6 C's of Nursing
Compassion
Competence
communication
courage
care
commitment
communication with infants
- birth- 12 months
- nonverbal behaviors (smiling)
- cry when hungry, sleepy, in pain, lonely, need changed.
-coo when content and happy
-resound to sound, touch, and tone of voice
- trust vs. mistrust
communication with toddlers
-"good job" is a great statement for encouragement.
-medial play is useful
-may use a doll or stuffed animal to demonstrate
-they love bandaids
- need to be eye level
communicating with school-age children
-they may bargain to postpone.
- may be anxious and not communicate (make them
,comfortable)
-curiosity
-direct comm. to parents an children.
communicating with adolescents
- trust is important
- open ended questions.
-encourage them to express feelings.
-provide privacy
-active listening
kubler ross stage of grief
denial, anger, bargaining, depression, acceptance
death and dying in children
- for family simple say "tell me more about how you are
feeling?" " what is your biggest concern right now?"
"what is the most important thing we can do for you and your
child right now?"
- DNR is initiated by the Childs parents
-listen to the family of the child and know what is important to
maintain good communication.
communicable diseases
spread through airborne, droplet, or direct contact transmission
- most can be prevented from immunizations.
HEP B vaccine
3 doses: Birth, 1-2 months, 6-18 months
rotavirus vaccine
,3 doses: 2 months, 4 months, 6 months
DTaP(diphtheria, pertussis, and tetanus) vaccine
2 months, 4 months, 6 months, 15-18 months, 4-6 years.
Hib (haemophiles influenza type b) vaccine
2 months, 4 months, 6 months, 12-15 months
PCV 13, PCV15 (pneumococcal disease) vaccine
2 months, 4 months, 6 months, 12-15 months
IPV (polio) vaccine
2 months, 4 months, 6-18 months
Flu vaccine
6 months, in one or two doses yearly
MMR (measles, mumps, and rubella) vaccine
12-15 months, 4-6 years
varicella (chickenpox) vaccine
12-15 months, 4-6 years
Hep A vaccine
12 months, 8-24 months
tdap vaccine
11-12 years
HPV vaccine
11-12 years (2 series shot) separated by 6-12 months
, MenACWY (meningococcal disease) vaccine
11-12 years and 16 years
childhood communicable diseases
-conjunctivitis
-varicella
-measles (rubella or rubeola)
-mumps
-hand foot & mouth
-5ths disease
-Epstein Barr Virus (EBV)
-pertussis
Erythema Infectiosum (Fifth Disease)
5-15 years of age
- slap cheek disease
- lacy rash- several weeks from initial infection. rash on trunk
and extremities- droplet (avoid secretions)
hand foot and mouth
- less than 10 years of age
-resolves in 10 days
- difficulty eating and playing d/t painful lesions to hand, feet,
and mouth
-droplet precautions
Hep A:
- inflammation and decreased liver functions
- common from contaminated water or food.