TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
CONTENT
LEARNING ACTIVITIES
UNIT I
UNIT I
UNIT I
CARE OF THE INFANT TODDLER
PRE-SCHOOL, SCHOOL-AGE AND
ADOLESCENT IN THE WELLNESS STATE
CARE OF THE INFANT TODDLER
PRE-SCHOOL, SCHOOL-AGE AND
ADOLESCENT IN THE WELLNESS STATE
CARE OF THE INFANT TODDLER
PRE-SCHOOL, SCHOOL-AGE AND ADOLESCENT
IN THE WELLNESS STATE
Given the theoretical concepts, the student will,
on written and/or oral examination:
A.
REQUIRED READINGS
A.
B.
C.
D.
E.
F.
G.
identify the nurse’s role in health promotion
for the infant, toddler, pre-school, school aged
child, and the adolescent.
analyze data collected, identify nursing
diagnoses and formulate long and short term
goals.
relate all nursing needs and care to normal
growth and developmental patterns within each
age group.
relate principles of nutritional developmental
level with children in each age group.
design nursing systems and specify
intervention.
evaluate the effectiveness of the plan of care.
modify plan of care based on re-assessment.
Assessment
1. Health history
2. Physical Exam
3. Normal growth and development
according to developmental requisites:
a. Erickson
b. Freud
c. Piaget
d. Kohlberg
4. Diagnostics/Measurements
a. Revised Pre-screening
Denver Developmental Questionnaire
b. Tanner scale
c. Height/weight graphs
d. Vision and Hearing screenings
e. Genogram
5. Nursing Diagnoses
6
Please see addendum for required readings
EDUCATIONAL MEDIA
VIDEOTAPES
1.“The Growing Child Infancy Through Adolescence
2. “Dying To Be Thin”
COMMUNITY ASSESSMENT
Playground Assessment
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT I (continued)
CONTENT
UNIT I (continued)
B.
C.
Planning and Implementation
1. Goals
2. Collaborative Care/Health teaching
a. Specific development concerns
(i.e. sibling rivalry, toilet training, etc.)
b. Dental care
c. Nutrition
d. Regular check-ups
e. Immunization schedule
f.
Hygiene
g. Safety/accident prevention
h. Health/Sex education
Community Resources
1. Child health conferences/Well Child
Clinic
2. Child Study Team/Children’s Special
Services
3. Day Care Centers/Schools
4. Women Infant & Children Nutrition
Program (WIC)
5. Division of Youth and Family Services
(DYFS)
6. Infant Stimulation Program (Early
Intervention)
7. Head Start
8. Poison Control
9. Other
7
LEARNING ACTIVITIES
UNIT I (continued)
Develop age specific information maps for Growth
and Development.
Develop information map on anorexia nervosa &
bulimia nervosa.
CLINICAL ACTIVITIES
Labs
A. Nutrition for Children
B. Playground Assessment
RECOMMENDED READINGS
Please see addendum for recommended readings.
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT I (continued)
CONTENT
UNIT I (continued)
D.
Evaluation
1. Expected outcomes
2. Re-assessment
3. Modification of nursing care plan/clinical
pathways
8
LEARNING ACTIVITIES
UNIT I (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT I (continued)
CONTENT
LEARNING ACTIVITIES
UNIT I (continued)
CLINICAL OBJECTIVES
CLINICAL ACTIVITIES
Given any pediatric patient within the family, the
student will:
When available students will:
Assess nutritional needs of children.
A.
assess growth and development.
B.
recognize manifestations of separation.
C.
demonstrate a knowledge of age-appropriate
fears.
D.
plan and implement care designed to meet the
growth and developmental needs of the client
and family.
E.
utilize age appropriate communication skills.
F.
plan diversional activities and play therapy
adopting:
1. growth and development.
2. child’s physical and psychological
limitations.
3. physical limitations of environment.
G.
evaluate the plan of care for the child based on
the attainment of mutually-established goals
with the child/family.
H.
modify plan of care based on re-assessment.
Observe and work with well children
(Infancy through adolescents).
Attend interdisciplinary case conferences or
nursing rounds and Pediatric Grand Rounds
(as available).
Rotate through community clinics as available, i.e.
( Peds. Clinic & E.R.).
Perform a Revised Pre-screening Denver
Developmental Test.
9
NUR E260 BEHAVIORAL OBJECTIVES
UNIT II
TRINITAS SCHOOL OF NURSING
CONTENT
UNIT II
UNIT II
CARE OF THE HOSPITALIZED CHILD
CARE OF THE HOSPITALIZED CHILD
REQUIRED READINGS
Given a child/family situation, the student will on
written and/or oral examination:
A.
See addendum for required readings
A.
utilize the assessment component of the
nursing process to:
1. relate growth and development principles
to the care of the hospitalized child.
2. describe the stresses of hospitalization
on the family.
3. explain how parental attitudes towards
hospitalization affect the hospitalized child.
4. identify concepts of death in all age
groups.
5. apply principles of health teaching for
future well being.
6. list community resources which can be
utilized for the hospitalized and well
child/family.
Assessment
1. Developmental reaction to illness and
hospitalization:
a. Infant
b. Toddler
c. Pre-School
d. School-age
e. Adolescent
2. Basic Needs
a. Parental attitudes
b. Emotional and physical stress of
hospitalization and coping
mechanisms.
c. Developmental reaction to death &
dying
1. Infant
2. Toddler
3. Pre-School
4. School-age
5. Adolescent
d. Health Education needs
3. Nursing Diagnosis
LEARNING ACTIVITIES
RECOMMENDED READINGS:
Please see addendum for recommended readings.
EDUCATIONAL MEDIA
VIDEOTAPE
“Nurse To Child”
“Physical Assessment & Health Assessment of the
Child”
“Pediatric Nursing”
Learning/Simulation Lab:
1.
2.
3.
4.
10
Pediatric medication administration including
volume control sets and pumps, injections,
Pediatric Urine Collector (PUC) placement
Specific Gravity Test Performance
Correct infant holds, restraints, safety cribs,
lumbar puncture hold etc.
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT II (continued)
7.
8.
9.
recognize legal/ethical principle for
appropriate nursing care.
select toys/appropriate activities for
different age groups and physical
limitations.
list nursing measures which can be
utilized to reduce anxiety of the child
and family.
B.
analyze data collected to identify nursing
diagnoses.
C.
formulate long and short term goals with
child and family.
D. design nursing systems and plan collaborative
care.
E. evaluate a plan of care.
F.
modify plan of care based on re-assessment.
CONTENT
UNIT II (continued)
B.
Planning and Implementation
1. Goals
2. Collaborative Care/Health Teaching
a. Adaptation of procedure and
techniques
1. Safety
2. Admission/Discharge procedure
3. Medications
4. Therapies
5. Follow-up care
6. Child Life Therapy
7. Pain Management
b. Legal/Ethical aspects
1. Child’s rights
2. Parents rights
3. Nurse’s responsibilities
c. Hospital policies related to familycentered care
d. Role of unlicensed personnel
e. Assist parent/child to express their
feelings about:
1. Hospitalization
2. Illness
3. Death
11
LEARNING ACTIVITIES
UNIT II (continued)
CASE STUDY
Medication Administration Case Study
GENOGRAM
Develop & submit a three generational genogram
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT II (continued)
CONTENT
UNIT II (continued)
f.
g.
identify and report alterations in parenting
as exhibited by the parents/family of the
assigned child
identify measures to reduce anxiety
1. Significance of play
2. Rooming-In
3. Pre-Op teaching
4. Child life specialist
3.
C.
Community resources
a. Special tutoring
b. Agency/referrals
1) Parents support groups
2) Protective agencies for children
3) Children’s Special Service
4) Child Health Conferences
5) Outpatient service
6) Rehabilitation facilities
7) Visiting Nurse/Public Health
Departments
Evaluation
1. Expected outcomes
2. Re-assessment
3. Modification of nursing care plan/clinical
pathway
12
LEARNING ACTIVITIES
UNIT II (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT II (continued)
CONTENT
UNIT II (continued)
LEARNING ACTIVITIES
UNIT II (continued)
CLINICAL OBJECTIVES
CLINICAL ACTIVITIES
Given a hospitalized pediatric client and his/her
family, the student will:
When available the student will:
A.
assess fluid and electrolyte balance.
B.
recognize the correlation of therapeutic
communication to anxiety reduction in
children/families.
C.
assess the effects of hospitalization/illness on
growth and development.
care for a hospitalized pediatric client from
infancy through adolescence.
provide pre-operative teaching in an acute care setting
using play therapy.
provide health education to children/families.
D.
E.
discuss the role of unlicensed assistive personnel in
providing care for the hospitalized child.
demonstrate a knowledge of pharmacological
theory related to medication administration to
the child.
submit a comprehensive pediatric nursing care
plan.
adopt procedures and techniques to safely
care for children, based on developmental
theory.
13
TRINITAS SCHOOL OF NURSING
NUR E260
CONTENT
BEAVIORAL OBJECTIVES
UNIT III
UNIT III
UNIT III
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A RESPIRATORY DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A RESPIRATORY DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A RESPIRATORY DEVIATION
Given the theoretical concepts, the student will,
on written/or oral examination, apply previously
learned knowledge and:
A.
REQUIRED READING
See addendum for required readings
A.
discuss respiratory problems and needs of the
child, terminology, signs and symptoms,
diagnostic tests, treatments and scientific
principles related to deviations.
B.
identify the nurse’s role in health
promotion/maintenance.
C.
identify growth and development principles
related to the care of the pediatric client
with a respiratory deviation.
B.
D. apply principles of health
promotion/maintenance for the child
immunizations, well child care safety measures
as related to selected deviations.
E. collect and analyze data to formulate
nursing diagnoses.
Description of the health state
a. Bronchopulmonary dysplasia (BPD)
b. Apnea of infancy/ALTE
c. Respiratory Distress Syndrome (RDS)
d. Croup/epiglottitis/LTB
e. Bronchiolitis
f. Cystic fibrosis
g. Sudden Infant Death (SID)
h. Diaphragmatic hernia
i. Near drowning
Nursing Assessment/Self-Care Requisites
1. Health history
2. Physical assessment
3. Diagnostic tests
a. Sweat test
4. Use of special equipment
a. Oxygen monitoring
Direct
Indirect – pulse oximetry
b. Apnea Monitor
5. Abilities/Limitations
6. Nursing Diagnosis
LEARNING ACTIVITIES
RECOMMENDED READINGS
Please see addendum for recommended
readings.
CASE STUDY
 The Toddler with Pneumonia
 The Infant with Bronchiolitis
 The School Age with Cystic Fibrosis
EDUCATIONAL MEDIA
Videos
“Basic Pediatric Airway Management and Oxygen
Therapy”
“Small Miracles: Management of the Premature
Neonate” Respiratory Distress Syndrome &
Bronchopulmonary Dysplasia
Computer Assisted Instruction
 A Pre-Schooler Hospitalized with Cystic
Fibrosis
 A Toddler with Respiratory Difficulties
 Pharmacology I: Adolescent with Asthma
14
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT III (continued)
CONTENT
UNIT III (continued)
F. formulate long and short term goals.
C.
Planning/Implementation
1. Goals
2. Collaborative Care
a. Respiratory therapy
CPAP, PEEP, IPPB
Oxyhoods
Nebulizer
b. Nutrition Therapy
c. Drug/IV therapy
3. Nursing implication & Ethical
Considerations
4. Health teaching
5. Discharge Planning/Community
Resources
D.
Evaluation
1. Expected outcomes
2. Re-assessment
3. Modification of the nursing care
plan/clinical pathway
G. design nursing systems and plan collaborative
care with other members of the health care
team.
H. provide health care teaching.
I.
begin discharge planning and referrals to
community resources.
J.
compare actual to expected outcomes and
re-assess as needed.
K. modify the plan of care based on the reassessment.
15
LEARNING ACTIVITIES
UNIT III (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT III (continued)
CONTENT
UNIT III (continued)
LEARNING ACTIVITIES
UNIT III (continued)
CLINICAL OBJECTIVES:
CLINICAL ACTIVITIES:
Given a pediatric client the student will:
When available the student will:
1. perform a cephalocaudal assessment.
Perform a pediatric respiratory physical
assessment.
2. assess growth & development.
Provide nursing care to a pediatric client
with a respiratory deviation.
3. recognize manifestions of separation.
Consult with the respiratory therapist on the
plan of care for a pediatric client in an acute
care setting.
4. assess the effects of hospitalization/illness on
Perform chest PT on a pediatric client.
growth & development.
5. identify nursing diagnoses based.
6. provide appropriate interventions based on
assessment:
a. cultural aspects
b. learning needs
c. self-care requisites
d. growth & development
e. physical & psychological limitations
f. physical limitations of the environment
g. safety
16
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT III (continued)
CONTENT
UNIT III (continued)
CLINICAL OBJECTIVES:
7. assess fluid maintenance and replacement
needs.
8. perform specific gravity.
9. maintain IV fluids.
10. administer medications/therapies
11. obtain a urine specimen from child.
12. accompany a child off the acute care unit.
13. provide health education to child/family.
14. use age appropriate communication skills.
15. adapt procedures and techniques to safely
care for child.
17
LEARNING ACTIVITIES
UNIT III (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
CONTENT
BEHAVIORAL OBJECTIVES
UNIT IV
UNIT IV
UNIT IV
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING COMMUNICABLE DISEASE
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING COMMUNICABLE DISEASE
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING COMMUNICABLE DISEASE
Given the theoretical concepts, the student will,
on written and/or oral examination apply
previously learned knowledge and:
A.
REQUIRED READING
See Addendum for required readings
A.
discuss communicable disease and needs of
the child, terminology, signs and symptoms,
diagnostic tests, treatments and scientific
principles related to selected deviations.
B.
identify the nurse’s role in health promotion
and maintenance.
C.
identify growth and development principles
related to the care of the child with a
communicable disease.
D.
apply principles of health
promotion/maintenance for the child:
1. Immunizations
2. Well Child Care
3. Safety Measures
E.
collect and analyze data to formulate
nursing diagnosis.
Description of the disease state:
a. Mumps
b. Rubeola
c. Rubella
d. Varicella
e. Scarlet Fever
f.
Diptheria
g. Pertussis
h. Erythema Infectiosum
i.
Herpes Simplex
j.
Rabies
k. Stretococcal/Staph
l.
Roseola
m. Lyme Disease
n. Pediculosis
o. Scabies/Tineas
p. Infectious Mononucleosis
q. Neonatal Sepsis
r.
Helminths
18
LEARNING ACTIVITIES
RECOMMENDED READINGS
Please see addendum for recommended readings.
CASE STUDY
A Teen with Mononucleosis
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT IV (continued)
formulate short and long term goals.
CONTENT
UNIT IV (continued)
B.
Nursing Assessment/Self-Care Requisites:
1. Health history
2. Physical Assessment
3. Diagnostic tests
a. Blood work
b. X-rays, Scans
4. Abilities/Limitations
5. Nursing diagnosis
C.
Planning and Implementation:
1. Goals
2. Collaborative Care:
a. Surgical intervention
b. Nutrition therapy
c. Drug/IV therapy
d. Fluid requirements and maintenance
3. Nursing implications
4. Health teaching
5. Discharge Planning/Community
Resources/Case Management
F. design nursing systems and plan
collaborative care with other members of
the health care team.
G. provide health care teaching.
H. begin discharge planning and referrals to
community resources.
I.
compare actual to expected outcomes and reassess as necessary.
J.
modify the plan of care based on the reassessment.
19
LEARNING ACTIVITIES
UNIT IV (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT IV (continued)
CONTENT
UNIT IV (continued)
D.
Evaluation
1. Expected outcomes
2. Re-assessment
3. Modification of the care play/clinical
pathway
20
LEARNING ACTIVITIES
UNIT IV (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT IV (continued)
CONTENT
UNIT IV (continued)
LEARNING ACTIVITIES
UNIT IV (continued)
CLINICAL OBJECTIVES
CLINICAL ACTIVITIES
Given a pediatric client the student will:
When available, the student will:
1.
2.
3.
4.
Attend an immunization clinic for children.
5.
6.
7.
8.
9.
perform a cephalocaudal assessment.
assess growth and development.
recognize manifestations of separation
assess the effects of hospitalization/illness on
growth and development.
identify nursing diagnosis based on
assessment.
provide appropriate interventions based on
assessment.
a. cultural aspects
b. learning needs
c. self-care requisite
d. growth and development
e. physical and psychological limitations
f.
physical limitations of the environment
g. safety
assess fluid maintenance and replacement
needs.
perform specific gravity.
maintain IV fluid
Provide nursing care for a child experiencing
a communicable disease.
Review the immunization records of children.
Provide health education to families regarding
immunizations and/or communicable diseases.
Develop a health education class (ex: hand washing)
for a group of pre-school or school age children.
21
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT IV (continued)
CONTENT
UNIT IV (continued)
CLINICAL OBJECTIVES
10.
11.
12.
13.
14.
15.
administer medications/therapies.
obtain a urine specimen from child.
accompany a child off the acute care unit.
provide health education to child/family.
use age appropriate communication skills.
adapt procedure and techniques to safely care
for child.
22
LEARNING ACTIVITIES
UNIT IV (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT V
UNIT V
UNIT V
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A NEUROLOGIC DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A NEUROLOGIC DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A NEUROLOGIC DEVIATION
Given the theoretical concepts, the student will,
on written and/or oral examination, apply
previously learned knowledge and:
A.
REQUIRED READING
A.
CONTENT
discuss neurologic problems and needs of the
child, terminology, signs and symptoms,
diagnostic tests, treatments and scientific
principles related to selected deviations.
B.
identify the nurse’s role in health promotion and
maintenance.
C.
identify growth and development principles
related to the care of the child with a neurologic
deviation.
B.
D.
apply principles of health
promotion/maintenance for the child:
1. Immunizations
2. Well Child Care
3. Safety measures
Description of the health state:
a. Febrile seizure
b. Brain tumor/Neuroblastoma
c. Hydrocephalus
d. Neural tube defect
e. Meningitis
f.
Reye syndrome
g. Encephalitis
h. Latex Allergy
Nursing Assessment/Self-Care Requisites:
1. Health history
2. Physical Assessment
3. Diagnostic tests
a. Blood work
b. X-rays, Scans
c. Pediatric Glasgow Coma Scale
4. Abilities/Limitations
5. Nursing diagnosis
23
LEARNING ACTIVITIES
Please see addendum for required readings.
RECOMMENDED READINGS
Please see addendum for recommended readings.
CASE STUDY



Attention Deficit/Hyperactivity Disorder
(ADHD)
Meningitis
Hydrocephalus with Myelomeningocele.
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT V (continued)
CONTENT
UNIT V (continued)
C.
E.
collect and analyze data to formulate nursing
diagnosis.
F.
formulate short and long term goals.
G.
design nursing systems and plan collaborative
care with other members of the health care
team.
H.
provide health care teaching.
I.
begin discharge planning and referrals to
to community resources.
J.
compare actual to expected outcomes and
re-assess as necessary
K.
modify the plan of care based on the reassessment.
Planning and Implementations:
1. Goals
2. Collaborative Care:
a. Surgical interventions
b. Nutrition therapy
c. Drug IV therapy
d. Fluid requirements and maintenance
3. Nursing implications
4. Health teaching
5. Discharge Planning/Community
Resources/Case Management
D. Evaluation
1. Expected outcomes
2. Re-assessment
3. Modification of the care plan/clinical
pathway
24
LEARNING ACTIVITIES
UNIT V (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT V
CONTENT
UNIT V (continued)
LEARNING ACTIVITIES
UNIT V (continued)
CLINICAL OBJECTIVES
CLINICAL ACTIVITIES
Given a pediatric client the student will:
When available, the student will:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Perform a cephalocaudal assessment.
Assess growth and development
Recognize manifestations of separation.
Assess the effects of hospitalization/illness on
growth and development.
Identify nursing diagnosis based on
assessment
Provide appropriate interventions based on
assessment:
a. Cultural aspects
b. Learning needs
c. Self-care requisite
d. Growth and Development
e. Physical and psychological limitations
f.
Physical limitations of the environment
g. Safety
Assess fluid maintenance and replacement
needs.
Perform specific gravity.
Maintain IV fluid.
Perform a neurologic examination on a pediatric
client.
Provide nursing care to the pediatric client
with a neurologic deviation.
Provide health education regarding head injuries to
parents/caretakers of children.
25
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT V (continued)
CONTENT
UNIT V (continued)
CLINICAL OBJECTIVES
Given a pediatric client the student will:
10.
11.
12.
13.
14.
15.
Administer medications/therapies
Obtain a urine specimen from child.
Accompany a child off the acute care unit.
Provide health education to child/family.
Use age appropriate communication skills.
Adapt procedures and techniques to safely
care for child.
26
LEARNING ACTIVITIES
UNIT V (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT VI
CONTENT
LEARNING ACTIVITIES
UNIT VI
UNIT VI
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A SPECIAL NEED
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A SPECIAL NEED
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A SPECIAL NEED
Given the theoretical concepts, the student will,
on written and/or oral examination, apply
previously learned knowledge and:
A.
REQUIRED READING
A.
discuss the effects of chronic illness has on the
child and family.
B.
identify the nurse’s role in health promotion and
maintenance.
C.
describe the impact of illness or disability on
the development stage of childhood.
D.
apply principles of health
promotion/maintenance for the child as related
to selected deviations.
E.
collect and analyze data to formulate nursing
diagnosis.
B.
Description of health state:
a. Cerebral palsy
b. Chromosomal aberrations
c. Turner Syndrome
d. Trisomy 21
e. Cri Du Chat
f.
Fragile X Syndrome/Klinefelter’s
Syndrome
g. Infantile Austim
h. Inborn Errors of Metabolism (PKU,
Galactasemis)
i.
Fetal Alcohol Syndrome
j.
ADHA
k. Tay Sachs
Nursing Assessment/Self-Care Requisites:
1. Health history
2. Physical Assessment
3. Diagnostic tests
4. Abilities/Limitations
5. Nursing diagnosis
27
See addendum for required readings.
RECOMMENDED READINGS
Please see addendum for recommended readings.
CRITICAL THINKING EXERCISE
Turner Syndrome
RESOURCES
American Society of Human Genetics
www.faseb.org/genetics/ashg/ashgmenu.htm
National Human Genome Research Institute
www.nhgri.nih.gov
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT VII (continued)
CONTENT
UNIT VII (continued)
LEARNING ACTIVITIES
UNIT VII (continued)
F.
formulate short & long term goals.
C.
National Institute of Mental Health – Children &
Adolescents
http://www.nimh.nih.gov/
G.
design nursing systems and plan collaborative
care with other members of the health team.
Planning and Implementation:
1. Goals
2. Collaborative Care
3. Nursing implications & ethical
considerations
4. Health teaching
5. Discharge Planning/community
Resources/Case Management
D.
Evaluation
1. Expected outcomes
2. Re-assessment
3. Modification of the nursing care
plan/clinical pathway
H. provide health care teaching.
I.
begin discharge planning and referrals to
community resources.
J.
compare actual to expected outcomes and reassess as needed.
K.
modify the plan of care based on the
reassessment.
28
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT VI (continued)
CONTENT
UNIT VI (continued)
LEARNING ACTIVITIES
UNIT VI (continued)
CLINICAL OBJECTIVES:
CLINICAL ACTIVITIES
Given a pediatric client the student will:
When available, the student will:
1. Perform a cephalocaudal assessment.
2. Assess growth and development.
3. Assess the effects of chronic illness/disability
on growth and development.
4. Identify nursing diagnosis based on
assessment.
5. Provide appropriate interventions based on
assessment.
a. Cultural aspects
b. Learning needs
c. Self-care requisites
d. Growth and development
e. Physical and psychological limitations
f.
Physical limitations of the environment
g. Safety
6. Use appropriate communication methods
based on disability and developmental age.
7. Adopt procedures and techniques to safety
care for child.
Provide nursing care to a client with special needs.
Attend a community health care setting that
provides nursing care to children with special
needs.
Observe growth and development at a
children’s rehabilitation facility.
Observe a multi-disciplinary case management
meeting for a child with special needs.
29
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT VII
UNIT VII
LEARNING ACTIVITIES
UNIT VII
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A CARDIAC DEVIATON
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A CARDIAC DEVIATON
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A CARDIAC DEVIATON
Given the theoretical concepts, the student
will, on written and/or oral examination, apply
previously learned knowledge and:
A.
Description of health state:
a. Congenital Heart Defects
b. Congestive Heart Failure
c. Kawasaki Disease
d. Rheumatic Fever
REQUIRED READINGS
Nursing Assessment/Self-Care Requisite:
1. Health history
2. Physical Assessment
3. Diagnostic Tests:
a. Blood work
b. X-Ray, Scan
4. Abilities/Limitations
5. Nursing diagnosis
Please see addendum for recommended readings.
Planning and Implementation:
1. Goals
2. Collaborative Care
a. Surgical interventions
b. Nutrition therapy
c. Drug IV Therapy
d. Fluid requirements and maintenance
Computer Assisted Instruction
Pediatric Heart Sounds (in skills lab)
A.
B.
discuss cardiac problems and needs of the
child, terminology, signs and symptoms,
diagnostic tests, treatments and scientific
principles related to selected deviations.
B.
identify the nurse’s role in health promotion and
maintenance.
C.
identify growth and development principles
related to the care with a cardiac deviation.
D.
apply principles of health promotion/
maintenance for the child:
a. Immunizations
b. Well Child Care
c. Safety measures
E.
CONTENT
collect and analyze data to formulate nursing
diagnosis.
C.
30
Please see addendum for required readings
RECOMMENDED READINGS
EDUCATIONAL MEDIA
Video
“Small Miracles: Management of the Premature
Neonate” Patent Ductus Arteriosus
An Infant with Congenital Heart Defect
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT VII (continued)
F.
formulate short and long term goals.
G.
design nursing systems and plan collaborative
care with other members of the health care
team.
CONTENT
UNIT VII (continued)
3.
4.
5.
D.
H.
provide health care teaching.
I.
begin discharge planning and referrals to
community resources.
J.
Compare actual to expected outcome and
re-assess as necessary.
K.
modify the plan of care based on the reassessment.
Nursing Implications
Health Teaching
Discharge Planning/Community
Resources
Evaluation:
1. Expected outcomes
2. Re-assessment
3. Modification of the nursing care
plan/clinical pathway
31
LEARNING ACTIVITIES
UNIT VII (continued)
CASE STUDY



A School Age Child Requiring A Cardiac
Catherization
An Infant with Patent Ductus Arteriosus
A Child with Congestive Heart Failure
CRITICAL THINKING EXERCISE
Digoxin Administration
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT VII (continued)
CONTENT
LEARNING ACTIVITIES
UNIT VII
CLINICAL OBJECTIVES;
CLINICAL ACTIVITIES
Given a pediatric client the student will:
When available, the student will:
1.
2.
3.
4.
Perform a pediatric cardiac physical assessment.
5.
6.
7.
Perform a cephalo-caudal assessment.
Assess growth and development.
Recognize manifestations of separation.
Assess the effect of hospitalization/illness
on growth and development.
Identify nursing diagnosis based on
assessment.
Provide appropriate interventions based on
assessment:
a. Cultural aspects
b. Learning needs
c. Self-care requisite
d. Growth and development
e. Physical and psychological limitations
f. Physical limitations of the environment
g. Safety
Assess fluid maintenance and replacement
needs.
Provide nursing care to a pediatric client
experiencing a cardiac deviation.
Observe a child experiencing a cardiac
catheterization.
32
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT VII (continued)
CONTENT
CLINICAL OBJECTIVES;
8.
9.
10.
11.
12.
Perform specific gravity.
Maintain IV fluids.
Administer medications/therapies.
Obtain a urine specimen from child.
Accompany a child off the acute care
unit.
13. Provide health education to child/family.
14. Use age appropriate communication skills.
15. Adapt procedure and techniques to safely
care for child.
33
LEARNING ACTIVITIES
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT VIII
UNIT VIII
LEARNING ACTIVITIES
UNIT VIII
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A ENDOCRINE DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A ENDOCRINE DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A ENDOCRINE DEVIATION
Given the theoretical concepts, the student will,
on written and/or oral examination, apply
previously learned knowledge and:
A.
Description of the health state:
1. Hyperpituitarism
2. Cushingoid Syndrome
3. Growth Hormone Deficiency
4. Congenital & Acquired Hypothyroidism
5. Hyperthyroidism
6. Precocious Puberty
7. Diabetes in Children
REQUIRED READING
Nursing Assessment/Self-Care Requisites:
1. Health history
2. Physical assessment
3. Diagnostic test
a. Blood work
b. X-rays, scans
4. Abilities/Limitations
5. Nursing diagnosis
RESOURCES
A.
B.
CONTENT
discuss metabolic problems and needs of the
child, terminology, signs and symptoms,
diagnostic tests, treatments and scientific
principles related to selected deviations.
identify the nurse’s role in health promotion
and maintenance.
C.
identify growth and development principles
related to the care of the child with a metabolic
deviation.
D.
apply principles of health
promotion/maintenance for the child:
a. Immunizations
b. Well Child Care
c. Safety measures
E.
collect and analyze data to formulate nursing
diagnosis.
B.
34
Please see addendum for required readings.
CASE STUDY


The Care of a Child with IDDM
The Child with a Potential Alteration in
Growth
American Diabetes Association
www.diabetes.org
Juvenile Diabetes Research Foundation International
www.jdrf.org
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT VIII (continued)
CONTENT
UNIT VIII (continued)
F.
C.
Planning and Implementation:
1. Goals
2. Collaborative Care:
a. Surgical intervention
b. Nutrition therapy
c. Drug IV therapy
d. Traction/casts
e. Fluid requirements and maintenance
3. Nursing implications
4. Health teaching
5. Discharge Planning/Community
Resources/Case Management
D.
Evaluation
1. Expected outcomes
2. Re-assessment
3. Modification of the care plan/clinical
pathway
formulate short and long term goals.
G. design nursing systems and plan
collaborative care with other members of the
health care team.
H. provide health care teaching.
I.
begin discharge planning and referrals to
community resources.
J.
compare actual to expected outcomes and
re-assess as necessary.
K.
modify the plan of care based on the reassessment.
35
LEARNING ACTIVITIES
UNIT VIII (continued)
TRINITAS SCHOOL OF NURSING
BEHAVIORAL OBJECTIVES
UNIT VIII (continued)
NUR E260
CONTENT
UNIT VIII (continued)
LEARNING ACTIVITIES
UNIT VIII (continued)
CLINICAL OBJECTIVES
CLINICAL ACTIVITIES
Given a pediatric client the student will:
When available, the student will:
1.
Perform an assessment of the metabolic
system on the pediatric client.
2.
3.
4.
5.
6.
7.
8.
9.
Perform a physical assessment on a child
experiencing a deviation in metabolic status.
Assess growth and development.
Recognize manifestations of separation
Assess the effects of hospitalization/illness on
growth and development.
Identify nursing diagnosis based on
assessment:
Provide appropriate interventions based on
assessment:
a. cultural aspects
b. learning needs
c. self-care requisite
d. growth and development
e. physical and psychological limitations
f.
physical limitations of the environment
g. safety
Assess fluid maintenance and replacement
needs.
Perform specific gravity.
Maintain IV fluid
Provide nursing care to the pediatric client
experiencing a metabolic deviation.
Provide health education to a pediatric client (and
family) with a metabolic disorder.
36
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT VIII (continued)
CONTENT
CLINICAL OBJECTIVES
10.
11.
12.
13.
14.
15.
Administer medications/therapies.
Obtain a urine specimen from child.
Accompany a child off the acute care unit.
Provide health education to child/family.
Use age appropriate communication skills.
Adapt procedure and techniques to safely care
for child.
37
LEARNING ACTIVITIES
TRINITAS SCHOOL OF NURSING
BEHAVIORAL OBJECTIVES
UNIT IX
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING HEMATOLOGIC DEVIATION
Given the theoretical concepts, the student will,
on written and/or oral examination, apply
previously learned knowledge and:
A.
B.
E.
Discuss hematologic problems and needs of
the child, terminology, signs and symptoms,
diagnostic tests, treatments and scientific
principles related to selected deviations.
identify the nurse’s role in health promotion and
maintenance.
Identify growth and development principles
related to the care with a child with a
hematologic deviation.
F.
apply principles of health promotion/
maintenance for the child:
1. Immunizations
2. Well Child Care
3. Safety measures
E.
collect and analyze data to formulate nursing
diagnosis.
NUR E260
CONTENT
LEARNING ACTIVITIES
UNIT IX
UNIT IX
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING HEMATOLOGIC DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING HEMATOLOGIC DEVIATION
A. Description of the health state:
a. Sickle cell disease
b. Thalassemia
c. Leukemia
d. Hemophilia
e. Aplastic anemia-Hypoplastic anemia
f.
Lead poisoning (plumbism)
g. HIV
h. Iron deficiency anemia
REQUIRED READING
Please see textbook chapters.
RECOMMENDED READING
Please see addendum for recommended readings
CASE STUDY
B. Nursing Assessment/Self-Care Requisites:
1. Health history
2. Physical assessment
3. Diagnosis tests
a. Blood work
b. X-ray, Scans
4. Abilities/Limitations
5. Nursing diagnosis
38
The Child with Sickle Cell Disease
VIDEOTAPES
“Lead Poisoning: The Effect on Children’s Health”
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT IX (continued)
CONTENT
UNIT IX (continued)
F.
formulate short and long term goals.
A.
G.
design nursing systems and plan collaborative
care with other members of the health care
team.
H.
provide health care teaching.
I.
begin discharge planning and referrals to
community resources.
J.
compare actual to expected outcome and
re-assess as necessary.
K.
modify the plan of care based on the reassessment.
Planning and Implementation
1. Goals
2. Collaborative Care
a. Surgical intervention
b. Nutrition therapy
c. Drug IV therapy
d. Fluid requirements and maintenance
3. Nursing Implication
4. Health teaching
5. Discharge planning/community
resources/Case Management
D. Evaluation:
1.
Expected outcome
2,
Re-assessment
3.
Modification of the care
plan/clinical pathway
39
LEARNING ACTIVITIES
UNIT IX (continued)
TRINITAS SCHOOL OF NURSING
BEHAVIORAL OBJECTIVES
UNIT IX (continued)
NUR E260
CONTENT
UNIT IX (continued)
LEARNING ACTIVITIES
UNIT IX (continued)
CLINICAL OBJECTIVES:
CLINICAL ACTIVITIES:
Given a pediatric client the student will:
When available the student will:
Perform a lead assessment on a pediatric client.
1.
Perform a cephalo-caudal assessment.
2.
Assess growth and development.
Provide nursing care for a pediatric client with a
hematological deviation.
3.
Recognize manifestations of separation
on growth and development.
Provide nursing care to a dying child and his/her
family.
4.
Assess the effects of hospitalization/illness on
growth and development.
5.
Identify nursing diagnosis based on
assessment.
6.
Provide appropriate interventions based on
assessment:
a. cultural aspects
b. Learning needs
c. Self-care requisites
d. Growth and Development
e. Physical and psychological limitations
f.
Physical limitations of the environment
g. safety.
40
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT IX (continued)
CONTENT
CLINICAL OBJECTIVES:
7.
Assess fluid maintenance and replacement
needs.
8.
Perform specific gravity.
9.
Maintain IV fluid
10. Administer medications/therapies
11. Obtain a urine specimen from child.
12. Accompany a child off the acute care unit.
13. Provide health education to child/family
14. Use age appropriate communication skills.
15. Adapt procedures and techniques to safely
care for child.
41
LEARNING ACTIVITIES
UNIT IX (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
CONTENT
BEHAVIORAL OBJECTIVES
UNIT X
UNIT X
UNIT X
LEARNING ACTIVITIES
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A GENITOURINARY DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING A GENITOURINARY DEVIATION
REQUIRED READING
Given the theoretical concepts, the student will,
or written and/or oral examination, apply
previously learned knowledge and:
A.
Please see addendum for required readings.
A.
discuss genitourinary problems and needs of
the child, terminology, signs and symptoms,
diagnostic tests, treatments and scientific
principles related to selected deviations.
B.
identify the nurse’s role in health promotion/
maintenance.
C.
identify growth and development principles
related to the care of the pediatric client with
a genitourinary deviation.
D.
apply principles of health
promotion/maintenance for the child,
immunizations, well child care safety measures
as related to selected deviations.
E.
collect and analyze data formulate nursing
diagnoses.
Description of health state:
a. Urinary Tract Infections
b. VUR
c. Nephrosis/Glomerulonephritis
d. Hypospadias/Hyperspadias
e. Wilm’s Tumor
f.
Cryptorchidism (Undescended Testes)
g. Inguinal hernia
h. Hydrocele
i.
Enuresis
B.
Nursing Assessment/Self-Care Requisite
1. Health history
2. Physical assessment
3. Diagnostic tests
a. Blood work
b. X-ray, Scans
4. Abilities/Limitations
5. Nursing Diagnosis
C.
Planning and Implementations
1. Goals
2. Collaborative Care
a. Surgical interventions
b. Nutritional therapy
c. Drug/IV Therapy
d. Fluid requirements and maintenance
42
CASE STUDY
A Pre-School Child with Acute Post Streptococcal
Glomerulonephritis
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT X (continued)
F.
formulate long and short term goals.
G.
design nursing system and plan collaborative
care with other members of the health team.
H.
provide health teaching.
I.
begin discharge planning and referrals to
community resources.
J.
compare actual to expected outcomes and
re-assess as needed.
K.
modify the plan of care based on reassessment.
CONTENT
UNIT X (continued)
3.
4.
5.
D.
Nursing implications
Health teaching
Discharge Planning/Community
Resources
Evaluation
1. Expected outcomes
2. Re-assessment
3. Modification of the nursing care
plan/clinical pathway
43
LEARNING ACTIVITIES
UNIT X (continued)
TRINITAS SCHOOL OF NURSING
BEHAVIORAL OBJECTIVES
UNIT X (continued)
NUR E260
CONTENT
UNIT X (continued)
LEARNING ACTIVITIES
UNIT X (continued)
CLINICAL OBJECTIVES:
CLINICAL ACTIVITIES:
Given a pediatric client the student will:
When available the student will:
Perform a GU assessment on a pediatric client.
1. Perform a cephalo-caudal assessment.
2. Assess growth and development.
3. Recognize manifestations of separation.
4. Assess the effects of hospitalization/illness
on growth and development.
5. Identify nursing diagnosis based on
assessment.
6. Provide appropriate interventions based on
assessment:
a. cultural aspects
b. Learning needs
c. Self-care requisites
d. Growth and Development
e. Physical and psychological limitation
f.
Physical limitations of the environment
g. safety.
Provide nursing care to a pediatric client with
a GU deviation.
.
44
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT X (continued)
CONTENT
UNIT X (continued)
7. Assess fluid maintenance and replacement
needs.
8. Perform specific gravity.
9. Maintain IV fluids.
10. Administer medications/therapies
11. Obtain a urine specimen from child
12. Accompany a child off the acute care unit.
13. Provide health education to child/family
14. Use age appropriate communication skills.
15. Adapt procedures and techniques to safely care
for child.
45
LEARNING ACTIVITIES
UNIT X (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT XI
UNIT XI
UNIT XII
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING GASTROINTESTINAL
DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING GASTROINTESTINAL
DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING GASTROINTESTINAL
DEVIATION
Given the theoretical concepts, the student will,
on written and/or oral examination, apply
previously learned knowledge and:
A.
REQUIRED READING
A. discuss gastrointestinal problems and needs of
the child, terminology, signs and symptoms,
diagnostic tests, treatments and scientific
principles related to selected deviations.
B. identify the nurse’s role in health promotion and
maintenance.
C. identify growth and development principles
related to the care with a child with a
gastrointestinal deviation.
D. apply principles of health promotion/
maintenance for the child:
4. Immunizations
5. Well Child Care
6. Safety measures
E.
CONTENT
Description of the health state:
a. TEF/congenital vs. Secondary
b. Colic/Lactose intolerance
c. Gastroenteritis
d. Celiac disease
e. Pyloric Stenosis
f.
GER
g. Cleft lip and palate
h. Imperforate anus
i.
Hirschsprung’s disease
j.
Intussusception
k. Necrotizing enterocolitis
l.
Hernias
m. Omphalocele
n. Anorectal maliformations
o. Dehydration
p. Appendicitis
collect and analyze data to formulate nursing
diagnosis.
46
LEARNING ACTIVITIES
Please see addendum for required readings.
CASE STUDY




Acute Gastroenteritis
The Infant with Gastroesophageal Reflux
A Teen with Suspected Appendicitis
An Infant with Tracheoesophageal Fistula
VIDEOS
“Small Miracles: Management of the Premature
Neonate” Necrotizing Enterocolitis
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT XI (continued)
CONTENT
UNIT XI (continued)
F.
formulate short and long term goals.
B.
G.
design nursing systems and plan collaborative
care with other members of the health care
team.
H.
provide health care teaching.
I.
begin discharge planning and referrals to
community resources.
J.
compare actual to expected outcome and
re-assess as necessary.
K.
modify the plan of care based on reassessment.
C.
1.
2.
3.
4.
D.
Nursing Assessment/Self-Care Requisites:
1. Health history
2. Physical Assessment
3. Diagnostic tests
a. Blood work
b. X-rays, Scans
4. Abilities/Limitations
5. Nursing diagnosis
Planning and Implementation:
a. Goals
Collaborative Care:
Surgical intervention
Nutrition therapy
Drug IV therapy
Fluid requirements and maintenance
Nursing implications
Health teaching
Discharge Planning/Community Resources
Evaluation
1. Expected outcome
2. Re-assessment
3. Modification of the care plan/clinical
pathway
47
LEARNING ACTIVITIES
UNIT XI (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT XI (continued)
CONTENT
UNIT XI (continued)
LEARNING ACTIVITIES
UNIT XI (continued)
CLINICAL OBJECTIVES:
CLINICAL ACTIVITIES:
Given a pediatric client the student will:
When available the student will:
Perform a GI assessment on a pediatric client.
1. Perform a cephalocaudal assessment.
2. Assess growth and development.
Provide nursing care to a pediatric client with
a GI deviation.
3. Recognize manifestations of separation
on growth and development.
Consult with a dietitian regarding the implications
of diet, growth and development and disease.
4. Identify nursing diagnosis based on
assessment.
Determine & maintain fluid maintenance &
replacement needs of a pediatric client.
5. Provide appropriate interventions based on
assessment:
a. cultural aspects
b. Learning needs
c. Self-care requisites
d. Growth and Development
e. Physical and psychological limitations
f.
Physical limitations of the environment
g. safety.
48
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
CONTENT
UNIT XI (continued)
UNIT XI
CLINICAL OBJECTIVES:
6.
Assess fluid maintenance and replacement
needs.
7.
Perform specific gravity.
8.
Maintain IV fluid
9.
Administer medications/therapies
10. Obtain a urine specimen from child.
11. Accompany a child off the acute care unit.
12. Provide health education to child/family
13. Use age appropriate communication skills.
14. Adapt procedures and techniques to safely
care for child.
49
LEARNING ACTIVITIES
UNIT XI (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT XII
UNIT XII
CONTENT
UNIT XII
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING MUSCULOSKELETAL
DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING MUSCULOSKELETAL
DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING MUSCULOSKELETAL
DEVIATION
Given the theoretical concepts, the student will,
on written and/or oral examination, apply
previously learned knowledge and:
Care of the Pediatric client experiencing a
musculosketal deviation:
REQUIRED READING
Please see addendum for required readings.
A.
A.
discuss musculosketal problems and needs of
the child, terminology, signs and symptoms,
diagnostic tests, treatments and scientific
principles related to selected deviations.
B.
identify the nurse’s role in health promotion and
maintenance.
C.
Identify growth and development principles
related to the care of the child with a
musculosketal deviation.
D.
apply principles of health promotion/
maintenance for the child:
1. Immunizations
2. Well Child Care
3. Safety measures
E.
collect and analyze data to formulate nursing
diagnosis.
LEARNING ACTIVITIES
B.
Description of the health state:
a. Development Dysplasia of the Hip
b. Osteogenesis Imperfecta
c. Legg-Calve-Perthes Disease
d. Scoliosis
e. Osteosarcoma/Ewings Sarcoma
f.
Juvenile Rheumatoid Arthritis
g. Muscular Dystrophy
Nursing Assessment/Self-Care Requisites:
1. Health history
2. Physical Assessment
3. Diagnostic tests
a. Blood work
b. X-rays, Scans
4. Abilities/Limitations
5. Nursing diagnosis
50
CASE STUDY



Osteomyelitis
Developmental Dysplasia of the Hip
A School Age Child with a Fracture
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT XII (continued)
F.
formulate short and long term goals.
G.
design nursing systems and plan collaborative
care with other members of the health care
team.
H.
provide health care teaching.
I.
begin discharge planning and referrals to
community resources.
J.
Compare actual to expected outcome and
Re-assess as necessary.
K.
modify the plan of care based on the reassessment.
CONTENT
UNIT XII (continued)
C.
Planning and Implementation
1. Goals
2. Collaborative Care
a. Surgical intervention
b. Nutrition therapy
c. Drug IV therapy
d. Traction/casts
e. Fluid requirements and maintenance
3. Nursing Implication
4. Health teaching
5. Discharge planning/community
resources/Case Management
D.
Evaluation
1. Expected outcomes
2. Re-assessment
3. Modification of the care plan/clinical
pathway
51
LEARNING ACTIVITIES
UNIT XII (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT XII (continued)
CONTENT
UNIT XII (continued)
LEARNING ACTIVITIES
UNIT XII (continued)
CLINICAL OBJECTIVES:
CLINICAL ACTIVITIES
Given a pediatric client the student will:
When available, the student will:
1.
Perform a cephalocaudal assessment.
Perform a muculoskeletal examination on a
pediatric client.
2.
Assess growth and development.
3.
Recognize manifestations of separation.
4.
Assess the effects of hospitalization/illness on
growth and development.
5.
Identify nursing diagnosis based on
assessment.
6.
Provide appropriate interventions based on
assessment:
a. Cultural aspects
b. Learning needs
c. Self-care requisites
d. Growth and Development
e. Physical and psychological limitations
f.
Physical limitations of the environment
g. Safety.
Provide nursing care to the pediatric client
experiencing a musculosketal deviation.
Provide education regarding cast care for a child and
family.
52
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT XII (continued)
CONTENT
CLINICAL OBJECTIVES:
Given a pediatric client the student will:
7.
Assess fluid maintenance and replacement
needs.
8.
Perform specific gravity.
9.
Maintain IV fluid
10. Administer medications/therapies
11. Obtain a urine specimen from child.
12. Accompany a child off the acute care unit.
13. Provide health education to child/family
14. Use age appropriate communication skills.
15. Adapt procedures and techniques to safely
care for child.
53
LEARNING ACTIVITIES
UNIT XII (continued)
TRINITAS SCHOOL OF NURSING
BEHAVIORAL OBJECTIVES
UNIT XIII
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING AN EYE, EAR, NOSE &
THROAT DEVIATIONS
Given the theoretical concepts, the student will, on
written and/or verbal examination, apply previously
learned knowledge and:
A. discuss EENT problems and needs of the
child, terminology, signs and symptoms,
diagnostic tests, treatments and scientific
principles related to selected deviations.
B. identify the nurse’s role in health promotion
and maintenance.
C. Identify growth and development principles
related to the care of the child with an EENT
deviation.
D. Apply principles of health
promotion/maintenance for the child:
1. Immunizations
2. Well Child Care
3. Safety Measures
NUR E260
CONTENT
UNIT XIII
LEARNING ACTIVITIES
UNIT XIII
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING AN EYE, EAR, NOSE &
THROAT DEVIATION
CARE OF THE PEDIATRIC CLIENT
EXPERIENCING AN EYE, EAR, NOSE &
THROAT DEVIATION
Care of the Pediatric client experiencing an eye,
ear, nose & throat deviation:
REQUIRED READING
Please see addendum for required readings.
A. Description of the disease state:
a) Retinoblastoma
b) Otitis Media, Acute & Effusion
c) Tonsillitis
d) Conjunctivitis
e) Strabismus
f) Eye Trauma
g) Retinopathy of Prematurity
h) Vision & Hearing Deficit
B. Nursing Assessment/Self-Care Requisites:
1. Health history
2. Physical Assessment
3. Diagnostic tests
a. Blood work
b. Cultures
4. Abilities/Limitations
5. Nursing diagnosis
E. collect and analyze data to formulate
nursing diagnosis.
54
CASE STUDY
A 5-Year Old with Tonsillitis
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIOR OBJECTIVES
UNIT XIII (continued)
CONTENT
UNIT XIII (continued)
F.
formulate short and long term goals.
G.
design nursing systems and plan collaborative
care with other members of the health care
team.
H.
provide health care teaching.
I.
begin discharge planning and referrals to
community resources.
C. Planning and Implementation:
1. Goals
2. Collaborative Care:
a. Surgical intervention
b. Nutrition therapy
c. Drug IV therapy
d. Fluid requirements and maintenance
3. Nursing implications
4. Health teaching
5. Discharge Planning/Community Resources
J.
Compare actual to expected outcome and
Re-assess as necessary.
K.
modify the plan of care based on the reassessment.
D. Evaluation
1. Expected outcome
2. Re-assessment
3. Modification of the care plan/clinical
pathway
55
LEARNING ACTIVITIES
UNIT XIII (continued)
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
UNIT XIII (continued)
CONTENT
UNIT XIII (continued)
LEARNING ACTIVITIES
UNIT XIII (continued)
CLINICAL ACTIVITIES
CLINICAL OBJECTIVES:
When available, the student will:
Given a pediatric client the student will:
Perform a vision screening on a pediatric client.
Perform an assessment on a child experiencing a
deviation of the eyes, ears, nose or throat.
Perform a hearing screening on a pediatric client
Assess growth and development.
Provide nursing care to the pediatric client
experiencing a sensory deviation.
Recognize manifestations of separation.
Provide health education regarding eye safety to a
group of pediatric clients.
Assess the effects of hospitalization/illness on
growth and development.
Provide health education regarding eye safety to a
group of pediatric clients and/or families.
Identify nursing diagnosis based on assessment.
Provide appropriate interventions based on
assessment:
cultural aspects
learning needs
56
TRINITAS SCHOOL OF NURSING
NUR E260
BEHAVIORAL OBJECTIVES
CONTENT
UNIT XIII (continued)
UNIT XIII (continued)
CLINICAL OBJECTIVES:
Given a pediatric client the student will:
Assess fluid maintenance and replacement
needs.
Perform specific gravity.
Maintain IV fluid
Administer medications/therapies
Accompany a child off the acute care unit.
Provide health education to child/family
Use age appropriate communication skills.
.
Adapt procedures and techniques to safely
care for child.
57
LEARNING ACTIVITIES
UNIT XIII (continued)