Professional Documents
Culture Documents
Nursing Portfolio2
Nursing Portfolio2
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The chapter explores the nursing of newborns at risk. PICOT lays the foundation for a
systematic identification of the condition and appropriate postnatal care to be considered. The P
in Picot involves an examination of the anatomy and physiology of the high-risk patient. The
nurse ought to characterize the high-risk patient by assessing the gestational age and birth
weight (SGA) which manifests by inadequate fetal development exhibiting lower weight than the
expected gestational age. Hypoglycemia and hypothermia in SGA are also other traits
manifested, due to reduced glycogen stores due to limited fat reserves also having less
(Nursekey.com, 2016)
Large Gestational Age (LGA) Infants require critical care due to some of the common
issues associated with these which include physical and psychological issues. Birth trauma due
to increased risk of shoulder dystocia, or brachial plexus injuries due to their large sizes.
Hyperviscosity syndrome where LGA infants may develop thicker blood, increasing their risk of
thrombosis, these are but examples associated with LGA infants. Gavage feeding could have a
positive outcome with the potential to enhance the feeding experience of the newborn. Intimate
skin-to-skin contact evidence of olfactory simulation exposing the infants to mothers soothing
the neonates vis-à-vis improving their feeding experience and reducing stress.
The chapter touches on principles innate in the development of the child, together with
their theories of growth and developmental frameworks. Nurses are trained to develop entire
developmental plans tailored to meet the specific needs of children their families and their
backgrounds. Collaboration of Nurses and other healthcare teams the growth and development
through established models and ensuring a holistic approach to the patient’s wellness.
Anticipatory guidance touching on nutrition, safety, health, and patient education is integral to
development stage. The psychoanalytic underpinned by unconscious bias explains how early
events shape personality. Piaget assumptions focus on the cognitive development process
through different stages. It has been demonstrated that using nonpharmacological pain
management methods, such as cold and vibration, during acute operations in pediatric patients
reduces discomfort and tension associated with the surgery, making the experience better for the
kid and the family as a whole. The methods are a great complement to pediatric pain treatment
observed evidence shows efficacy in relieving pain without the negative effects of
pharmaceutical interventions.
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The chapter touches on the complexities of pediatric nursing, stressing knowing the
peculiarities of each patient across different healthcare scenarios. A holistic practicing pediatric
nurse should be equipped with knowledge and skills about quality care, therefore student nurses
The chapter not only explains the adoption of a developmental approach to history taking but
also physical assessment which should be custom to the needs of children in different
developmental stages.
5
The chapter discusses the challenges of managing pain, in children emphasizing the
importance of using strategies to improve patients' overall well-being. It talks of the impact on
families and children, with disabilities recognizing stigma and physical limitations. Evidence-
based practices in hospitalized school-age children offer valuable insights into identifying and
preventing caregiver fatigue. By acquiring investigative skills, care students can effectively
utilize guided imagery techniques in pain management and evaluate their effectiveness.
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References
Allen, L., Kelly, B. B., Board, Y., & Families. (2015). Transforming the Workforce for Children Birth
Scannell, M. J., & Ruggiero, K. (2022). Davis advantage for maternal-child nursing care. F.A. Davis
Company.
UFO Themes. (2019, September 29). Nursing Practice in the Neonatal Intensive Care Unit. Obgyn Key.
https://obgynkey.com/nursing-practice-in-the-neonatal-intensive-care-unit/