PED IA TR IC

N UR SI NG
DIAN HADINATA

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 BASIC CONCEPT OF PEDIATRIC NURSING
PERSPECTIVE
CHILD HEALTH
• Health is complex phenomenon problem (WHO)
• Indicator :
Health is a state of complete physical,
- Mortality mental, and social well-being and not
- Morbidity merely the ABSENCE of DISEASE.
(The World Health Organization)

IMPORTANT

• The causes of death and illness

• High – risk age groups for disorders or hazards
• Advances in treatment and prevention
• Specific areas of health counseling 2
Definition: This entry gives the number of deaths of infants under one year old in a given year per
1,000 live births in the same year; included is the total death rate, and deaths by sex, male and female.
This rate is often used as an indicator of the level of health in a country. 3
Philosophy of Care
Nursing of infants and children is consistent with the definition of
nursing as “the diagnosis and treatment of human responses to
actual or potential health problems.

This definition incorporates the four essential features of contemporary

nursing practice:

Attention to the full range of human experiences and responses to

health and illness without restriction to a problem –focused orientation

Integration of objective data with knowledge gained from an

understanding of the patient or group’s subjective experience

Application of scientific knowledge to the processes of diagnosis and

treatment

Provision of a caring relationship that facilitates health and healing

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Family-Centered Care
The philosophy of family-centered care recognizes the family
as the constant in a child’s life. Service systems and
personnel must support, respect, encourage, and enhance
the strength and competence of the family by developing
mutuality and a partnership with parents.

The needs of all family members, not just the child’s are
considered. The philosophy acknowledges diversity among
family structures and backgrounds; family goals, dreams,
strategies, and actions; and family support, service and
information needs.

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 KEY ELEMENTS OF FAMILY-
CENTERED CARE
• Exchanging complete and unbiased information between
family members and professionals in a supportive manner at
al times

• Incorporating into policy and practice the recognition and

honoring of cultural diversity, strengths and individuality
within and across all families.

• Recognizing and respecting different methods of coping and

implementing comprehensive policies and programs that will
provide developmental, educational, emotional,
environmental, and financial support to meet the diverse
needs of families. 6
 KEY ELEMENTS OF FAMILY-
CENTERED CARE
• Encouraging and facilitating family-to-family support and
networking

• Ensuring that home, hospital and community services and support

systems for children needing specialized health developmental
care and their families are flexible, accessible and comprehensive
in responding to diverse family-identified needs.

• Appropriate families as families and children as children.

Recognizing that they posses a wide range of strengths, concerns,
emotions beyond their need for specialized health.

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Two basic concepts in family-centered care

• Enabling
• Empowerment

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 ATRAUMATIC CARE
Atraumatic care is the provision of therapeutic care in settings,
by personnel, and through the use of interventions that
eliminate or minimize the psychologic and physical distress and
experienced by children and their families in the health care
system.

The goal in providing Atraumatic care is first “does

not harm” Three principles :

• Prevent or minimize the child’s separation

from the family
• Promote a sense of control
• Prevent or minimize bodily injury and pain.
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UNITED NATIONS’ DECLARATION OF THE RIGHTS OF THE CHILD

All children need:

 To be free from discrimination

 To develop physically and mentally in freedom and
dignity
 To have a name and nationality
 To have adequate nutrition, housing, recreation and
medical services
 To receive special treatment if handicapped
 To receive love, understanding, and material security
 To receive an education and develop his or her
abilities
 To be the first to receive protection in disaster
 To be protected from neglect, cruelty and exploitation
 To be brought up in a spirit of friendship among
people
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ROLE OF THE PEDIATRIC NURSE
• Therapeutic Relationship
• Family Advocacy/Caring
• Disease Prevention/Health Promotion
• Health Teaching
• Support /Counseling
• Restorative Role
• Coordination/ Collaboration
• Ethical decision Making
• Research
• Health Care Planning
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Please take care of me…

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The End

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