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