PEDIATRICS I & II COURSE DESCRIPTION

Transcription

1 PEDIATRICS I & II COURSE DESCRIPTION TEXT: DESCRIPTION: TERMINAL : GRADE ASSIGNMENT: Leifer, G. (2011). Introduction to Maternity & Pediatric Nursing, 6 th ed. St. Louis: Saunders/Elsevier. In this course, the student studies the symptoms, diagnosis and treatment of diseases and disorders that commonly occur in children. The student is taught the care of the young patient based on the nursing process. Basic knowledge of growth and development of the child from infancy to adolescence is reviewed. The information is presented through lecture, films, case studies, demonstrations, and supervised clinical experience. During this course, the student will demonstrate understanding of theory on a written examination. Upon completion of the course, the student must have a minimum average of 80%. The student will perform basic nursing procedures with 100% accuracy. The student will develop plans of care based upon individual patient needs. The student will demonstrate comprehension of classroom theory by performing nursing assignments, identifying common signs and symptoms and patient problems associated with the assigned patient s medical diagnosis, recognizing normal growth and development, and delivering and documenting appropriate care. Theory grade will be determined as follows: Tests & Assignments 85% Final Exam 15% Clinical grade will be satisfactory or unsatisfactory based upon evaluation of nursing actions and criteria outlined in clinical syllabus. HOURS: Peds Theory Hours 51 hours that include: AV Aids 1 hour Testing 6 hours Integrated Course Hours Pharmacology 2 hours Nutrition 2 hours Growth & Development 18 hours Clinical Hours 63 hours TOTAL 114 hours Reviewed: 09/92; 09/94; 08/03; 12/08; 02/10; 03/11; 03/13 Revised: 09/95; 08/97; 10/98; 10/99; 12/00; 08/01; 12/02; 04/04; 12/06; 12/10; 01/15 1

2 Unit: Pediatrics Implementation:Leifer, Ch. 1, 15, 21, & 22; Lecture/Discussion, Transparencies, Lesson: 1 Handouts, Demonstration, Application of Urine Collection Bag Title: Introduction to Pediatric Nursing Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Time: Theory 3 Hours Integrated: N/A 1. Define pediatrics and pediatrician. 2. List goals of pediatric nursing. 3. List requirements of a pediatric nurse. 4. Differentiate the pediatric unit and the med-surg unit. 5. List the main differences between care of child vs. adult. 6. Identify approaches which should be taken when dealing with children of various ages in the hospital & physician s office visits. 7. Identify special points for pediatric admissions and physician s office visits. 8. State what should be included in pediatric assessments throughout the various age levels. 9. Identify how the following procedures are to be performed. A. TPR/BP B. Weight and Height C. Collection of Urine/Other Specimens 10. Give examples of various purposes for restraining pediatric patients. 11. Explain the various types of restraints/holds used in the care of pediatric patients. 12. Indicate the safety precautions to be considered with restraint use 13. Discuss basic safety measures that need to be carried out routinely with pediatric clients. 14. Identify home health considerations in the care of children. I. Introduction/Definitions II. Goals of Pediatric Nursing III. Requirements of Pediatric Nurse IV. Characteristics of Peds Floor V. Differences in Care of Child/Adult A. Anatomical B. Physiological C. Psychological VI. Approaches to Pediatric Patients VII. Pediatric Admissions A. Special Considerations 1. Hospital 2. Office B. Assessment VIII. Physical Examination IX. Pediatric Restraints/Holds A. Purposes B. Types C. Safety Precautions X. Patient Safety XI. Home Health Reviewed: 03/92; 03/96; 03/98; 12/08; 03/11; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 02/10; 01/15 2

3 Unit: Pediatrics Implementation:Leifer, Ch. 15, 21, 22, & pp ; Transparencies, Lecture/Discussion, Lesson: 2 Handouts Title: Emotional Care of the Hospitalized Child Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Time: Theory 2 Hours Integrated: N/A 1. Discuss factors that may influence a child s reaction to hospitalization. 2. List the common fears of the hospitalized child. 3. Identify methods of reducing a hospitalized child s fears. 4. Indicate types of reactions a parent may have to a hospitalized child and explain reasons often given to parent s apprehension. 5. Describe the meaning of separation for each age group. 6. Identify the effects of death upon the nursing student, pediatric patient, sibling, and parent. 7. List and summarize the four values of play. 8. Name toys recommended for each age group. I. Child s Reaction to Hospitalization A. Influencing Factors B. Fears of a Child C. Means of Reducing Anxiety II. Parent s Feelings A. Parent s Reaction B. Reasons for Parental Apprehension III. Meaning of Separation A. Infant B. Toddler C. Preschooler D. Schooler E. Adolescent IV. Loss, Grief, and Death A. Meaning to Student B. Meaning to Patient C. Meaning to Sibling D. Meaning to Parent V. Play A. Value 1. Physical 2. Social 3. Emotional 4. Moral B. Toys 1. Age-Appropriateness 2. Safety Precautions Reviewed: 03/92; 03/96; 03/98; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 02/10; 03/11; 01/15 3

4 Unit: Pediatrics Implementation: Leifer, Ch. 22; Morris (Calculate with Confidence), Ch. 25; Lesson: 3 Lecture/Discussion, Transparencies, Handouts, Demonstration, Title: Drugs Used in Pediatrics, Their Calculations, and Administration Practice Problems Time: N/A Evaluation: Graded Worksheet, Written Exam, Class Participation, Quizzing, Application in Patient Care, Including Safe Dosage Calculations (mg/kg) Integrated: Pharmacology 2 Hours 1. Discuss major principles common to the administration of pediatric medications. 2. Describe methods by which oral medications are given to children. 3. Identify the basic principles for giving oral medicines to children. 4. Summarize the procedure for giving a rectal suppository and nose/eye/ear drops. 5. Identify the intramuscular injection sites for children. 6. Review the procedure for giving an IM injection. 7. Identify commonly used pediatric medications and their classifications of uses. 8. Identify common measurements used in pediatric drug administration. 9. Give the formula for Young s rule and calculate the correct dosage. 10. Give the formula for Clark s rule and calculate the correct dosage. 11. Define BSA, demonstrate how to use a nomogram to determine BSA, and calculate the correct dosage based on BSA measurements. 12. Demonstrate the method for calculating and preparing safe fractional dosages for administration to children using the formula and mg/kg methods. I. Methods of Administration A. General Principles B. Oral Medications 1. Methods 2. Principles C. Rectal Suppositories D. Nose/Eye/Ear Drops E. IM injections 1. Sites 2. Procedure 3. Restraint Technique II. Common Pediatric Medications III. Common Measurements IV. Calculating Pediatric Doses for Safety A. Young s Rule B. Clark s Rule C. Body Surface Area D. Fractional Dosage (mg/kg) Reviewed: 03/92; 03/96; 03/98; 03/11; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 02/10 4

5 Unit: Pediatrics Implementation: Leifer, Ch. 25; Transparencies, Handouts, Lecture/Discussion Lesson: 4 Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Title: Nursing Care of the Child with a Disorder Integrated: N/A of the Respiratory System Time: Theory 1.5 Hours 1. Define atelectasis and list symptoms and treatment. 2. Define pneumonia indicating its various causes. 3. Identify the symptoms, treatment and nursing care of the various types of pneumonia. 4. Describe cystic fibrosis. 5. Outline the symptoms of cystic fibrosis, including specifics of each body system involved. 6. Identify the treatment, nursing care, and complications associated with cystic fibrosis. 7. Describe spasmodic laryngitis, indicating the common name and symptoms. 8. Outline treatment of spasmodic laryngitis indicating specific nursing care of patient, including procedures for croupette/croup tent. 9. Summarize home measures for the control of a croup attack and indications for activating EMS. I. Atelectasis II. Pneumonia III. Cystic Fibrosis B. Cause C. Exocrine Symptoms 1. Integumentary (Skin) 2. Respiratory (Lungs) 3. GI (Pancreas) D. Diagnosis G. Complications IV. Spasmodic Laryngitis (Croup) F. Home Measures V. Bronchial Conditions VI. Bronchiolitis (RSV) VII. Epiglottitis VIII. Asthma C. Causes D. Symptoms /Management IX. Sudden Infant Death Syndrome B. Incidence C. Etiology D. Prevention/Precautions 1. Back to Sleep 2. CPR Guidelines X. Passive Smoking XI. Carbon Monoxide Poisoning Reviewed: 03/92; 03/96; 03/98; 02/10; 03/11; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08 5

6 Unit: Pediatrics Implementation: Leifer, Ch. 25; Transparencies, Handouts, Lecture/Discussion Lesson: 4 Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Title: Nursing Care of the Child with a Disorder Integrated: N/A of the Respiratory System Time: Theory 1.5 Hours (Continued) 10. Describe various bronchial conditions. 11. Define respiratory syncytial virus (RSV; bronchiolitis) and summarize its treatment and nursing care. 12. Define epiglottitis and list its symptoms, treatment and nursing care. 13. Define asthma, listing causes, symptoms, treatment, patient management, and nursing care considerations. 14. Define SIDS and list theories of etiology. 15. Identify methods to decrease mortality in infants at high risk for SIDS, including the Back to Sleep recommendations. 16. Review the current AHA infant and child CPR procedures. 17. Identify methods to aid parents whose child has died of SIDS. 18. Identify the effects of passive smoke on children. 19. Discuss carbon monoxide poisoning. Reviewed: 03/92; 03/96; 03/98; 03/11; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 02/10 6

7 Unit: Pediatrics Implementation: Leifer, Ch. 23 & 25; Lecture/Discussion, Transparencies, Handouts. Lesson: 5 Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care. Title: Nursing Care of the Child with a Disorder of the Integrated: N/A Eyes, Ears, Nose, or Throat Time: Theory 2 Hours 1. Identify care of the visually impaired child. 2. Define congenital cataract and indicate causes and post-op care. 3. State signs of visual problems in children. 4. Differentiate myopia, hyperopia, and amblyopia. 5. Define strabismus and explain its treatment and post-op nursing care. 6. Identify causes of hearing impairment (varying degrees.) 7. Identify symptoms of a child with hearing loss. 8. State guidelines for caring for the deaf hospitalized child. 9. Define otitis media and list its symptoms, treatments, and nursing care. 10. State complications of otitis media. 11. Define sinusitis, list symptoms, treatment, and nursing care. 12. Identify reasons for removing tonsils and adenoids. 13. Identify pre-op and post-op care for a child having a tonsillectomy and adenoidectomy (T&A). 14. Describe strep throat, its symptoms, treatment, nursing care, and potential complications. Reviewed: 03/92; 03/96; 03/98; 02/10; 03/11; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08 I. Disorders of the Eye A. Care of Visually Impaired Child B. Cataracts C. Refractive Errors 1. Definitions 2. Signs and Symptoms D. Amblyopia E. Strabismus II. Disorders of Ears A. Deafness 1. Causes 2. Symptoms 3. Nursing Considerations B. Otitis Media 1. Causes 2. Symptoms a. Pain b. Fever 3. Treatment 4. Nursing Care 5. Complications III. Sinusitis IV. Tonsillitis and Adenoiditis V. Streptococcal Pharyngitis (Strep Throat) /Description C. Diagnosis 1. Rapid Strep 2. Culture F. Complications 1. Cardiac 2. Renal 7

8 Unit: Pediatrics Implementation: Leifer, Ch. 30; Lecture/Discussion, PowerPoint Presentation, Handouts Lesson: 6 Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Title: Nursing Care of the Child with a Skin Disorder Integrated: N/A Time: Theory 0.75 Hours 1. List causes and treatment of diaper dermatitis. 2. Describe infantile eczema, its symptoms, treatment, and nursing care. 3. Describe impetigo, its symptoms, treatment, and nursing care considerations, especially related to infection control. 4. Outline the treatment of the child who has burns. 5. Summarize the nursing care needs for the child with burns. 6. Discuss care planning needs for a child based on depth and extent of their burn wound. 7. Determine burn total BSA by reading and interpreting the Lund & Browder chart. 8. Calculate fluid resuscitation volumes based on the Parkland formula. Reviewed: 03/92; 03/96; 03/98; 02/10; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 03/11 I. Diaper Dermatitis (Diaper Rash) II. Infantile Eczema III. Impetigo C. Causes D. Symptoms IV. Burns of Types B. Depth and Extent/Lund & Browder of Various Degrees of Burns D. Causes /Planning G. Parkland Formula for Fluid Resuscitation 8

9 Unit: Pediatrics Implementation:Leifer, Ch. 28 & pp ; Transparencies, Handouts, Lecture/ Lesson: 7 Discussion, Guest Speaker-Cleft Lip & Palate Title: Nursing Care of the Child with a Disorder of the Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Gastrointestinal System Integrated: N/A Time: Theory 1.5 Hours 1. Define cleft lip. 2. Identify the methods of treatment for the child with cleft lip. 3. Identify nursing care needs of child with cleft lip before and after cheiloplasty. 4. Indicate the area of the body affected in a child with cleft palate. 5. Identify the treatment of cleft palate, indicating the nursing care needs prior to surgery. 6. Identify the nursing care for the child pre- and post- palatoplasty. 7. Define pyloric stenosis indicating the appearance of the stomach. 8. List the symptoms of pyloric stenosis. 9. Name methods of treatment for pyloric stenosis, explaining each and describing the nursing care required. 10. Define intussusception and list the symptoms. 11. Identify treatment of intussusception, including the pre- and postop nursing care of the child who requires surgery. Reviewed: 03/92; 03/96; 03/98; 02/10; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 03/11 I. Cleft Lip 1. Pre-op 2. Post-op II. Cleft Palate 1. Pre-op 2. Post-op III. Pyloric Stenosis 1. Pre-op 2. Post-op IV. Intussusception 1. Pre-op 2. Post-op V. Megacolon (Hirschsprung s Disease) C. Causes D. Symptoms 1. Pre-op 2. Post-op VI. Gastroenteritis B. Rotavirus C. Other Causative Organisms D. Symptoms VII. Vomiting and Diarrhea C. F & E/Acid Base Changes VIII. Abdominal Hernias /Locations 1. Inguinal 2. Umbilical 9

10 Unit: Pediatrics Implementation:Leifer, Ch. 28 & pp ; Transparencies, Handouts, Lecture/ Lesson: 7 Discussion, Guest Speaker Cleft Lip & Palate Title: Nursing Care of the Child with a Disorder of the Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Gastrointestinal System Integrated: N/A Time: Theory 1.5 Hours (Continued) 12. Define megacolon and list symptoms, treatment, and nursing care of the child. 13. Summarize the care of the child with gastroenteritis caused by rotavirus and other organisms. 14. Identify the effects of vomiting and diarrhea (F & E & acid-base changes), their causes, treatment, and nursing care considerations. 15. Define inguinal hernia and identify its symptoms, treatment, and nursing care. 16. Define umbilical hernia and identify its symptoms, treatment, and nursing care. 17. Define infestation, symptoms, and treatment of roundworms (ascariasis) and pinworms (enterobiasis). 18. Describe the pre-op and post-op care of the child having an appendectomy. s IX. Parasitic Infection X. Appendicitis F. Potential Complications Reviewed: 03/92; 03/96; 03/98; 02/10; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 03/11 10

11 Unit: Pediatrics Implementation:Leifer, Ch ; Lecture/Discussion, Handouts, Transparencies Lesson: 8 Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Title: Nursing Care of the Child with a Disorder of the Integrated: N/A Circulatory, Hematologic, or Immune System Time: Theory 3 Hours 1. Indicate early development of the heart, including fetal blood flow/shunting, and diseases/disorders which may cause congenital abnormalities. 2. Identify diagnostic tests used for detecting congenital heart defects, explaining purposes and preparation for each. 3. Outline surgical advances in heart surgery. 4. Name 2 classifications of heart defects, defining each. 5. Define patient ductus arteriosus, stating outstanding symptoms and common treatment. 6. Explain coarctation of aorta, stating outstanding symptoms and treatment. 7. Identify atrial septal defect, listing common symptoms and treatment. 8. Describe ventricular septal defect, indicating common symptoms and treatment. 9. Define Tetralogy of Fallot, listing the defects that occur with the disorder, common symptoms, treatment, and nursing considerations. 10. Define transposition of the great vessels and list signs, symptoms, and treatment. Reviewed: 03/92; 03/96; 03/98; 02/10; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 03/11 I. Congenital Heart Disease A. General Description/Classifications B. Diagnostic Tests C. Surgical Advances/Procedures D. Pre- & Post-Op Nursing Care II. Acyanotic Defects A. Patent Ductus Arteriosus (PDA) B. Coarctation of Aorta (COA) C. Atrial Septal Defect (ASD) D. Ventricular Septal Defect (VSD) III. Cyanotic Defects A. Tetralogy of Fallot (TOF) B. Transposition of Great Vessels (TGV) IV. Congestive Heart Failure /Description V. Iron Deficiency Anemia /Description VI. Sickle Cell Anemia /Description, Including Crisis VII. Hemophilia /Description VIII. Leukemia /Description IX. Hodgkin s Disease /Description X. ITP /Description XI. Rheumatic Fever /Description /Prophylaxis 11

12 Unit: Pediatrics Implementation:Leifer, Ch ; Lecture/Discussion, Handouts, Transparencies Lesson: 8 Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Title: Nursing Care of the Child with a Disorder of the Integrated: N/A Circulatory, Hematologic, or Immune System Time: Theory 3 Hours (Continued) 11. List the symptoms and treatment of congestive heart failure. 12. Describe iron deficiency anemia, indicating its causes, symptoms, and treatment. 13. Define sickle cell anemia, indicating its causes, symptoms, treatment, and nursing care. 14. Identify treatment and nursing care of child with sickle cell crisis. 15. Define hemophilia and list symptoms, nursing care, and treatment. 16. Describe symptoms observed in the child with leukemia, its treatment, and nursing care. 17. Identify symptoms, treatment, and nursing care of child with Hodgkin s Disease. 18. Define idiopathic thrombocytopenic purpura (ITP) and list its symptoms, treatment, and nursing care. 19. Explain rheumatic fever, indicating cause and effect of the disorder. 20. List classic symptoms of rheumatic fever based on Jones criteria; explain these effects on the body. 21. Describe the treatment of rheumatic fever, including prophylactic antibiotics, and the nursing care required. Reviewed: 03/92; 03/96; 03/98; 02/10; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 03/11 12

13 Unit: Pediatrics Implementation:Leifer, Ch. 29; Lecture/Discussion, Transparencies, Handouts, Lesson: 9 Video: The Miracle of Baby Bella. Dateline NBC (2001). 60 Minutes Title: Nursing Care of the Child with a Disorder Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care of the Genitourinary System Integrated: Nutrition 0.5 Hours Time: Theory 2 Hours 1. Define glomerulonephrosis (nephrosis) and state its cause. 2. List the common symptoms of nephrosis. 3. Summarize the treatment and nursing care of the child with nephrosis. 4. Define glomerulonephritis (nephritis), indicating theory of causes and common symptoms. 5. Identify the treatment and nursing care of the child with nephritis. 6. Compare and contrast nephrosis and nephritis. 7. Describe polycystic renal (kidney) disease, its course, and treatment options. 8. Define hydrocele. 9. Explain the treatment and nursing care of a child with hydrocele. 10. Explain cryptorchidism and its causes. 11. Summarize the treatment options for cryptorchidism, indicating nursing care of the child. 12. Define Wilm s tumor. 13. List common symptoms of Wilm s tumor. 14. Outline the treatment and nursing care of the child with Wilm s tumor, including pre-op precautions. 15. Define pyelonephritis and list its causes, symptoms, treatment, and nursing care of child with the disorder. 16. Summarize UTI preventive measures. 17. Describe vesicoureteral reflux, how it affects urinary tract health, and its treatment. Reviewed: 03/92; 03/96; 03/98; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 02/10; 03/11 I. Glomerulonephrosis (Nephrotic Syndrome/Nephrosis) B. Cause II. Acute Glomerulonephritis (Nephritis) B. Cause III. Polycystic Renal Disease B. Cause IV. Hydrocele B. Cause V. Cryptorchidism (Undescended Testes) B. Cause VI. Wilm s Tumor B. Cause /Precautions VII. Pyelonephritis F. UTI Prevention VIII.Vesicoureteral Reflux B. Effects on Urinary Tract Health 13

14 Unit: Pediatrics Implementation: Leifer, Ch. 31; Lecture/Discussion, Handouts, Transparencies Lesson: 10 Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Title: Nursing Care of the Child with a Disorder of Integrated: Nutrition 0.5 Hours the Endocrine System Time: Theory 2 Hours 1. Describe the development of diabetes mellitus in children, defining the peak years for onset. 2. Name symptoms common to diabetes mellitus. 3. Define diabetic ketoacidosis (DKA)/coma, insulin shock, and compare their causes, symptoms, and treatment for the diabetic child. 4. Outline specific areas of treatment for the child with diabetes mellitus and give rationale for each aspect. 5. Summarize nursing care and teaching measures for the child with diabetes mellitus, noting rationale for each aspect. 6. Identify disorders of the thyroid gland, listing their symptoms, treatment, and nursing care. 7. Identify disorders of the adrenal glands, listing their symptoms, treatment and nursing care. I. Diabetes Mellitus B. Peak Ages of Onset D. Complications 1. Diabetic Ketoacidosis (DKA)/ Coma 2. Insulin Shock G. Education 1. Parent 2. Child II. Thyroid Disorders A. Hypothyroidism B. Hyperthyroidism (Grave s Disease) C. Goiter III. Adrenal Gland Disorders A. Addison s Disease B. Cushing s Disease/Syndrome Reviewed: 03/92; 03/96; 03/98; 02/10; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 03/11 14

15 Unit: Pediatrics Implementation: Leifer, Ch. 24 & pp ; Lecture/Discussion, Handouts, Lesson: 11 Transparencies Title: Nursing Care of the Child with a Disorder of Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care the Musculoskeletal System Integrated: N/A Time: Theory 2 Hours 1. Define clubfoot, indicating the various types. 2. Explain the various methods of treatment for clubfoot. 3. Outline nursing care needs of a child with clubfoot. 4. Define congenital hip dysplasia, indicating various causes of disorder. 5. Name characteristic symptoms/diagnostic signs of hip dislocation. 6. Explain various methods of treatment for hip dysplasia. 7. Outline nursing care of patient with dislocation of hip. 8. Summarize the treatment, nursing care, and potential complications for a child in skeletal traction. 9. Define muscular dystrophy and list symptoms, treatment, and nursing care. 10. Define juvenile rheumatoid arthritis and list symptoms, treatment, and nursing care. 11. Define osteomyelitis and list its symptoms, treatment, and nursing care. 12. Define scoliosis and list the symptoms, screening, treatment, and nursing care measures for the child with this disorder. Reviewed: 03/92; 03/96; 03/98; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 02/10; 03/11 I. Clubfoot 1. Cast 2. Braces II. Congenital Hip Dysplasia 1. Triple Diapering 2. Pavlik Harness 3. Spica Cast 4. Surgery III. Skeletal Traction C. Purpose E. Complications IV. Duchenne s Muscular Dystrophy V. Juvenile Rheumatoid Arthritis C. Causes D. Symptoms VI. Osteomyelitis VII. Scoliosis /Screening Based on Degree 1. Mild 2. Moderate 3. Severe 15

16 Unit: Pediatrics Implementation: Leifer, Ch. 23 & pp ; Lecture/Discussion, Transparencies, Lesson: 12 Handouts, Demonstration, Poster Presentations, Websites, Video: Title: Nursing Care of the Child with a Disorder Killer Disease on Campus: Meningitis. Nova (2002). 60 Minutes of the Nervous System Evaluation: Written Exam, Poster Presentations, Class Participation, Quizzing, Time: Theory 2 Hours Application in Patient Care Integrated: N/A 1. Describe all aspects of nursing care for the child with a head injury. 2. Summarize the aspects of a neuro check which should be included in the assessment of a child. 3. Summarize information related to grand mal seizures, including their s/s, treatment, and nursing care. 4. Describe activities included in seizure precautions. 5. Define Reye s Syndrome and state its causes, symptoms, and nursing care. 6. Describe hydrocephalus and increased intracranial pressure (IICP); list symptoms, treatment, and nursing care. 7. Describe the 3 types of spina bifida, including symptoms of each. 8. Summarize the treatment and nursing care of a patient with spina bifida. 9. Define cerebral palsy and list symptoms of the most common form. 10. Summarize the treatment and nursing care of the child with cerebral palsy. 11. Identify symptoms, treatment, and nursing care of a child with a brain tumor. Reviewed: 03/92; 03/96; 03/98; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 02/10; 03/11 I. Head Injury II. Neurological Checks III. Seizures B. Types C. Precautions D. Observations IV. Reye s Syndrome A. Description V. Hydrocephalus and IICP A. Description VI. Spina Bifida A. Types VII. Cerebral Palsy VIII. Brain Tumors 16

17 Unit: Pediatrics Implementation:Leifer, Ch. 32 & pp ; Lecture/Discussion, Handouts, Lesson: 13 Transparencies, Poster Presentation, Websites Title: Nursing Care of the Child with a Communicable Disease Evaluation: Written Exam, Poster Presentations, Class Participation, Quizzing, Time: Theory 1.75 Hours Application in Patient Care Integrated: N/A 1. Review standard precautions, transmission-based precautions, chain of infection/communicability, and types of immunity. 2. Differentiate vaccination vs. immune globulin. 3. Describe bacterial and viral meningitis, indicating various organisms causing the disease. 4. List the symptoms of meningitis. 5. Explain the treatment and nursing care of the patient with meningitis. 6. Name the symptoms of varicella (chickenpox). 7. State methods of prevention for chickenpox. 8. Summarize the nursing care of the child with chickenpox. 9. List the symptoms of rubella. 10. State the prevention of rubella, indicating the complications which can affect pregnant women. 11. Outline the nursing care of a child with rubella. 12. List the symptoms of rubeola. 13. Indicate the methods of preventing rubeola. 14. Summarize the nursing care of a child with rubeola. 15. List symptoms of mumps. 16. Identify the methods of the prevention of the mumps. 17. Explain the nursing care of the child with mumps. Reviewed: 03/92; 03/96; 03/98; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 02/10; 03/11 I. Basic Principles II. Bacterial/Viral Meningitis A. Description III. Varicella A. Symptoms/Cause B. Prevention C. Nursing Care IV. Rubella C. Prevention V. Rubeola A. Symptoms B. Prevention C. Nursing Care VI. Mumps A. Symptoms B. Prevention C. Nursing Care VII. Roseola A. Symptoms B. Nursing Care VIII. Scarlet Fever A. Symptoms B. Prevention IX. Whooping Cough (Pertussis) A. Symptoms B. Prevention X. Mononucleosis A. Symptoms B. Treatment C. Nursing Care XI. STIs A. Chlamydia B. Gonorrhea C. Syphilis D. Herpes Genitalis E. Human Papilloma Virus (HPV) XII. HIV/AIDS A. Description B. Progression 17

18 Unit: Pediatrics Implementation:Leifer, Ch. 32 & pp ; Lecture/Discussion, Handouts, Lesson: 13 Transparencies, Poster Presentations, Websites Title: Nursing Care of the Child with a Communicable Disease Evaluation: Written Exam, Poster Presentations, Class Participation, Quizzing, Time: Theory 1.75 Hours (Continued) Application in Patient Care Integrated: N/A 18. Define roseola and list its symptoms. 19. Indicate nursing care of a child with roseola. 20. Define scarlet fever and list its symptoms. 21. Identify preventive measures for scarlet fever. 22. Identify the treatment and nursing care required for the child with scarlet fever. 23. Describe whooping cough and list its symptoms. 24. Indicate the preventive measures for whooping cough. 25. Identify treatment and nursing care of the child with whooping cough. 26. Define mononucleosis and state symptoms, treatment, and nursing care of the child with this disease. 27. Review information about the most common sexuallytransmitted infections [STIs; chlamydia, gonorrhea, syphilis, herpes genitalis, & human papilloma virus (HPV)]. 28. Summarize treatment and nursing care for a child with HIV/AIDS. Reviewed: 03/92; 03/96; 03/98; 02/10; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 03/11 18

19 Unit: Pediatrics Implementation:Leifer, pp. 416, ; PowerPoint Presentation, Lecture/Discussion, Lesson: 14 Handouts Title: Nursing Care of the Child who has Ingested Poison Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Time: Theory 1 Hour Integrated: N/A 1. Identify commonly encountered poisons in a child s environment and methods of safeguarding against them (poison prevention). 2. Identify our local poison control center. 3. List and describe the steps in emergency care of the child who has ingested a poisonous substance. 4. Identify symptoms, complications, treatment, and nursing care of a child with acetaminophen poisoning. 5. State the symptoms and potential complications observed in a child with ASA poisoning. 6. Discuss treatment and nursing care of a child with ASA poisoning. 7. List the common symptoms seen in poisoning with corrosive strictures. 8. Identify treatment methods utilized for corrosive strictures. 9. Outline the nursing care of a child with corrosive strictures. 10. List sources of lead which may cause poisoning. 11. Describe symptoms of lead poisoning. 12. Summarize treatment and nursing care of a child with lead poisoning. 13. Discuss lead poisoning prevention. I. Safeguarding Against Poison (Preventive Measures) II. Poison Control Center III. Emergency Care A. Identify the Poison B. Remove the Poison C. Administer Antidote D. Provide Supportive Care IV. Acetaminophen Poisoning A. Symptoms B. Treatment C. Nursing Care V. Aspirin (ASA) Salicylate Poisoning A. Symptoms B. Treatment C. Nursing Care VI. Corrosive Ingestion A. Symptoms B. Treatment C. Nursing Care VII. Lead Poisoning A. Sources E. Prevention Reviewed: 03/92; 03/96; 03/98; 02/10; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 03/11 19

20 Unit: Pediatrics Implementation: Leifer, pp , & ; Lecture/Discussion, Lesson: 15 Transparencies, Handouts Title: Nursing Care of the Child with a Nutritional Deficiency/Disorder Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Time: Theory 1 Hour Integrated: Nutrition 1 hour 1. Describe failure to thrive, types, symptoms, treatment, and nursing care. 2. Define rickets, listing its symptoms, treatment, and nursing care. 3. Define scurvy and state its symptoms, treatment, and nursing care. 4. Review PKU and its effects on a child s nutrition/growth. 5. Describe galactosemia and list its symptoms and treatment. 6. Explain celiac disease, its symptoms, treatment, and nursing care. Reviewed: 03/92; 03/96; 03/98; 02/10; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 03/11 I. Failure to Thrive /Types II. Rickets III. Scurvy IV. PKU /Effects V. Galactosemia VI. Celiac Disease 20

21 Unit: Pediatrics Implementation: Leifer, Ch. 33 & pp ; Lecture/Discussion, Transparencies, Lesson: 16 Handouts, DSM-IV-TR Title: Nursing Care of the Child with a Behavorial, Cognitive, or Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Emotional Disorder Integrated: N/A Time: Theory 1.5 Hours 1. Define mental retardation (MR). 2. Define characteristics seen in the following classifications of MR. A. Mild B. Moderate C. Severe D. Profound 3. Outline the nursing responsibilities in the care of the mentally retarded child in the hospital. 4. Define Down s syndrome, indicating the cause of the disorder. 5. Identify the characteristics of a child with Down s syndrome. 6. Define autism and list the symptoms, treatment, and nursing care of the child. 7. Define attention deficit disorder with/without hyperactivity (ADD or ADHD) and list its symptoms and treatment based on DSM-IV- TR criteria. 8. Identify signs and treatment of childhood depression based on DSM-IV-TR criteria. 9. Discuss signs of suicidal intention and methods of prevention. 10. Describe self-mutilation, the underlying etiology, and treatment options. Reviewed: 03/92; 03/96; 03/98; 02/10; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 03/11 I. Mental Retardation /Classifications C. DSM-IV-TR Criteria D. Symptoms II. Down s Syndrome C. Characteristics III. Autism C. DSM-IV-TR Criteria D. Symptoms IV. ADD/ADHD C. DSM-IV-TR Criteria D. Symptoms V. Depression and Suicide C. DSM-IV-TR Criteria D. Symptoms G. Prevention VI. Self-Mutilation A. Signs B. Etiology 21

22 Unit: Pediatrics Implementation: Leifer, pp. 554, ; WV Code, Lecture/Discussion, Transparencies, Lesson: 17 Fill-in-the-Blank/Other Handouts, SBS Brochure (AAP) Title: Nursing Care of the Abused Child Evaluation: Written Exam, Class Participation, Quizzing, Application in Patient Care Time: Theory 2 Hours Integrated: N/A 1. Summarize WV law/reporting laws regarding child abuse and the nurse s professional responsibility. 2. List facts known about child abuse and neglect. 3. List indicators of neglect. 4. State clinical symptoms of physical abuse, including shaken baby syndrome (SBS). 5. State symptoms/behavior seen in parents who are physical child abusers. 6. State symptoms of sexually abused children. 7. State guidelines for assisting during an examination of a sexually abused child. 8. Define verbal abuse, indicate methods, and discuss the effects of it. 9. List methods of preventing child abuse. I. WV Child Abuse/Mandatory Reporting Law II. Facts on Child Abuse III. Neglect B. S/S C. Effects IV. Physical Abuse B. S/S C. Shaken Baby Syndrome (SBS) D. Parents /Offenders Characteristics/Behaviors E. Effects V. Sexual Abuse B. S/S C. Examination VI. Verbal Abuse B. Effects VII. Emotional Abuse B. Effects VIII.Child Abuse Prevention Reviewed: 03/92; 03/96; 03/98; 02/10; 03/13 Revised: 03/94; 03/00; 03/02; 04/04; 10/06; 12/08; 03/11 22