Chapter 9 School-Age Children Copyright ©2019 F.A. Davis Company Learning Objectives Describe growth and development during the school-age years. Identify age-specific physical assessment approaches for school-age patients. Explain medication approaches for schoolage patients. Explain variations in nursing procedures for school-age patients. Copyright ©2019 F.A. Davis Company Learning Objectives (continued_1) Describe strategies for assessing health promotion practices among school-age patients. Describe emergency care considerations for school-age patients. Identify strategies to support school-aged adolescents. Copyright ©2019 F.A. Davis Company Learning Objectives (continued_2) Integrate chronic care concepts and considerations specific to the school-age population. Integrate home-care concepts and considerations specific to the school-age population. Recognize complementary and alternative therapies used by school-age patients. Recognize child abuse considerations relevant to school-age patients. Copyright ©2019 F.A. Davis Company Introduction Children 6 to 12 years old Growing at a slower rate Important milestones Copyright ©2019 F.A. Davis Company Growth and Development Physical assessment • • • • Vital signs Height/weight Fluid requirements Pain assessment Copyright ©2019 F.A. Davis Company Growth and Development (continued_1) General survey – annual • • • • Skin Head, eyes, ears Mouth/teeth Throat, nose Copyright ©2019 F.A. Davis Company Growth and Development (continued_2) Systems • Cardiovascular and respiratory • Gastrointestinal/genitourinary, reproductive • Neurovascular/musculoskeletal Development • Cognitive, psychological, social Copyright ©2019 F.A. Davis Company Question When assessing the nose, a blue or “boggy” appearance of the nasal mucosa indicates what? A. Infection B. Allergies C. Mucosal dryness D. Sinusitis Copyright ©2019 F.A. Davis Company Answer Correct Answer: B A blue or “boggy” appearance of the nasal mucosa indicates allergies. Copyright ©2019 F.A. Davis Company Physical Assessment Approaches Medication administration • Oral • Subcutaneous • IV Copyright ©2019 F.A. Davis Company Physical Assessment Approaches (continued) Variations on nursing procedures • Trust • Look-talk-touch approach Copyright ©2019 F.A. Davis Company Health Promotion Safety Nutrition Exercise Copyright ©2019 F.A. Davis Company Health Promotion (continued) School Bullying Substance use Sexual activity Copyright ©2019 F.A. Davis Company Emergency Care Leading causes of death Family-centered care Copyright ©2019 F.A. Davis Company Acute Care Hospitalization Hospital room/environment • Visitation Caregiver’s role and support • Pediatric care preferences • PEWS • Child-life specialist Copyright ©2019 F.A. Davis Company Care of the Chronically Ill Child Role of the primary caregiver • Involvement in care Home-care considerations • Normalization, limitations, milestones Copyright ©2019 F.A. Davis Company Question What is E M L A cream used for? A. Local anesthetic B. Topical sterilizer C. Topical antibacterial D. Antifungal itch cream Copyright ©2019 F.A. Davis Company Answer Correct Answer: A Use a eutectic mixture of local anesthetics (E M L A) medicated cream, when appropriate, to prevent pain associated with needle insertion, intravenous cannulation, and superficial surgery on the skin and genital mucous membranes. Copyright ©2019 F.A. Davis Company Summary In this chapter, we covered: • • • • • • Growth and Development Physical Assessment Approaches Health Promotion Emergency Care Acute Care Hospitalization Care when Chronically Ill Copyright ©2019 F.A. Davis Company