T1 Baptist Health College Little Rock School of Nursing NSG 2307 WOMEN’S AND CHILDREN’S HEALTH NURSING MANAGEMENT OF THE CHILD WITH CHRONIC OR SPECIAL NEEDS 2022 OBJECTIVES: 1. Identify the scope of and changing trends in care, major reactions of and effects of children with special needs on the family. 2. Define the stages of adjustment to the diagnosis of a chronic condition. 3. Recognize the impact of the illness or condition on the developmental stages of childhood. 4. Outline nursing interventions that promote the family’s optimal adjustment to the child’s chronic disorder. 5. Outline nursing interventions that support the family at the time of death and identify symptoms of expected grief. 6. Define the classifications of intellectual disability, developmental delays, and cognitive impairment. 7. Outline nursing interventions for the child with cognitive impairment that promote optimal development, including during hospitalization. 8. Identify the major biologic and cognitive characteristics of children with Down syndrome and fragile X syndrome. 9. List the general classifications of hearing impairment and interventions aimed at children with a speech or hearing disability. 10. Outline nursing interventions for children with an autism spectrum disorder. COURSE RELATED OUTCOMES: I. II. III. IV. V. Develop a plan of care utilizing theoretical knowledge, clinical reasoning skills and the nursing process to meet the healthcare needs of women, newborns, the pediatric client and family. Formulate a holistic, culturally relevant teaching plan to provide client-centered, evidence-based education and care to women, newborns, the pediatric client and family. Implement client-centered care according to ethical principles and legal standards that promotes a culture of safety when caring for women, newborns, the pediatric client and family. Demonstrate attitudes and behaviors expected of the professional nurse within the context of accountability, communication and collaboration with the multi-disciplinary healthcare team in the care of women, newborns, the pediatric client and family. Analyze client data and utilize computer technology to support effective decision making and improve the safety and quality of care for women, newborns, the pediatric client and family. EXEMPLARS 1. Roles and trends in complex diseases 2. Adjustments on the family 3. Developmental aspects and coping 4. Promotion of normal behaviors 5. End of life care and the child 6. Grief and mourning 5. Cognitive impairments classifications 6. Functional impairement 7. Down syndrome 8. Fragile X syndrome 9. Hearing and visual impairment 10. Caring for the hospitalized child 11. Autism spectrum disorders T2 READING ASSIGNMENT: ATI Contest mastery series review module. Nursing care of children (11 th ed). Chapter 11, 15, 44. Perry, S.E., Lowdermilk, D.L., Cashion, K., Hockenberry, M.J., Wilson, D., Rodgers, C.C., & Olshansky, E.F. (2018). Maternal child nursing care (6th ed). Maryland Heights, MO: Mosby ElSevier. Chapters 36 and 37. LECTURE SPECIFIC QSEN ACTIVITES Lecture PowerPoint Presentation YouTube Video Lecture EAQ Quizzing Level Up RN: Sensory Disorders https://www.youtube.com/watch?v=pHLB-KiNZBs Activity Patient-Centered Care Informatics Evidence-Based Practice Informatics Evidence-Based Practice Patient-Centered Care T3 NSG 2307 WOMEN’S AND CHILDREN’S HEALTH NURSING MANAGEMENT OF THE CHILD WITH CHRONIC OR SPECIAL NEEDS LECTURE OUTLINE: Children with Chronic or Complex Diseases Scope of the problem Trends in care The Family of a Child with Chronic or Complex Conditions Effects of the child’s chronic illness or disability Parents Siblings Coping with Ongoing Stress and Periodic Crises Concurrent stresses within the family Coping mechanisms Parental empowerment Assisting Family Members in Managing Feelings The Child with a Chronic or Complex Condition Nursing Care of the Family and Child Assessment Providing support at time of diagnosis Supporting family’s coping methods Educating About the Disorder and General Health Care Activities of daily living Safe transportation Primary health care Promoting Normal Development Establishing Realistic Future Goals Perspectives on Care of Children at End of Life Organ or Tissue Donation and Autopsy Grief and Mourning Grief: a process Cognitive Impairment Intellectual Disability Functional Impairments (Adaptive Skill Areas) Cognitive Impairment (CI): Classification Cognitive Impairment: Causes T4 Nursing Care of Children with Impaired Cognitive Function Measures to Prevent Cognitive Impairment Down Syndrome Diagnostic Evaluation Clinical manifestations Therapeutic Management Fragile X Syndrome Clinical Manifestations Classic Behavioral Features Therapeutic Management Hearing Impairment Pathology Therapeutic Management Hearing Impairment: Manifestations in Infancy Hearing Impairment: Manifestations in Childhood Hearing Impairment: Promoting Communication Hearing Impairment: Care for Child During Hospitalization Hearing Impairment: Preventive Measures Visual Impairment Visual Impairment: Classification Types Care Management Preventive Measures Visual Impairment: Hospitalization of Affected Child Hearing-Visual Impairment Retinoblastoma Autism Spectrum Disorders (ASDs) Clinical Manifestations and Diagnostic Evaluation Care Management Family Support
