Pediatric Nursing Care Plans

					                                                                                                                                                                                                                                   SUGGESTED READING
                                                                                                                                                                                                                                      Ashwill, Jean Weiler and Droske,
                                                                                                                                                                                                                                   Susan Colvert. Nursing Care of Children.



      PEDIATRIC NURSING
                                                                                                                                                                                                                                   Principles and Practice, Philadelphia, W. B.
                                                                                                                                                                                                                                   Saunders Company, 1997.
                                                                                                                                                                                                                                      Dearmun, Annette K. Nursing
                                                                                                                                                                                                                                   Standard 13(27):59. 1999 March.
                                                                                                                                                                                                                                      Kuntz, KR. Pediatric nursing
                                 BY CYNTHIA RICH SCHMUS, BSN, RN                                                                                                                                                                   resources in cyberspace. Journal of the
                                                                                                                                                                                                                                   Society of Pediatric Nurses. 3(4):155-160,
                                                                                                                                                                                                                                   October-December 1998.



I
     t was the first morning of my stu-                                                                                                                                                                                               Nethercott, Sally. Child support.
     dent clinical rotation at the Chil-                                                                                                                                                                                           13(17):58, January 1999.
     dren’s Hospital of Philadelphia. I
     had chosen pediatrics for my                                                                                                   as crucial to the child’s recovery. Advo-     juice, and immediately chewed a piece
                                                                                                                                                                                                                                   PUBLICATIONS
advanced clinical in the fall of my                                                                                                 cacy is an important aspect of the            of gum to get rid of the taste. The
                                                                                                                                                                                                                                   Journal of Pediatric Nursing
senior year as an undergraduate                                                                                                     nurse’s role. For example, if a child must    intervention provided a creative solu-
                                                                                                                                                                                                                                   Journal of the Society of Pediatric Nurses
because I was sure my future was in                                                                                                 undergo numerous diagnostic tests, the        tion that worked.
                                                                                                                                                                                                                                   Pediatric Nursing-AJJ, Inc.
adult medical/surgical nursing. Why                                                                                                 nurses should always consider how to              The following considerations are
                                                                                                                                                                                                                                   The Pediatric Nurse Practitioner Newsletter
not get the pediatric clinical over with                                                                                            coordinate the tests in the best interests    useful when considering a career in
and focus on adults? That was where                                                                                                 of the child, causing as little physical or   pediatrics:
the real excitement would be, right?                                                                                                emotional distress as possible.                   1. Children look up to nurses as
Little did I know, my future plans were                                                                                                Pediatric nurses seek the least inva-      caregivers, teachers, and comforters.
about to change.                                                                                                                    sive and least painful methods of med-        Be sure you are comfortable in these roles.        RESOURCES
    The hospital lobby was full of                                                                                                  ication administration. Ideal candidates          2. Try caring for kids and see if you
excitement that day: kids in wheel-                                                                                                 for pediatric nursing should love chil-       enjoy it. Volunteer on a pediatric unit            Society of Pediatric
chairs racing toward the cafeteria ...                                                                                              dren, be flexible, empathic, and enjoy        at a local hospital, at a daycare center,
                                                                                                                                                                                                                                     Nurses (SPN)
bald children with huge smiles ... a lit-                                                                                           daily challenges. Compassion and up-          at a summer camp for sick or chronical-
                                                  neglect, and access to health             My niche is pediatric oncology, and     to-date clinical knowledge are musts.         ly ill children, or in0 an extern program          2170 S. Parker Road #350
tle girl with a nasogastric tube coloring         care, so they must possess a          I find that the challenges of dealing       The challenges I face each day keep           at a children’s hospital.                          Denver, CO 80231
in the waiting room of a nearby clinic            keen awareness of legal and           with chronically ill children and their     me going. Pediatric nurses must under-            3. Take a child development course             800-723-2902
... babies being rocked to sleep in the           ethical issues.                       families are very rewarding. There is                                                     to help broaden your understanding of
quiet corner of a family lounge. That
was it for me! I looked around and           4.   See life through the eyes of the
                                                  children while providing their
                                                                                        nothing more moving than effectively
                                                                                        managing a child’s pain, or more
                                                                                                                                               If you enjoy                       the issues.
                                                                                                                                                                                      4. Network with pediatricians, nurse
                                                                                                                                                                                                                                     www.pednurse.org

knew the excitement was here. In pedi-            care and helping their family         rewarding than teaching the family                        creative                        practitioners, and child life therapists,          National Association of Pediatric
atrics, the nurse not only touches the            members learn to cope.                how to care for a sick child at home.
child’s life, but the family, the commu-    Remember that kids will be kids, and            Reintegration back into the school
                                                                                                                                             problem solving,                     and get a sense of their daily lives.              Nurse Associates and Practitioners,
nity, and all those involved in helping                                                                                                                                               5. Expect the unexpected, and                  Inc. (NAPNAP)
children reach their maximum health
                                            sick kids will still be kids. I am always   environment is also a hurdle many fam-                   pediatrics                       expect to be fulfilled.                            1101 Kings’ Highway N. Suite 206
                                            struck by how unaffected most children      ilies face. I have been able to speak to                                                      We touch the future when we reach
and potential. I chose pediatrics for the   are by their illness. For example, kids     the classmates of some of my clients on                   is ideal.                       out to the tiny hands of children, and
                                                                                                                                                                                                                                     Cherry Hill, NJ 08034-1912
challenges, the unpredictability, and       eat, even with tubes in the way. Kids       this topic, serving as a positive role                                                    this makes pediatric nursing a phenom-             856-667-1773
the chance to work with families in         run, even with crutches. Kids smile,        model for nursing to future generations.    stand how illness affects children physi-     enal specialty. This year, I will graduate         www.napnap.org
making a difference in children’s lives.    even after a painful or scary procedure.        Pediatric nursing presents unique       cally, emotionally, and psychologically.      from a masters program in the acute
The following issues are helpful to keep    Kids play amidst the IV poles and the       challenges in that children have such          If you enjoy creative problem solv-        and chronic care of children, and I will
in mind when considering a career in        monitors. I often find it is the parents                                                                                                                                                 Association of Pediatric Oncology
                                                                                        rapidly growing and changing bodies.        ing, pediatrics is ideal. For example, I      become a pediatric nurse practitioner.
pediatric nursing.                          who are devastated by the impact of an                                                                                                                                                   Nurses (APON)
                                                                                        The pediatric nurse assesses the child as   once had a four-year-old patient who          This is a testimony of my lifelong com-
 1. Growth and development are the
    foundation on which nurses
                                            illness, while the child lives one day at
                                            a time.
                                                                                        a unique individual who may require
                                                                                        specialized equipment, special monitor-
                                                                                                                                    refused to take her oral prednisone for       mitment to working with children. I                www.apon.org
                                                                                                                                    her leukemia because she hated the            hope that many of you will make the
    provide guidance and care at                Pediatric nursing is a specialty        ing, and specific medication dosages.       taste. I tasted it for her, and agreed it     same commitment, and discover the                  Association of Pediatric
    each developmental stage. They          encompassing the care of children, ado-     In pediatric care, whether in hospitals,    tasted awful! Her parents and I tried         wonderful specialty that awaits you.
    influence every nurse-child             lescents and their families in a variety    clinics, long-term care facilities, or                                                                                                       Gastroenterology and Nutrition
                                                                                                                                    everything short of placing an NG tube
    interaction.                            of settings. The age range in pediatrics    community or health care agencies,          to administer the medication. Then I          The author is a clinical nurse on the oncology     Nurses (APGNN)
 2. Family centered care is the hall-
    mark of pediatrics. The nurse
                                            is from newborns to age eighteen.
                                            Common childhood diagnoses include
                                                                                        teamwork is critical, and nurses manage
                                                                                        the team and coordinate the child’s
                                                                                                                                    remembered that four-year-olds want to
                                                                                                                                    be independent, so we came up with a
                                                                                                                                                                                  and bone marrow transplant unit at the
                                                                                                                                                                                  Children’s Hospital of Philadelphia,
                                                                                                                                                                                                                                     www.naspgn.org

    cares for the child within              both acute and chronic illnesses, from      care. Nowhere is the concept of             plan. Taking the prednisone was not           Philadelphia, PA. A graduate of Villanova          Association of Camp Nurses
    diverse family structures and           ear, nose and throat infections, to asth-   patient/family centered care so vital.      negotiable; however, she could choose         University, she is a student in the Pediatric
    addresses the needs of siblings.        ma, to growth and development issues.       Most importantly, the nurse works                                                                                                            www.campnurse.org
                                                                                                                                    how to take it as creatively as she           Nurse Practitioner Program at the University
 3. Nurses are responsible for child
    advocacy in areas such as abuse,
                                            Chronic illness is also a major subspe-
                                            cialty in pediatrics.
                                                                                        collaboratively at all times with the
                                                                                        family and recognizes family members
                                                                                                                                    wished. She mixed the medication with
                                                                                                                                    vanilla ice cream, chased it with grape
                                                                                                                                                                                  of Pennsylvania. She was the 1988-1989
                                                                                                                                                                                  NSNA president.

38 JANUARY 2000                                                                                            http://www.nsna.org      NSNA/IMPRINT                                                                                                                                 39

				
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