Introduction To Paediatric Nursing (MCN).ppt

Introduction to Pediatric Health Nursing (By Mumtaz)

1. Mumtaz Ali Khan

2. From: Mumtaz Ali Khan
Mumtaz Ali Khan

3. Introduction To
Paediatric
Nursing
By : Mumtaz Ali Khan
Prepared : By Mumtaz Ali Khan
Mumtaz Ali Khan

4. PAEDIATRICS
Pedia
Means
Child
A perfect gift
Mumtaz Ali Khan

5. PAEDIATRICSPAEDIATRICS

IatrikeIatrike means treatment means treatment

IcsIcs means branch of science means branch of science
Mumtaz Ali Khan

6. Differences between Adult and Paediatric Differences between Adult and Paediatric
NursingNursing
Treating a child is not like treating a miniature adult.
Anatomical differences- body size
differences
Maturational changes- Body systems
Physiological- lack of reserves
Congenital defects & genetic variances
Developmental issue Communication barriersCommunication barriers
Legal issues

Emotional Differences Emotional Differences
Procedures
Mumtaz Ali KhanMumtaz Ali Khan

7. DEFINITION- PAEDIATRICS
Branch of medical science that deals with the care of Branch of medical science that deals with the care of
children from conception to adolescence in health and children from conception to adolescence in health and
illness.It is concerned with preventive,promotive, illness.It is concerned with preventive,promotive,
curative and rehabilitative care of children.curative and rehabilitative care of children.
Mumtaz Ali KhanMumtaz Ali Khan

8. FATHER OF PAEDIATRICS- Dr FATHER OF PAEDIATRICS- Dr
Abraham JacobiAbraham Jacobi
Mumtaz Ali KhanMumtaz Ali Khan

9. Paediatric NursingPaediatric Nursing
•The specialised area of nursing practice concerning the
care of children during wellness and illness. It includes
preventive, promotive, curative and rehabilitative care of
children
Mumtaz Ali KhanMumtaz Ali Khan

10. Pediatric NursingPediatric Nursing
•All round development of the body mind and
spirit of the growing individual.
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11. Paediatric NursingPaediatric Nursing
•Involves in giving assistance ,care and support to the
growing and developing children to achieve their
individual potential for functioning with fullest capacity.
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12. Paediatric NursingPaediatric Nursing

Nursing of infants and children is consistent Nursing of infants and children is consistent
with the definition of nursing as “the with the definition of nursing as “the
diagnosis and treatment of human diagnosis and treatment of human
responses to actual or potential health responses to actual or potential health
problems”.(Wong)problems”.(Wong)
Mumtaz Ali KhanMumtaz Ali Khan

13. Lilian Wald 1893 –the founder of visiting nursing in the U.S.,
begins teaching a home class on nursing for Lower East Side of
New york women after a trying time at an orphanage where
children were maltreated
Mumtaz Ali KhanMumtaz Ali Khan

14. GoalsGoals

To provide To provide skilful intelligent need based
comprehensive care to the children in to the children in health and health and
illnessillness
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15. Goals contdGoals contd

To To interpret the basic needs of children to their to their
parents and family members and to guide them in and to guide them in
child carechild care
Mumtaz Ali Khan

16. Goals contdGoals contd

To To promote Growth and Development of children of children
towards towards optimum state of health for functioning at for functioning at
the peak of their capacity in future.the peak of their capacity in future.
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17. Goals contdGoals contd

To To prevent disease and alleviate suffering in in
children.children.
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18. GoalsGoals

Care to childrenCare to children
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19. GoalsGoals

Interpret needsInterpret needs
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20. GoalsGoals

Prevent disease and Prevent disease and
alleviate sufferingalleviate suffering
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21. GoalsGoals

Promote growth and Promote growth and
developmentdevelopment
Mumtaz Ali Khan

22. Qualities of a Paediatric NurseQualities of a Paediatric Nurse
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23. PRINCIPLES- CHN
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24. PRINCIPLES CHN
1.In Nursing Practice
•Concerned with the well being of the child
•Developmental needs are integrated in Nursing care
•Nursing care is delivered to the family child unit
Mumtaz Ali Khan

25. CONTD
•Nursing practice provides a unifying feature for the integration of
theory into nursing practice.
•An interdisciplinary approach is used to plan and provide care.
Attention is paid to the ethical, legal and moral dilemmas present in
the provision of health care.
Mumtaz Ali Khan

26. PRINCIPLES CHN
2. Related to Child
•Each child is a unique person and family
member with needs and concerns that are
unique that are increased and complicated
during illness and hospitalisation.
•Growth and Development are functions of
genetic endowment and an environment
which provides a meaningful experience.
Mumtaz Ali Khan

27. CONTD
•The child’s coping response to illness or
hospitalisation is a function of his
developmental capabilities, threats,
challenges, frustration, gratification.
•Anticipatory guidance techniques help the
child master the potentially traumatic
experience of illness and hospitalisation
Mumtaz Ali Khan

28. PRINCIPLES CHN
3. Related to the Family
•The integrity of family is supported during illness/
hospitalisation
•The family’s culture and religious beliefs are supported
during illness and health
•The family’s style of coping with stress is strengthened
during illness and health.
Mumtaz Ali Khan

29. Principles CHN
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30. Family Centered Care
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31. FAMILY
An institution where individuals related through biology or enduring
commitments and representing similar or different generations and genders,
participate in roles involving mutual socialization, nurturance and emotional
commitment (Lerner, Sparks and McCubbin)
Mumtaz Ali Khan

32. Key Elements of Family Centered Care
Family is the constant
Facilitate Family professional collaboration
Care of an individual child
Program development and Implementation
Policy formation
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33. Family Centered Care contd…
Exchanging complete and unbiased information
Honors the cultural diversity- ethnic social racial economic educational and
geographic diversity.
Recognizing and respecting different methods of coping and supporting
(developmental educational environmental emotional and financial support).
Mumtaz Ali Khan

34. Family Centered Care contd…
Family to family support-networking
Ensuring Services and support systems - flexible, accessible and
comprehensive.
Appreciating families as families and children as children.
Mumtaz Ali Khan

35. Family Centered Care- Concepts
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.
Mumtaz Ali Khan

36. Atraumatic Care

“FIRST DO NO HARM”
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37. Atraumatic Care
Provision of therapeutic care in settings, by personnel and through the use
of interventions that eliminate or minimize the psychologic and physical
distress experienced by children and their families in the health care system.
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38. Therapeutic care
Prevention
Diagnosis
Treatment
Palliation of acute and chronic conditions
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39. Settings
Home
Hospital
Health care setting
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40. Personnel
Anyone directly involved in providing therapeutic care
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41. Interventions
•Psycho logic
Preparing for procedures
•Physical
Preparing space or room for the family
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42. Psychologic Distress
•Anxiety
•Fear
•Anger
•Disappointment
•Sadness
•Shame
•Guilt
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43. Physical Distress
Sleeplessness
Immobilisation
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44. 3 Principles3 Principles
•Prevent or minimise child’s separation from family.
•Promote a sense of control.
•Prevent or minimise bodily injury and pain.
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45. ExamplesExamples
•Fostering parent child relation ship
•Preparing for unfamiliar procedure
•Controlling pain
•Allowing child privacy
•Providing play activities
•Providing choices
•Respecting cultural differences
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46. Case Management
Best possible care with minimal costs
Prevent duplication of Nursing care
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47. Mumtaz Ali Khan

48. Roles
•Primary care giver
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49. Roles
•Health educator
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50. Roles
•Nurse counselor
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51. Roles
•Social worker
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52. Roles
•Team co ordinator
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53. Roles
•Manager
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54. Roles
•Child care advocate
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55. Roles
•Recreationist
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56. Roles
•Consultant
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57. Roles
•Researcher
Mumtaz Ali Khan

58. TRENDS IN CHN
Mumtaz Ali Khan

59. TRENDS IN CHN
Expanded role of Paediatric Nurse
Family centred care
Child initiated care
Nursing Process Approach
Inter disciplinary approach
Rooming in approach
Minimal hospital stay policy
Intensive care Unit
Mumtaz Ali KhanMumtaz Ali Khan

60. Expanded roles of Paediatric Nurse
Paediatric nurse practitioner/Nurse specialist
Paediatric nurse clinician- oncology,
neonatology, community
Child and family advocate
Paediatric Nurse collaborator/Co ordinator
Paediatric nurse researcher
Paediatric nurse educator
Paediatric nurse Administrator
Primary Paediatric nurse
Community Paediatric nurse
Mumtaz Ali Khan

61. TRENDS IN CHN contd
•Child Guidance clinic
•Child Development Centres
•Development of Genetic engineering and Molecular
biology
•Computer technology in Paediatric Nursing
•Comprehensive care of children
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62. FUTURE TRENDS
Prevention and promotion
Home care
Community care
Cost containment
Increasing Accountability
Increased dedication
Leadership
Research
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63. ISSUES IN CHILD HEALTH NURSINGISSUES IN CHILD HEALTH NURSING
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64. Ethical IssuesEthical Issues
Withdrawing and with holding Withdrawing and with holding
life supportlife support
Ideal observer theoryIdeal observer theory
OmniscienceOmniscience
Omni percipienceOmni percipience
DisinterestDisinterest
Dis passionDis passion
ConsistencyConsistency
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65. Legal IssuesLegal Issues
•Informed consentInformed consent
•Standard of care and Quality assuranceStandard of care and Quality assurance
•Short staffing and staff floatingShort staffing and staff floating
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66. Conceptual IssuesConceptual Issues

AutonomyAutonomy

CompetenceCompetence

BeneficenceBeneficence

PaternalismPaternalism

Truth tellingTruth telling

ConfidentialityConfidentiality

Conflict of InterestConflict of Interest
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67. Cultural IssuesCultural Issues

Aware of the cultural beliefs and interactive styles Aware of the cultural beliefs and interactive styles

Assess the effect of them on a particular child and Assess the effect of them on a particular child and
familyfamily
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68. Social IssuesSocial Issues
Broken familiesBroken families
Co habitationCo habitation
AdoptionAdoption
Disturbed home situationsDisturbed home situations
AIDS in childrenAIDS in children
Handicapped children- physical, mental or socialHandicapped children- physical, mental or social
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69. Social Issues contd.Social Issues contd.

Prevention of handicapped Prevention of handicapped
1.1.Genetic counsellingGenetic counselling
2.2.Identification and early treatment of high risk groupIdentification and early treatment of high risk group
3.3.ImmunisationImmunisation
4.4.Proper nutrition of mothers and childrenProper nutrition of mothers and children
5.5.Health care of pregnant mothersHealth care of pregnant mothers
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70. Social Issues contd.
Child abuse
Child labour
Child marriage
Infanticide
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71. Genetic Issues
Insemination with artificial donor
Surrogate mothering
Antenatal detection of abnormalities and MTP
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72. Research IssuesResearch Issues
•Right to privacy
•Right to informed consent
•Truth in experimentation
•Confidentiality
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73. Declaration of
the Rights of the Child

All children have the right to what follows, no matter what
their race, colour, sex, language, religion, political or other
opinion, or where they were born or who they were born to.

You have the special right to grow up and to develop
physically and spiritually in a healthy and normal way, free
and with dignity.

You have a right to a name and to be a member of a country.

You have a right to special care and protection and to good
food, housing and medical services.
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74. contdcontd

You have the right to special care if handicapped in
any way.

You have the right to love and understanding,
preferably from parents and family, but from the
government where these cannot help.

You have the right to go to school for free, to play,
and to have an equal chance to develop yourself and
to learn to be responsible and useful.
Your parents have special responsibilities for your
education and guidance.
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75. contdcontd

You have the right always to be among the first to get
help.

You have the right to be protected against cruel acts or
exploitation, e.g. you shall not be obliged to do work
which hinders your development both physically and
mentally. You should not work before a minimum age
and never when that would hinder your health, and your
moral and physical development.

You should be taught peace, understanding, tolerance
and friendship among all people.
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76. Mumtaz Ali KhanMumtaz Ali Khan

77. [email protected] WhatsApp: [phone]
Mumtaz Ali KhanMumtaz Ali Khan