Chapter 1
Perspectives of Pediatric Nursing
Health Promotion for Children
Promote Promote development
Improve Improve childhood nutrition
Improve Improve oral health
Issues Affecting Childhood Health
Obesity and type 2 diabetes
Childhood injuries
Violence
Mental health problems
Mortality
Infant mortality: number of
deaths per 1000 live births
during the first year of life
• Neonatal period: Day 1 to
day 27 of life
• Postnatal period: Day 28
to 1 year of life
Child mortality: number of
deaths per 1000 live births
after the first year of life
Infant Mortality Risk Factors
AfricanAmerican race
Male gender
Short or long
gestation
Low birth
weight
Maternal age
(younger or
older)
Maternal
education
Causes of Infant Death
Congenital anomalies
Sudden infant death syndrome (SIDS)
Unintentional injury
Childhood Mortality
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Injuries are the leading cause of death in
children older than 1 year
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Motor vehicle crashes
Drowning
Burns
Firearms
Poisoning
Childhood Morbidity
May denote acute illness, chronic disease, or disability
Difficult to define and measure
Groups with increased morbidity:
• Children who are homeless or poor
• Chronically ill
• Foreign-born adopted children
• Children in daycare
Philosophy of Care
Family-centered
care
•Enabling
•Empowerment
Atraumatic care
Role of the Pediatric Nurse
Therapeutic
relationship
Family advocacy
and caring
Disease
prevention and
health promotion
Health Teaching
Injury prevention
Support and
counseling
Coordination and
collaboration
Ethical decision
making
Evidence-Based Nursing Practice
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Question why
something is
effective
Search for
evidence
Critically
analyze the
evidence
Apply the
evidence:
nursing
implications
Nursing Process
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Assessment
Diagnosis (problem identification)
Clinical outcomes identification
Planning
Implementation
Evaluation
Documentation