Fn 2 test 2[1].txt

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Fn 2 test 2[1].txt
2012-05-01 09:06:37
FN 29

chapter 29
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  1. Family centered care
    • Recognizes family as constant influence and support
    • Builds trusting relationships with the family
    • Seeks to meet emotional, developmental and social needs of the child
  2. Six categories of behavior for health promotion
    • Tobacco use
    • Behavior resulting in injury and violence
    • Alcohol and substance use
    • Dietary and hygienic practices causing diseases
    • Sedentary lifestyle
    • Sexual behaviors resulting in unintended pregnancy and disease
  3. Health promotion heeds
    • Nutrition
    • Dental care
    • Immunizations
  4. Increasing childhood health problems
    • Obesity
    • Type 2 diabetes
    • Injuries
    • Violence
    • Substance abuse
    • Mental health
  5. Morbidity
    Prevalence ofspecific illnesses in the population at a particular time
  6. Mortality
    Incidence, or number of individuals who have died over a specific period of time
  7. Childhood morbidity
    • Acute illnesses = symptoms severe enough to limit activity or require medical attention
    • Chronic illnesses
    • Disabilities
  8. Populations at risk for increased morbidity
    • Homeless
    • Poverty
    • Lbw
    • Chronic illnesses
    • Foreign-born adopted
    • Day care centers
  9. Family centered pediatric care is
    • Family is constant in child's life
    • Nurses support families and their decisions
    • Philosophy-to acknowledge:
    • --diversity in structure and background
    • --family goals, dreams, strategies, and actions
    • --family support, service, and information needs
  10. Parental influences
    • Warm, positive ramily relationships serve to buffer children from stress and promote positive cognitive and social outcomes
    • Family size determines the amount of attention given to children
  11. Role of pediatric nurse
    • Therpeutic relationship
    • Family advocacy and caring
    • Disease prevention and health promotion
  12. Therapeutic relationship
    Meaningful relationship with child and family, yet remain separate enough to distinguish own feeling and needs
  13. Family advocacy and caring
    Work with family members to identify their goals and needs and plan interventions to meet; assis children and families in making informed choices and acting in the childs best interest
  14. Beneficence
    An obligation to act or make a decision to benefit the patient
  15. Autonomy
    Right for self determination or decision making, protecting patient choices
  16. Nonmaleficence
    To prevent harm
  17. Justice
    Fairness in the use of scarce resources
  18. Standards of practice
    • Be accountable
    • Maintain patient safety- inc errors are noted with children
    • Medication calculations are more complex
    • Misplaced decimals
    • Dilution is required for many drugs for children
    • Children cannot communicate symptoms of reaction
  19. Critical thinking
    • Purposeful, goal-directed thinking that assists individuals in making judgements based on evidence rather than guess work
    • Knowledge is acquired, assessed, and organized by thinking through the situation and developing outcomes based on optimum care
  20. Health care planning
    • Includes community based nursingbeing aware of community needs, interest in the formation of bills, and support to politicians
    • Prromotion of high quality care
  21. Nursing diagnoses
    • Compromised family coping r/t multiple simultaneous stressors
    • Interrupted family processes r/t child with significant disability
    • Risk for caregiver role strain r/t child with newly acquired disability or/and the financial burden
    • Impaired social interaction r/t lack of family or respite support