Additional Information
Book Details
Abstract
Master the art of caring for children with most effective, efficient, and affordable title on pediatric nursing care. Taking on a family focus, this student-friendly text teaches growth, development, and information on the major body system alterations. Plus, dramatically streamlined content and new learning tools make this new edition even more tailored to your learning needs.
- Expert reviews of chapter content ensure all chapters include current practices, terms, and updated information.
- Health Promotion boxes summarize information from the American Academy of Pediatrics to teach you how to perform a comprehensive assessment of well infants and children at various ages.
- Illustrated Procedure boxes include step-by-step instructions for common nursing tasks.
- Pathophysiology boxes explain changes in physiology that occur in a variety of diseases and disorders in children.
- Nursing process highlighted in nursing care plans and in-text discussions.
- Clinical Reference pages provide students with easy-to-find reference sections, including basic anatomy and physiology, pediatric differences, related laboratory and diagnostic tests, and commonly prescribed medications.
- Safety Alert boxes highlight patient safety as part of the QSEN initiative for better outcomes of nursing care.
- Updated Evidence-Based Practice boxes (formerly Using Research to Improve Practice) assist you in determining best practices in your future care of children.
- Patient-Centered Care boxes guide you in teaching the parents and child about self-care in the home and follow-up care in community-based health care settings.
- Streamlined Nursing Care Plans have been reformatted to make them easier to read and use.
- Updated photos throughout the book keep the text up-to-date and visually appealing.
- Key concepts are highlighted in the book and their definitions are provided in a glossary.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | cover | ||
| Inside front cover | ifc_i | ||
| Evolve page | i | ||
| Nursing Care of Children | iii | ||
| Copyright page | iv | ||
| Dedication | v | ||
| Contributors | vi | ||
| Reviewers | vii | ||
| Preface | viii | ||
| Concepts | viii | ||
| Family | viii | ||
| Growth and Development Within the Concept of Health Promotion | viii | ||
| Child Advocacy | viii | ||
| Communication | viii | ||
| Culture | viii | ||
| Text Organization | ix | ||
| Features | ix | ||
| Clinical Reference Pages | ix | ||
| Critical Thinking Exercises | ix | ||
| Drug Guide Boxes | ix | ||
| Health Promotion Boxes | ix | ||
| Key Concepts | ix | ||
| Learning Objectives | ix | ||
| Nursing Process | ix | ||
| Pathophysiology Boxes | ix | ||
| Patient-Centered Teaching | ix | ||
| Procedure Boxes | ix | ||
| Safety Alerts and Nursing Quality Alerts | ix | ||
| Acknowledgments | ix | ||
| Special Features | xi | ||
| Table of Contents | xiii | ||
| Unit I Introduction to Child Health Nursing | 1 | ||
| 1 Introduction to Nursing Care of Children | 1 | ||
| Learning Objectives | 1 | ||
| Principles of Caring for Children | 1 | ||
| Historical Perspectives | 1 | ||
| Societal Changes | 1 | ||
| Hygiene and Hospitalization | 2 | ||
| Development of Family-Centered Child Care | 2 | ||
| Current Trends in Child Health Care | 3 | ||
| Cost Containment | 3 | ||
| Diagnosis-Related Groups | 3 | ||
| Managed Care | 4 | ||
| Capitated Care | 4 | ||
| Effects of Cost Containment | 4 | ||
| Case Management | 5 | ||
| Evidence-Based Nursing Care | 5 | ||
| Outcomes Management | 5 | ||
| Nurse Sensitive Indicators. | 5 | ||
| Variances. | 5 | ||
| Clinical Pathways. | 6 | ||
| Students’ Use of Clinical Pathways. | 6 | ||
| Home Care | 6 | ||
| Community Care | 6 | ||
| Access to Care | 6 | ||
| Public Health Insurance Programs | 6 | ||
| Preventive Health | 7 | ||
| Health Care Assistance Programs | 7 | ||
| Statistics on Infant and Child Health | 8 | ||
| Mortality | 8 | ||
| Infant Mortality | 8 | ||
| Racial Disparity for Mortality. | 8 | ||
| International Infant Mortality. | 8 | ||
| Childhood Mortality | 8 | ||
| Morbidity | 9 | ||
| Adolescent Births | 9 | ||
| Ethical Perspectives in Child health Nursing | 9 | ||
| Ethics and Bioethics | 9 | ||
| Ethical Dilemmas | 10 | ||
| Ethical Principles | 10 | ||
| Solving Ethical Dilemmas | 10 | ||
| Ethical Concerns in Child Health Nursing | 10 | ||
| Cessation of Treatment | 10 | ||
| Terminating Life Support | 10 | ||
| Legal Issues | 11 | ||
| Safeguards for Health Care | 11 | ||
| Nurse Practice Acts | 11 | ||
| Standards of Care | 11 | ||
| Agency Policies | 11 | ||
| Accountability | 11 | ||
| Use of Unlicensed Assistive Personnel | 11 | ||
| Malpractice | 12 | ||
| Prevention of Malpractice Claims | 12 | ||
| Informed Consent. | 12 | ||
| Competence. | 12 | ||
| Full disclosure. | 13 | ||
| Understanding of information. | 13 | ||
| Voluntary consent. | 13 | ||
| Refusal of Care | 13 | ||
| Adoption | 13 | ||
| Documentation | 14 | ||
| Documenting Discharge Teaching. | 14 | ||
| Documenting Incidents. | 14 | ||
| The Nurse as Child and Family Advocate | 14 | ||
| Maintaining Expertise | 14 | ||
| Social Issues | 14 | ||
| Poverty | 14 | ||
| Homelessness | 15 | ||
| Allocation of Health Care Resources | 15 | ||
| Care versus Cure | 15 | ||
| Health Care Rationing | 16 | ||
| Violence | 16 | ||
| The Professional Nurse | 16 | ||
| The Role of the Professional Nurse | 16 | ||
| Care Provider | 16 | ||
| Teacher | 17 | ||
| Collaborator | 17 | ||
| Researcher | 17 | ||
| Advocate | 17 | ||
| Manager of Care | 18 | ||
| Advanced Roles for Pediatric Nurses | 18 | ||
| Nurse Practitioners | 18 | ||
| Clinical Nurse Specialists | 18 | ||
| Clinical Nurse Leaders | 18 | ||
| Implications of Changing Roles for Nurses | 18 | ||
| The Nursing Process in Pediatric Care | 18 | ||
| Therapeutic Communication | 18 | ||
| Critical Thinking | 18 | ||
| Steps of the Nursing Process | 19 | ||
| Assessment | 19 | ||
| Screening Assessment. | 19 | ||
| Focused Assessment. | 19 | ||
| Nursing Diagnosis | 19 | ||
| Planning | 19 | ||
| Setting Priorities. | 19 | ||
| Establishing Goals and Expected Outcomes. | 19 | ||
| Implementation | 20 | ||
| Evaluation | 20 | ||
| Collaborative Problems | 20 | ||
| Planning. | 20 | ||
| Interventions. | 20 | ||
| Evaluation. | 20 | ||
| Complementary and Alternative Medicine | 20 | ||
| Nursing Research and Evidence-Based Practice | 21 | ||
| Key Concepts | 21 | ||
| References | 22 | ||
| Unit II Growth and Development: The Child and The Family | 23 | ||
| 2 Family-Centered Nursing Care | 23 | ||
| Learning Objectives | 23 | ||
| Family-Centered Care | 23 | ||
| Family Structure | 23 | ||
| Types of Families | 24 | ||
| Traditional Families | 24 | ||
| Nontraditional Families | 24 | ||
| Single-Parent Families. | 24 | ||
| Blended Families. | 24 | ||
| Adoptive Families. | 24 | ||
| Multigenerational Families. | 24 | ||
| Same-Sex Parent Families. | 25 | ||
| Communal Families. | 25 | ||
| Characteristics of Healthy Families | 25 | ||
| Factors that Interfere with Family Functioning | 26 | ||
| High-Risk Families | 26 | ||
| Marital Conflict and Divorce | 26 | ||
| Adolescent Parenting | 26 | ||
| Violence | 26 | ||
| Substance Abuse | 26 | ||
| Child with Special Needs | 26 | ||
| Healthy Versus Dysfunctional Families | 27 | ||
| Coping with Stress | 27 | ||
| Coping Strategies | 27 | ||
| Cultural Influences on Pediatric Nursing | 27 | ||
| Implications of Cultural Diversity for Nurses | 28 | ||
| Western Cultural Beliefs | 28 | ||
| Cultural Influences on the Care of People from Specific Groups | 28 | ||
| Asians and Pacific Islanders | 28 | ||
| Hispanics | 28 | ||
| African-Americans | 31 | ||
| American Indians and Alaska Natives | 31 | ||
| Middle Easterners | 31 | ||
| Cross-Cultural Health Beliefs | 31 | ||
| Traditional Methods of Preventing Illness | 31 | ||
| Traditional Practices to Maintain Health | 31 | ||
| Traditional Practices to Restore Health | 31 | ||
| Cultural Assessment | 32 | ||
| Parenting | 32 | ||
| Parenting Styles | 32 | ||
| Parent-Child Relationship Factors | 32 | ||
| Parental Characteristics | 32 | ||
| Characteristics of the Child | 33 | ||
| Temperament and Parental Expectations | 33 | ||
| Discipline | 33 | ||
| Dealing with Misbehavior | 33 | ||
| Redirection | 34 | ||
| Reasoning | 34 | ||
| Time-Out | 34 | ||
| Consequences | 34 | ||
| Behavior Modification | 34 | ||
| Corporal Punishment | 34 | ||
| Nursing Process and the Family | 35 | ||
| Family Assessment | 35 | ||
| Nursing Diagnosis and Planning | 35 | ||
| Intervention and Evaluation | 35 | ||
| Key Concepts | 35 | ||
| References | 36 | ||
| Online_Chapter 2 | e1 | ||
| 3 Communicating with Children and Families | 37 | ||
| Learning Objectives | 37 | ||
| Components of Effective Communication | 37 | ||
| Touch | 37 | ||
| Physical Proximity and Environment | 37 | ||
| Listening | 38 | ||
| Attentiveness | 38 | ||
| Clarification through Reflection | 38 | ||
| Empathy | 39 | ||
| Impartiality | 39 | ||
| Visual Communication | 39 | ||
| Tone of Voice | 39 | ||
| Body Language | 39 | ||
| Timing | 39 | ||
| Family-Centered Communication | 40 | ||
| Establishing Rapport | 40 | ||
| Availability and Openness to Questions | 40 | ||
| Family Education and Empowerment | 41 | ||
| Effective Management of Conflict | 41 | ||
| Feedback from Children and Families | 41 | ||
| Spirituality | 41 | ||
| Transcultural Communication: Bridging the Gap | 42 | ||
| Therapeutic Relationships: Developing and Maintaining Trust | 42 | ||
| Nursing Care for Communicating with Children and Families | 42 | ||
| Assessment | 42 | ||
| Nursing Diagnosis and Planning | 43 | ||
| Unit III Special Considerations in Caring for Children | 168 | ||
| 9 Physical Assessment of Children | 168 | ||
| Learning Objectives | 168 | ||
| General Approaches to Physical Assessment | 168 | ||
| Infants from Birth to 6 Months | 168 | ||
| Infants from 6 to 12 Months | 169 | ||
| Toddlers | 169 | ||
| Preschoolers | 169 | ||
| School-Age Children | 169 | ||
| Adolescents | 169 | ||
| Techniques For Physical Examination | 169 | ||
| Inspection | 169 | ||
| Palpation | 170 | ||
| Percussion | 170 | ||
| Auscultation | 170 | ||
| Smell | 170 | ||
| Sequence Of Physical Examination | 170 | ||
| General Appearance | 170 | ||
| History Taking | 171 | ||
| Recording Data | 171 | ||
| Vital Signs | 171 | ||
| Temperature | 172 | ||
| Pulse | 172 | ||
| Respirations | 173 | ||
| Blood Pressure | 173 | ||
| Pain Assessment | 173 | ||
| Anthropometric Measurement | 173 | ||
| Weight | 174 | ||
| Head Circumference | 174 | ||
| Chest Circumference | 174 | ||
| Midarm Circumference | 174 | ||
| Triceps Skinfold | 174 | ||
| Use of Growth Charts | 174 | ||
| Skin, Hair, and Nails | 175 | ||
| Skin | 175 | ||
| Inspection. | 175 | ||
| Palpation. | 175 | ||
| Hair | 175 | ||
| Nails | 176 | ||
| Lymph Nodes | 176 | ||
| Head, Neck, and Face | 176 | ||
| Head | 176 | ||
| Neck | 177 | ||
| Face | 177 | ||
| Nose, Mouth, and Throat | 177 | ||
| Nose | 177 | ||
| Mouth and Throat | 178 | ||
| Eyes | 179 | ||
| Visual Acuity | 179 | ||
| Color Vision | 180 | ||
| Peripheral Vision | 180 | ||
| Binocular Vision and Strabismus | 181 | ||
| Corneal Light Reflex Test. | 181 | ||
| Field-of-Vision Test. | 181 | ||
| Tests for Eye Muscle Function. | 181 | ||
| External Eye | 182 | ||
| Ophthalmoscopic Examination | 182 | ||
| Ears | 182 | ||
| Hearing Acuity | 182 | ||
| Infant Assessment. | 182 | ||
| Preschool and School-Age Assessment by Audiometry. | 182 | ||
| Preschool, School-Age, and Adolescent Assessment: The Whisper Test. | 182 | ||
| Conduction Tests (Tuning Fork Hearing Tests). | 182 | ||
| External Ear | 183 | ||
| Otoscopic Examination | 183 | ||
| Thorax and Lungs | 183 | ||
| Inspection | 183 | ||
| Palpation | 183 | ||
| Auscultation | 183 | ||
| Adventitious Breath Sounds | 186 | ||
| Heart | 186 | ||
| Inspection | 186 | ||
| Palpation | 187 | ||
| Auscultation | 187 | ||
| Normal Rate and Rhythm. | 188 | ||
| Extra Heart Sounds, Including Murmurs. | 188 | ||
| Peripheral Vascular System | 190 | ||
| Breast | 190 | ||
| Abdomen | 190 | ||
| Inspection | 190 | ||
| Auscultation | 190 | ||
| Percussion | 190 | ||
| Palpation | 190 | ||
| Male Genitalia | 192 | ||
| Female Genitalia | 193 | ||
| Musculoskeletal System | 193 | ||
| Infants | 194 | ||
| Toddlers, Preschoolers, and School-Age Children | 194 | ||
| Adolescents | 194 | ||
| Range of Motion | 194 | ||
| Muscle Strength and Mass | 194 | ||
| Joints | 194 | ||
| Gait | 194 | ||
| Neurologic System | 195 | ||
| Cerebral Function | 195 | ||
| Cranial Nerves | 196 | ||
| Cerebellar Function | 196 | ||
| Motor System | 196 | ||
| Sensory System | 196 | ||
| Reflex Status | 197 | ||
| Neurologic “Soft” Signs | 197 | ||
| Conclusion And Documentation | 201 | ||
| Key Concepts | 201 | ||
| References | 201 | ||
| Online_Chapter 9 | e22 | ||
| 10 Emergency Care of the Child | 202 | ||
| Learning Objectives | 202 | ||
| Clinical Reference | 202 | ||
| General Guidelines For Emergency Nursing Care | 202 | ||
| Growth And Development Issues In Emergency Care | 204 | ||
| The Infant | 204 | ||
| The Toddler | 205 | ||
| The Preschooler | 205 | ||
| The School-Age Child | 205 | ||
| The Adolescent | 206 | ||
| The Family Of A Child In Emergency Care | 206 | ||
| Emergency Assessment Of Infants And Children | 206 | ||
| Primary Assessment | 206 | ||
| Airway Assessment | 206 | ||
| Breathing Assessment | 207 | ||
| Cardiovascular Assessment | 207 | ||
| Disability: Neurologic Assessment | 207 | ||
| Exposure | 207 | ||
| Secondary Assessment | 209 | ||
| Vital Signs | 209 | ||
| History and Head-to-Toe Assessment | 209 | ||
| Diagnostic Tests | 209 | ||
| Weight | 210 | ||
| Parent-Child Relationship | 210 | ||
| Cardiopulmonary Resuscitation Of The Child | 211 | ||
| Airway and Breathing | 211 | ||
| Initial Assessment and Intervention | 211 | ||
| Obstructed Airway Management | 211 | ||
| Circulation | 211 | ||
| The Child In Shock | 212 | ||
| Etiology | 213 | ||
| Hypovolemic Shock | 213 | ||
| Distributive Shock | 213 | ||
| Cardiogenic Shock | 213 | ||
| Manifestations | 213 | ||
| Diagnostic Evaluation | 214 | ||
| Therapeutic Management | 214 | ||
| Hypovolemic Shock | 214 | ||
| Distributive Shock | 214 | ||
| Cardiogenic Shock | 215 | ||
| Nursing Care Of The Child In Shock | 215 | ||
| Assessment | 215 | ||
| Hypovolemic Shock. | 215 | ||
| Distributive Shock. | 215 | ||
| Cardiogenic Shock. | 215 | ||
| Nursing Diagnosis and Planning | 215 | ||
| Unit IV Caring for Children with Health Problems | 336 | ||
| 16 The Child with a Fluid and Electrolyte Alteration | 336 | ||
| Learning Objectives | 336 | ||
| Clinical Reference | 336 | ||
| Review of Fluid and Electrolyte Imbalances in Children | 336 | ||
| Alterations in Acid-Base Balance in Children | 338 | ||
| Dehydration | 341 | ||
| Etiology and Incidence | 342 | ||
| Manifestations | 343 | ||
| Diagnostic Evaluation | 343 | ||
| Therapeutic Management | 343 | ||
| Minimal Dehydration | 344 | ||
| Mild to Moderate Dehydration | 344 | ||
| Severe Dehydration | 344 | ||
| Adjunctive Management | 345 | ||
| Nursing Care of the Child with Dehydration | 345 | ||
| Assessment | 345 | ||
| Nursing Diagnosis and Planning | 346 | ||
| Expected Outcome. | 346 | ||
| Expected Outcomes. | 346 | ||
| Interventions | 346 | ||
| Evaluation | 347 | ||
| Diarrhea | 347 | ||
| Etiology and Incidence | 347 | ||
| Manifestations | 347 | ||
| Diagnostic Evaluation | 348 | ||
| Therapeutic Management | 348 | ||
| Prognosis | 349 | ||
| Nursing Care of the Child with Diarrhea | 349 | ||
| Assessment | 349 | ||
| Nursing Diagnosis and Planning | 349 | ||
| Glossary | 831 | ||
| Index | 837 | ||
| A | 837 | ||
| B | 838 | ||
| C | 838 | ||
| D | 840 | ||
| E | 840 | ||
| F | 841 | ||
| G | 842 | ||
| H | 842 | ||
| I | 843 | ||
| J | 845 | ||
| K | 845 | ||
| L | 845 | ||
| M | 845 | ||
| N | 846 | ||
| O | 847 | ||
| P | 847 | ||
| R | 848 | ||
| S | 849 | ||
| T | 850 | ||
| U | 851 | ||
| V | 851 | ||
| W | 851 | ||
| X | 851 | ||
| Online_Procedure A | e82 | ||
| Online_Procedure B | e88 | ||
| Online_Procedure C | e92 | ||
| Online_Procedure D | e96 | ||
| Online_Tables | e98 | ||
| Inside back cover | ibc_i |