Presentation
on
current principles and
practices of pediatric Nursing
SUBMITTED TO SUBMITTED BY
Mrs. [Link] [Link]
Assistant professor Msc(N) 2nd year
GCON Roll No -1
GCON
SUBMITTED ON ; 07/01/2021
CURRENT PRINCIPLE AND PRACTICES OF PEDIATRIC
NURSING
INTRODUCTION
The term pediatric derived from Greek word ‘pedia’ means child, ‘latric’
means treatment and ‘ics’ means branch of science
Paediatric nursing is the specialized area of the nursing practice concerning
the care of children during wellness and illness, which includes preventive,
promotive, curative and rehabilitative care of children
Pediatric Nursing deals with individuals who are going through a period of
growth. In case of adults, his/her body change little during the remainder of his
where as in the case of a child, he/she has to accommodate to more than three
folds increase in length and an approximate 20 fold increase in weight between
birth and adolescence, so also in his muscular , and intellectual skills and his/her
emotional control programme from the rudimentary state of the new-born to the
complex highly integrated level of adult.
The New born undergoes various changes from helpless state of earlist
infancy to adolescence where physical and emotional maturity occurs. In order
to provide expert care to children of different age groups, the pediatric nurse
must equip herself /himself with the fundamental principles of the children .
“Pediatrics is the speciality of medical science concerned with
physical, mental and social health of children from birth to young adulthood”
DEFINITION OF PEDIATRICS
Pediatrics can be defined as ‘the branch of medical science that deals with
the care of the children, from conception to adolescence in health and illness
It is concerned with preventive, curative and rehabilitative care of children.
Earlier delt with the care of children up to the age 12 years , now: however it is
has expanded to include the care of children from birth to the adolescent
- According to Padmaja
Paediatric nursing is the specialized area of nursing practice concerning the
care of children during wellness and illness it includes preventive, promotive,
curative and Rehabilitative care of children
- According to Panchali pal
Pediatric nursing is the practice of nursing involved in the health care of
children from infancy through adolescence”.
-According to Terrikyle & Susan
PRINCIPLES IN PEDIATIC NURSING
1) Respect the child’s need to regress and help him/her accept dependence
on others if he/she resists this: child is not like adult. He/she is different
from adult in various ways and respects. illness produces regression. He/she
will go back to the previous stages of development. A pre-schooler wants the
mother to carry him/her during sick ness or asks for use potty instead of
toilets. In such situations. The nurse should understand that it is the need of
the child. Understanding and friendly approach will help the nurse to solve
child problem and enable to help the child
2) Have to awareness of the child’s need for help in requiring the negative
counter part of the core problem in the stage of development to which
child has regressed; for example, infancy, trust vs mistrust, the negative
counter-part of the core problem (mistrust) is conquered through a mutually
satisfying mother-child relationship during early years, only family
members influences, but in later years, the society influences to reach a high
level of maturity. An understanding of human development and needs will
enable the nurse to be in a position to affect the child’s solution of his/her
problem. This will also help the nurse to empower parents or adults
concerned in the care of children as an expert.
3) Have to awareness of the child’s need for help in requiring the negative
counter part of the core problem in the stage of development to which
child has regressed: In order to protect the Childs growth potentials to the
fullest: Nurse should take into account the situation of the Childs parents
because they are the most important people concerning the child. The family
relationship influences the childs personality development to a great extent.
Mother expects some understanding behaviour and wants some relief from
tension. In such a situation, the nurse can help the mother in understanding
the problem of the child , which will enable to get relief from tension in a
certain extent. If the nurse can notice that the mother becomes more relaxed.
This will help to protest the family interpersonal relationship.
4) Awareness of the feelings of others: Readiness to respond to them so as to
strengthen their resources to cope up with stress is the major principle
underlying effective emotional support. emotional support becomes
paramount when illness [Link] is also paramount when a child or adult
faces a major change in their life situation.
5) Children can tolerate discomfort: if they are prepared for it, comprehend
its real purpose and are adequately prepared. Some of the childs fear can be
alleviated if preparation precedes experience. If you preparing child before a
painful treatment, it can provide a basis for the maintenance of trust. without
all persons concerned. To an older child, each step of the nurse should
explain only it is done.
6) To child, play is not time out from daily living rather an essential part of
it;
That enables child grow and mature through the various stages of the
[Link] an adult, play is recreation, taking timeout of daily routine of life for
enjoyment, where as for a child, play is essential as nourishment and treatment .play
helps the child to regain his/her independence gradually
7)Build a working relationship with the parents and their children from the time of
first contact .
8) Should be aware that all behaviors should be meaningful.
9)Should accept parents and their children exactly as they are.
10) Allow them to know that their problems are important, and the nurse is there to
aid in their [Link] an empathy for parents and children.
11) Willing to acknowledge the parents right to their own decisions
concerning their accident.
12)Allows the parents and the children to express their emotions, even
negative emotions
13) Ask questions limited to a single idea or reference
14)Speak a language understandable to the parent and children
15)Must help the parents to feel that there is unity among the health team.
CURRENT PRACTICES IN PEDIATRIC NURSING
Introduction:
Care of child rearing families is a major focus of nursing practice. To have
healthy children, it is important to promote the health of the family from the tie
before children are born until they reach adulthood, as children grow the family
needs continued health supervision and support
As children reach maturity, a new cycle beings and new support becomes
necessary the nurse role in all these phases focuses on promoting health and in
illness
Goals and philosophies of child health nursing
The primary goals of child health nursing care can be stated simply as the promotion
and maintained of optimal family health to ensure cycle of optimal child rearing. The
goals of child health nursing care are necessary broad because the scope of practice is so
broad .the range of practice include
Care of children during the perinatal period
Care of children from infancy through adolescence.
Care in setting as varied as ambulatory clinics,pediatric intensive care units
and the home.
In all setting and types of care, keeping the family at the center of care
delivery is an essential goal. Child health nursing is always family centered.
Which means the family is considered the primary unit of care.
Attention to the full range of human experiences and responses to health and
illness without restriction to a problem- focused orientation
Integration of objective data with knowledge gained from an understanding
of the patient or group’s subjective experience.
Provision of a caring relationship that facilitates health and healing.
Standards of child health nursing practice:
The importance of society places on caring can be measured by the concern it places on
its most vulnerable members or its elderly, disadvantages and young citizen.
comprehensive paediatric nursing care focuses on helping children and their families
and communities achieve their optimum health potentials.
The paediatric nurse systematically evaluates the quality and effectiveness of
paediatric nursing practice.
Standards of professional performance
Standard1; quality of care
The paediatric nurse evaluates the quality of effectiveness of paediatric nursing practice.
Standard 2; performance appraisal
The paediatric nurse evaluates his or her own nursing practice in relation to professional
practice standards and relevant status and regulations.
Standard3; education
The paediatric nurse acquires and maintained current knowledge in pediatric nursing
practice.
Standared4; collegiality
The paediatric nurse contributes to the professional development of peers, colleagues
and others.
Standerd5; ethics
The paediatric nurses decision and actions on behalf of children and their families are
determined in an ethical manner.
Standard 6; collaboration
The paediatric nurse collaborates with the child ,family, and health care provider in
providing client care.
Standared7; research
The paediatric nurse uses research finding in paediatric.
Standard 8; resource utilization.
The paediatric nurse considers factors related to safety, effectiveness and cost in
planning and delivery care.
Bibliography
A textbook of Child Health Nursing “[Link] “2014 jaypee the
health science publisher ,page no 10- 12
A text book of paediatric Nursing ‘panchali pal ‘2016 paras medical
publisher page no 2-5
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