Care Planning in Children and Young People's Nursing PDF
Preview Care Planning in Children and Young People's Nursing
Care Planning in Children and Young People’s Nursing For Breige Morgan, a contributing co-author of Chapter 37, who died suddenly on 12 October 2010. Breige had a huge personality, and she was a great inspiration to her colleagues, and to many sick children and their families. Care Planning in Children and Young People’s Nursing Edited by Doris Corkin Teaching Fellow (Children’s Team) School of Nursing & Midwifery Queen’s University Belfast Sonya Clarke Senior Teaching Fellow (Children’s & Orthopaedic/Trauma Nursing) School of Nursing & Midwifery Queen’s University Belfast Lorna Liggett Discipline Lead (Children’s Nursing) School of Nursing & Midwifery Queen’s University Belfast A John Wiley & Sons, Ltd., Publication This edition fi rst published 2012 © 2012 by Blackwell Publishing Ltd Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing program has been merged with Wiley’s global Scientifi c, Technical and Medical business to form Wiley-Blackwell. Registered offi ce: John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offi ces: 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 350 Main Street, Malden, MA 02148-5020, USA For details of our global editorial offi ces, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/ wiley-blackwell. The right of the author to be identifi ed as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. Library of Congress Cataloging-in-Publication Data Care planning in children and young people’s nursing / edited by Doris Corkin, Sonya Clarke, Lorna Liggett. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-1-4051-9928-5 (pbk. : alk. paper) ISBN-10: 1-4051-9928-8 (pbk. : alk. paper) 1. Pediatric nursing. 2. Nursing care plans. I. Corkin, Doris. II. Clarke, Sonya. III. Liggett, Lorna. [DNLM: 1. Patient Care Planning. 2. Pediatric Nursing–methods. 3. Adolescent. 4. Child. 5. Nursing Care–methods. 6. Risk Assessment. WY 159] RJ245.C368 2011 618.92'00231–dc23 2011015846 A catalogue record for this book is available from the British Library. This book is published in the following electronic formats: ePDF 9781444346039; ePub 9781444346046; Mobi 9781444346053 Set in 10/12 pt Trump Mediaeval by Toppan Best-set Premedia Limited, Hong Kong 1 2012 Contents Foreword xi Preface xii Contributors xiv Acknowledgements xxvi Section 1: Principles of Care Planning 1 1 The Nature of Care Planning and Nursing Delivery for Infants, Children and Young People 3 Doris Corkin and Pauline Cardwell Introduction 3 Nursing process – what is the nursing process? 3 Nursing diagnoses 6 Planning care – what is a care plan? 7 Philosophy of care 9 What are nursing models 9 Summary 15 References 19 2 Risk Assessment and Management 21 Sonya Clarke and Doris Corkin Introduction 21 Risk assessment 21 Main sources of risk 22 Categories of risk 23 Risk management 24 Examples of risk 24 Following an incident 24 Summary 25 References 25 3 Safeguarding to Protect Children, Young People and Their Families 27 Lorna Liggett Introduction 27 Inquiry into Victoria Climbié 27 Recognition of child abuse and neglect 28 Policies and procedures 31 Assessment 34 Record-keeping 35 vi Contents Roles and responsibilities 36 Summary 37 References 38 4 Ethical and Legal Implications When Planning Care for Children and Young People 39 Orla McAlinden Introduction 39 Ethics and morality 40 The law 42 What is advocacy? 43 The rights of the child 44 Consent 45 Challenges to healthcare decisions and actions 45 Evidence-based practice 46 Documentation within care planning 46 Summary 47 References 48 5 Young People and Truth Telling 50 Catherine Monaghan Introduction 50 Summary 55 References 56 6 Sexual Health 57 Jim Richardson Introduction 57 Answers to questions 58 Some facts 59 Summary 61 References 61 7 Integrated Care Pathways 62 Pauline Cardwell and Philomena Morrow Introduction 62 The origins of integrated care pathways 63 What are integrated care pathways? 63 How do integrated care pathways contribute to evidence-based practice? 66 Summary 67 References 67 8 Interprofessional Assessment and Care Planning in Critical Care 69 Philomena Morrow Introduction 69 Case study 69 Interprofessional working 70 ABCDE assessment framework 73 Assessment of disability 76 Contents vii Summary 79 References 79 9 Practice Education Facilitator, Mentor and Student – Supporting the Planning of Care 81 Michael Davidson and Nuala Devlin Introduction 81 Role of mentors 82 Practice education facilitator role 82 Case study 84 Summary 87 References 87 10 Holistic Care – Family Partnership in Practice 89 Erica Brown Introduction 89 Family-centred care 90 Families adapting to their child’s illness 90 Empowering parents 92 Summary 94 References 94 11 From Hospital to Home – Parents’ Refl ective Account 96 Ian and Nicola Markwell Introduction 96 Planning care 97 Hospital to home 99 Living with Ryan and his tracheostomy 100 Parents as carers 101 Siblings and extended family 102 Our son Ryan 103 Ryan’s education 103 Giving something back 104 Section 2: Care Planning – Pain Management 105 12 Managing a Neonate in an Intensive Care Unit 107 Clare Morfoot and Susanne Simmons Answers to questions 108 References 114 13 Epidural Analgesia 116 Michelle Bennett and Sharon Douglass Answers to questions 117 References 121 Section 3: Care of Children and Young Persons with Special Needs 123 14 Young Person with a History of Epilepsy 125 Alan Forster viii Contents The epilepsies 126 Answers to questions 127 Seizures 130 References 136 Websites for further reading 138 15 Nut Allergy – Anaphylaxis Management 139 Diane Gow Answers to questions 140 References 146 16 Closed Head Injury 147 Katie Dowdie and Carol McCormick Answers to questions 148 References 159 17 Obesity 160 Janice Christie Answers to questions 162 Summary 169 References 170 Section 4: Care of Neonates and Children with Respiratory Disorders 173 18 Neonatal Respiratory Distress Syndrome 175 Susanne Simmons and Clare Morfoot Answers to questions 176 References 182 19 Cystic Fibrosis 183 Hazel Mills and Mary MacFarlane Answers to questions 184 References 189 20 Asthma 191 Barbara Maxwell Answers to questions 192 References 198 Section 5: Care of Infants and Young Persons with Cardiac Conditions 199 21 Cardiac Catheterisation 201 Pauline Carson Answers to questions 202 References 207 22 Infant with Cardiac Failure 208 Anne Finnegan Contents ix Answers to questions 209 References 219 Section 6: Care Planning – Surgical Procedures 223 23 Tonsillectomy 225 Kathryn O’Hara and Doris Corkin Answers to questions 226 References 231 24 Appendicectomy 233 Lorna Liggett Answers to questions 234 References 240 Section 7: Care of Infants and Young Persons with Orthopaedic Conditions 241 25 Ilizarov Frame 243 Sonya Clarke Answers to questions 245 References 254 26 Developmental Dysplasia of the Hip 256 Sonya Clarke Answers to questions 258 References 262 Section 8: Care of the Gastro-intestinal Tract in Infants and Children 263 27 Gastro-oesophageal Refl ux 265 Doris Corkin and Heather McKee Answers to questions 266 References 271 28 Cerebral Palsy and Nasogastric Tube Feeding 272 Gillian McEwing Answers to questions 273 References 280 29 Enteral Feeding – Gastrostomy Care 282 Catherine Paxton Answers to questions 283 References 290 Section 9: Care of Children and Young Persons with Endocrine Disorders 291 30 Nephrotic Syndrome 293 Janet Kelsey x Contents Answers to questions 294 References 299 31 Newly Diagnosed Diabetic 300 Pauline Cardwell and Doris Corkin What is diabetes mellitus? 301 Answers to questions 301 References 307 32 Acute Renal Failure/Kidney Injury 308 Hazel Gibson, Gloria Hook and Rosi Simpson Answers to questions 309 References 315 Further reading 316 Section 10: Care of Infants and Young Persons with Skin Conditions 319 33 Infant with Infected Eczema 321 Gilli Lewis and Debbie Rickard Answers to questions 322 References 329 34 Burns Injury 332 Idy Fu Answers to questions 333 References 339 Section 11: Care of Children and Young Persons with Life-Limiting Conditions 341 35 Young Person with Spinal Muscular Atrophy 343 Doris Corkin and Julie Chambers Answers to questions 344 References 350 36 HIV/AIDS 352 Karen Salmon Answers to questions 356 References 359 37 Bereavement Support 361 Una Hughes and Breige Morgan Answers to questions 362 Summary 366 References 367 Appendices 368 Index 391
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