Endocrine Management Nursing for Children by puk10787

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									Nursing Care of Children and Families - Pediatrics


                     Nursing Care of Children and Families - Pediatrics


7   Module 7 – Caring for Children with Alterations in Metabolism - Endocrine

Suggested Time Frame: 1 Hour

Goal Statement
      The goal of this module is present the physical differences between children and adults,
      examine various alterations in elimination related to the endocrine system, the role of the
      nurse in utilizing the nursing process to intervene appropriately and optimize the health
      of the pediatric client with dysfunctions of metabolism related to endocrine system.

Module Description
     Module 7 provides an overview of the anatomy and physiology and principles of
     assessment of the endocrine system in an age-appropriate manner. It includes common
     alterations in metabolism related to endocrine functioning and the medications used for
     treatment. The module contains activities which involve utilization of the nursing
     process in the care of these clients.

Objectives
      Upon completion of Module 7, the student will be able to:
      1. Delineate the differences in the anatomy, physiology and functioning of the endocrine
           system of children and adults.
      2. Describe the pathophysiology, clinical manifestations, treatment and nursing
           management in the role of caregiver, teacher and manager of care with common
           alterations in metabolism related to the endocrine system: Growth Hormone
           Deficiency, Precocious Puberty and Type I Diabetes using the nursing process as the
           organizing framework.
      3. Assess for educational needs for children and their families and develop a teaching
           plan that reflects age-appropriate and culturally sensitive content.
      4. Describe the actions of medications that are commonly used in the treatment of
           alterations in metabolism – endocrine.




Associate Degree Nursing (RN) Curriculum Model                                                7.1
Nursing Care of Children and Families - Pediatrics


                           Module 7 – Caring for Children with Alterations in Metabolism - Endocrine

           Column I                             Column II                           Column III                     Column IV
     Content Outline Theory            Suggested Learning Activities                 Clinical                   Clinical Activities
           Objectives                                                               Objectives                (Competencies Skills)

 Objective 1                          Required Reading                       •   Relate the anatomy and   •   Perform and document age-
 Delineate the differences in the     In Primary text chapters related to:       physiology of the            appropriate assessment of the
 anatomy, physiology and              • Anatomy and Physiology of the            endocrine                    endocrine system
 functioning of the endocrine             Pediatric Endocrine System                                      •   Accurately report and
 system of children and adults.       • Pediatric Nursing                                                     document changes
                                          Ball, Ch. 29                                                        assessment findings.
 A. Review the anatomy and
    physiology of the endocrine and   Lecture/Discussion
    related systems, including age-
    related differences.
    1. Differences in hormonal
       control
    2. Differences in structures of
        the endocrine system –
        pituitary, parathyroid,
        thyroid and adrenal glands,
        pancreas
 B. Describe the basic nursing
    assessment of alterations in
    endocrine/metabolic function
    incorporating the variances
    between children and adults.




Associate Degree Nursing (RN) Curriculum Model                                                                                        7.2
Nursing Care of Children and Families - Pediatrics


                          Module 7 – Caring for Children with Alterations in Metabolism - Endocrine

           Column I                             Column II                           Column III                       Column IV
     Content Outline Theory            Suggested Learning Activities                 Clinical                     Clinical Activities
           Objectives                                                               Objectives                  (Competencies Skills)

 Objective 2                          Required Reading                       •   Discuss the major          •   Assist in the preparation of
 Describe the pathophysiology,        In Primary text chapters related to:       diagnostic tests for           the child and family/
 clinical manifestations, treatment   • Endocrine/Metabolic                      alterations in endocrine       caregiver for diagnostic tests,
 and nursing management in the            Alterations                            or metabolic function.         including needed education.
 role of provider of care, teacher    • Pediatric Nursing                    •   Identify nursing           •   Develop nursing diagnoses
 and manager of care with                 Ball, Ch. 29                           diagnoses and related          related to diagnosis of Type I
 common alterations in                                                           interventions for growth       Diabetes and a plan of care
 metabolism related to the                                                       and hormone alterations        incorporating the medical
 endocrine system: Growth                                                        that support long term         diagnosis and treatment, and
 Hormone Deficiency, Precocious                                                  care strategies.               implement age-appropriate
 Puberty and Type I Diabetes                                                 •   Discuss the impact of          and culturally sensitive care
 using the nursing process as the                                                alterations in endocrine       for the child and family/
 organizing framework.                                                           or metabolic function on       caregiver.
                                                                                 children and families;     •   Accurately report and
 A. Discuss the pathophysiology of                                               describe nursing               document assessment data,
    growth hormone deficiency.                                                   interventions to promote       interventions, outcomes and
 B. Discuss the clinical                                                         adaptation and                 follow through related to the
    manifestations of precocious                                                 participation in care.         child’s endocrine/metabolic
    puberty.                                                                 •   Identify and discuss the       status.
 C. Discuss the incidence and                                                    signs and symptoms of
    etiology of Type I Diabetes                                                  diabetes mellitus
    Mellitus                                                                 •   Discuss the general
    1. Pathophysiology                                                           goals for treating the
    2. Clinical manifestations                                                   child diagnosed with
    3. Diagnosis                                                                 Type 1 Diabetes
    4. Nursing management                                                    •   Discuss the
    5. Complications                                                             complications that are
                                                                                 possible with the
                                                                                 diagnoses of Type I
                                                                                 Diabetes.


Associate Degree Nursing (RN) Curriculum Model                                                                                            7.3
Nursing Care of Children and Families - Pediatrics


                         Module 7 – Caring for Children with Alterations in Metabolism – Endocrine


             Column I                             Column II                     Column III                         Column IV
       Content Outline Theory            Suggested Learning Activities           Clinical                       Clinical Activities
             Objectives                                                         Objectives                    (Competencies Skills)

                                                                         •   Identify the educational     •   Implement the developed
                                                                             needs of the child and           teaching plan for assigned
                                                                             family with Type 1               client with Type I Diabetes
                                                                             Diabetes, incorporating          and their family which
                                                                             cultural factors,                includes nutritional
                                                                             religious restrictions and       information and strategies for
                                                                             developmental level in           assisting the client to accept
                                                                             the plan.                        dietary modifications,
                                                                         •   Develop a teaching plan          glucose monitoring and
                                                                             for the child with Type I        inherent procedures, “sick
                                                                             Diabetes which includes          day routine” signs and
                                                                             strategies to achieve            symptoms of hypo and
                                                                             normal growth and                hyperglycemia and when to
                                                                             development, optimal             contact the medical
                                                                             glucose control and              practitioner.
                                                                             follow up instructions
                                                                             incorporating cultural,
                                                                             religious factors and
                                                                             family traditions. Use
                                                                             Study Guide 7.1 – Type
                                                                             I Diabetes Case Study,
                                                                             Page 7.6
                                                                         •   List the signs and
                                                                             symptoms of hypo and
                                                                             hyperglycemia and
                                                                             discuss the nursing
                                                                             management of each.




Associate Degree Nursing (RN) Curriculum Model                                                                                      7.4
Nursing Care of Children and Families - Pediatrics


Module 7 – Caring for Children with Alterations in Metabolism – Endocrine

           Column I                                Column II                           Column III                        Column IV
     Content Outline Theory               Suggested Learning Activities                 Clinical                      Clinical Activities
           Objectives                                                                  Objectives                   (Competencies Skills)

 Objective 3                             Required Reading                       •   Identify the parent/        •
 Assess for educational needs for        In Primary text chapters related to:       caregiver’s knowledge
 children and their families and         • Family teaching related to               related to alterations in
 develop a teaching plan that reflects       alterations in endocrine/              endocrine/metabolic
 age-appropriate and culturally              metabolic functions.                   functions.
 sensitive content.                      • Pediatric Nursing                    •   Develop a teaching plan
                                             Ball, Ch. 29                           which incorporates
 A. Identify the learning needs of                                                  identified needs.
    parents and caregivers regarding
    administration of insulin.
 B. Discuss the points to be
    included in the teaching plan for
    parents or caregivers.
 C. Examine cultural and religious
    beliefs of families and/or
    caregivers related to diabetes.




Associate Degree Nursing (RN) Curriculum Model                                                                                          7.5
Nursing Care of Children and Families - Pediatrics


                          Module 7 – Caring for Children with Alterations in Metabolism - Endocrine

           Column I                             Column II                        Column III                       Column IV
     Content Outline Theory            Suggested Learning Activities              Clinical                     Clinical Activities
           Objectives                                                            Objectives                  (Competencies Skills)

 Objective 4                           Required Reading                   •   Identify the actions,      •   Demonstrate knowledge of
 Describe the actions of               In Primary and Pharmacology text       rationale for                  actions, rationale for
 medications that are commonly         chapters related to:                   administration in              administration of medicaitons
 used in the treatment of              • Medications related to               relation to the specific       in relation to
 alterations in metabolism –               Endocrine/Metabolic                endocrine/metabolic            endocrine/metabolic
 endocrine.                                Alterations                        alteration, doses and          alteration.
                                       • Pediatric Nursing                    nursing implications for   •   Select the appropriate insulin
 A. Identify pharmacological               Ball, Ch. 29                       specific medication to         as prescribed, discuss the
    substances specific to                                                    be administered.               onset of action, peak and
    endocrine/metabolic                                                   •   Discuss the various            length of action and explain
    functioning:                                                              types of insulin and the       why the specific insulin is
    1. Hormone Therapy                                                        indications for use for        ordered.
    2. Insulin                                                                each type.                 •   Correctly calculate dosages.
 B. Discuss the nursing implications                                                                         Select the appropriate
    that are specific to the                                                                                 medication form and
    administration of medications                                                                            equipment for administration.
    that affect endocrine functions.                                                                         Prepare the medication
                                                                                                             according to the “6 Rights.”
                                                                                                             Assess assigned client prior
                                                                                                             to administration and within
                                                                                                             15-30 minutes of
                                                                                                             administration for reaction to
                                                                                                             medication.




Associate Degree Nursing (RN) Curriculum Model                                                                                        7.6
Nursing Care of Children and Families - Pediatrics




Associate Degree Nursing (RN) Curriculum Model       7.6

								
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