MODULE 1
Family Centered Care
● This type of care promotes a partnership between patients, families, and
health-care professionals to the benefit of all - HIGHEST quality
● Improve outcomes with respect
● Information sharing
● Involve parents with participation
○ Parents can give medications
Childhood Obesity
● Hypertension, early puberty, asthma, diabetes, stroke, heart disease
● Difficult to overcome in adulthood
● Breastfeed children have a lower risk of childhood obesity
LGBTQIA+
● Document, but do not have to tell parents everything unrelated to patient’s
health
○ STI is related to patient’s health = tell parents
● Depression, isolation, anxiety, suicide, drug and alcohol abuse
Educational Needs
● EBP guidelines for LGBTQ youths
● Protecting health, well being, civil rights
● STI prevention and education
Safety and Injury Prevention in Hospitals
● Keep side rails up at all times
● Remove cords near patient
● 2 patient identifiers
● Maltreatment and abuse
Safety Concerns in Hospitals
● Medication errors
● Hospital-acquired infections
, ● Wrong surgery/wrong site incidents
● Falls
● Skin breakdown in bedridden patients or those with limited mobility
● Abductions
Consent
● At age 7 a child can can consent if they want to be a part of a study trial
● Parents are not obligated to pay for nonemergency care for which they did
not provide consent
● An interpreter should be used for teaching or need for consent
● Only the legal guardian can sign consent or discharge forms
○ Children can not be taken out of hospital if needing treatment
Privacy and Confidentiality
● When unable to convince the child to disclose to parents or provide
consent to do so, confidentiality will be maintained to the degree that is
practical and legal
● Information may sometimes be withheld from parents, the professional
should not lie on behalf of the child
● A health-care provider is legally required to break confidentiality if there is
abuse, homicidal, or suicidal tendices
Culturally Competent Care
● Culturally competent care must consider the child and family’s culture,
spiritual beliefs, values, traditions, behaviors, and environment and how
these factors affect care in order to provide optimal outcomes
● Nurses must be aware of their own belief systems and identify the belief
systems of patients and caregivers - BIAS
Religion and Spirituality
● Believing in a greater power - does not have to be a religious group
● Disparities in culturally - underuse of palliative care
, End of Life Care
● Signs and symptoms
○ Loss of sensations and bladder control
○ Decreased hunger and thirst
○ Confusion
○ Cheyne-Stokes respirations
● Accidents are the leading cause of death in pediatric patients
● Ages 1-4
○ Accidents
○ Congenital malformations
○ Assaults (homicides)
● Ages 5-14
○ Accidents
○ Cancer
○ Suicide
● Ages 15-19
○ Accidents
○ Suicide
○ Homicide
Multidisciplinary Team
● Pain relief can also be a part of this team in the hospital
● The multidisciplinary health-care team provides communication, support,
and guidance during the death of an infant or child
Pediatric Medical Home Care Model
● Provides children with better health outcomes and a better patient
experience - socioeconomic, racial, and ethnic health disparities
● Care coordination
● Medical and non-medical needs
● Proactive outreach for well visits
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