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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
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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
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Health promotion heeds
- Nutrition
- Dental care
- Immunizations
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Increasing childhood health problems
- Obesity
- Type 2 diabetes
- Injuries
- Violence
- Substance abuse
- Mental health
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Morbidity
Prevalence ofspecific illnesses in the population at a particular time
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Mortality
Incidence, or number of individuals who have died over a specific period of time
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Childhood morbidity
- Acute illnesses = symptoms severe enough to limit activity or require medical attention
- Chronic illnesses
- Disabilities
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Populations at risk for increased morbidity
- Homeless
- Poverty
- Lbw
- Chronic illnesses
- Foreign-born adopted
- Day care centers
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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
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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
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Role of pediatric nurse
- Therpeutic relationship
- Family advocacy and caring
- Disease prevention and health promotion
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Therapeutic relationship
Meaningful relationship with child and family, yet remain separate enough to distinguish own feeling and needs
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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
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Beneficence
An obligation to act or make a decision to benefit the patient
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Autonomy
Right for self determination or decision making, protecting patient choices
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Nonmaleficence
To prevent harm
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Justice
Fairness in the use of scarce resources
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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
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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
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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
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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
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