Chapter 26 Lesson: Perspectives on Pediatric Nursing (Summary Notes) Infancy - less than 1 yr Early Childhood - 1 to 4 yr Middle Childhood - 5 to 10 yr Adolescence - 10 to 18 yr ★ Independent decision making develops in middle childhood Lack of physical activity and increased consumption of unhealthy food by teens can lead to…. ★ Obesity ★ T2DM ★ Hypertension ★ Hyperlipidemia Pediatric Obesity…. ★ Def: BMI is greater than or equal to the 95th percentile ★ Childhood obesity has almost quadrupled over past 40 years ★ Children who are obese tend to continue on with obesity in adulthood ★ Increased use of technology has led to a sedentary lifestyle and and increase in pediatric obesity Evidence-based Practice (EBP): allows nurses to question whether current practices are effective, and if not, find a better approach through critical analysis of current research PICOT Question Development: used in order to formulate a clinical question related to the clinical problem P = problem/population/patient I = intervention C = Comparison O = outcome T = time GRADE Criteria: used during the literature review process to appraise articles Atraumatic Care: helps minimize the stress on the child and family during treatment