growth and Development
Key Components
○ Therapeutic relationships, support and counseling
, ○ Family and child advocacy
○ Health promotion and health maintenance, safety and injury prevention
○ Ethical decision making
○ Research and health care planning
Health
● A state of complete physical, mental, and social well being
● Mortality: death
● Morbidity: illness
Mortality
● Mortality
● Number of deaths occurring for a specific time frame
● Vital statistics
● Presented: # per 100,00 cases
● Infant mortality
○ Of deaths within 1st year of life per 1,000
● Childhood Mortality
○ Lower than infant
○ Ages 5-14: lowest death rate
○ > 14 : rate sharply increases (homicide, suicide, injuries)
● Most deaths are preventable
● Number one death is unintentional injury
Infant Mortality
● 5.44 deaths per 1,000 live births
● Racial disparity in 2017-2019 average
○ White non hispanic 4.6
○ African american 10.8
○ Hispanic 5.0
○ American indian/alaska native 8.4
○ asian/pacific islander 3.8
● Us ranked 50th globally among 195 countries
● Infant death is considered between conception through child’s first birthday
