Chapter - I Role of Pediatric Nursing in Children.pptx

SPrabhu16 84 views 23 slides Feb 01, 2025
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About This Presentation

The role of pediatric nursing in the care of children is vital, as it encompasses the promotion of health, prevention of illness, and the provision of comprehensive care to infants, children, and adolescents. Pediatric nurses are responsible for assessing the physical, emotional, and developmental n...


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ROLE OF PAEDIATRIC NURSE IN CARING FOR A HOSPITALIZED CHILD PREPARED BY Mr. PRABHU. S Assistant Professor Department of Child Health Nursing Shri Sathya Sai College of Nursing Affiliated by Shri Balaji Vidyapeeth University - PUDUCHERRY

ROLE OF PEDIATRIC NURSE IN CHILD CARE The role of the pediatric nurse is constantly changing. These changes are as a result of expanding medical and nursing practice, emerging challenges in different aspects of child care, consumer demands & technological advancements. The role of the pediatric nurse may vary from one institution to others, but basic responsibilities remain the same.

Provide family centered care with different approach to specific age group . IN NEONATES Encourage mother to balance her responsibilities and minimize separation with confidence and competence. Basic needs of infant should be fulfilled promptly with attention. Mother can be allowed during procedures Tension and loneliness can be relieved by toys.

IN TODDLERS Provide rooming-in and unlimited visiting hours to express child’s feeling. No punishment to the child. Home routine can be continued especially regarding sleeping, eating and bathing. Allow play and arrange physical setting to encourage independence. Parents should provide love and understanding to help the child to restore trusting relationship.

IN PRESCHOOL CHILDREN Minimize stress by providing parental presence and participate in care. Help the child to accept the stressful situations. Encourage the child to participate in self-care and hygiene.

IN SCHOOL CHILDREN Help the child to identify problems and to ask questions. Encourage the child in self care, play and to continue school work. Help the parents to deal with their own anxieties. Encourage parental participation in child care.

IN ADOLESCENT Respect the need for privacy, recreation, personal preferences on self care and food habits. Provide opportunities for recreation, peer relationships, interaction with other adolescent patients and expression of feelings.

OTHER ROLE OF PEDIATRIC NURSE 1. Primary Care G iver 2. Coordinator and Collaborator 3. Advocator 4. Health Educator 5. Consultant 6. Counselor 7. Case Manager 8. Recreationist 9. Social Worker 10. Researcher

PRIMARY CARE GIVER Pediatric nurse should provide Preventive, Promotive, Curative and rehabilitative care in all levels of health services. In hospital, care of sick children includes Comfort, Feeding, Bathing, Safety etc. At community set up, basic responsibilities include Health Assessment, Immunization, Primary Health Care & Referral etc.

COORDINATOR & COLLABORATOR The nurse plays an extremely important role with the combination of health care team members. Nurse maintains good inter personal communication with the child, family and health team members. The nurse coordinates nursing care with other services for meeting the needs of child. (For ex: physician, social worker, surgeon, physiotherapist, dietician etc.)

NURSE ADVOCATOR The pediatric nurse acts as an advocate to safeguard the child’s right, to assist & to provide best care from the health care team. Nurse acts as a representative for the child, family & other health care providers. Ex: it can range from consulting dietary department for special foods to arrange team meeting to discuss plan of care with other health team members.

HEALTH EDUCATOR The nurse’s goal of health teaching is to provide information to the child parents about prevention of illness, promotion or health maintenance. Characteristics of nurse teacher includes 4 C's C — Confidence C — Competence C — Communication C — Caring & empathy

NURSE CONSULTANT The pediatric nurse can act as consultant to guide parents for maintenance and promotion of health. (For ex: Guiding parents about feeding practices, accident prevention). NURSE COUNSELOR Providing guidance to parents in health hazards of children and health them for own decision making in different situations.

CASE MANAGER The pediatric nurse should organize care, monitor and evaluate patient treatment for successful outcome. She/he acts as a manager of pediatric care units in hospital clinics and community. RECREATIONIST The pediatric nurse plays supportive role for the child to provide play facilities for recreation and diversion. It helps to decrease crisis imposed by illness or hospitalization

SOCIAL WORKER Pediatric nurse can participate in social services or refer child & family to child welfare agencies for necessary support. NURSE RESEARCHER Research is an integral part of professional nursing. Pediatric nurse should participate or perform research activities. It helps to provide basis for changes in nursing practice, improvement in the child health care and evaluate the care.

ROLE OF PEDIATRIC NURSE The pediatric nurse's role is unique because of developmental immaturity and vulnerability of children. The goals of nursing care of children, based on primary health care are: 1. Promote the healthy maturation as a physical, intellectual and emotional being within the context of his family and communities (Primary Level). 2. Provide health care for the child who requires treatment from disease(s) (Secondary Level). 3. Dealing with the child's disabilities (Tertiary Level).

IN PRIMARY LEVEL Through health education to child and his parents and providing child's basic needs and immunization, 1. Maintain child's health. 2. Help the child achieves growth and development. 3. Prevent diseases and their complications.

II. IN SECONDARY LEVEL The nurse has to provide care to sick children and their families by, I. Assessing their needs. 2. Planning for care. 3. Implementing the plan. 4. Evaluating children's condition. 5. Providing heath teaching to children and their parents

III. IN TERTIARY LEVEL The nurse should assist children to return to their maximal level of functioning following illness and /or disabilities. As a nurse depends on, Education Experience Preventive care Promotive care Curative care Health education Restoration health Co-ordination

NURSING TASK AND SKILL General nursing care Monitoring of vital signs Administration of fluid and electrolytes and drugs Diagnostic and therapeutic procedures Nursing procedures Resuscitation skills Specialized nursing and monitoring skills Vaccination Prevention of nosocomial infection Universal precaution

Now days the child care is very much improved it includes Hospital environment for a sick child Advanced changes in medical and nursing care Expansion in independent role of the pediatrics nurse Pediatric nurse practionnaire. Pediatric clinic nurse specialist. Pediatric nurse master clinicians.

SUMMARY The role of nurse in helping child and family members for coping with stress of hospitalization and illness is complementary and supportive. The pediatric nurse must be aware about the feelings of both parents and children.