Table of Contents

 

 

 

 

Foreword

xi

 

Preface

xii

 

Contributors

xiv

 

Acknowledgements

xxvi

SECTION 1

PRINCIPLES OF CARE PLANNING

1

1

The Nature of Care Planning and Nursing Delivery for Infants, Children and Young People   Doris Corkin and Pauline Cardwell

3

 

Introduction

3

 

Nursing process – what is the nursing process?

3

 

Nursing diagnoses

6

 

Planning care – what is a care plan?

7

 

Philosophy of care

o

 

What are nursing models

9

 

Summary

9

 

References

10

2

Risk Assessment and Management   Sonya Clarke and Doris Corkin

21

 

Introduction

21

 

Risk assessment

21

 

Main sources of risk

22

 

Categories of risk

23

 

Risk management

24

 

Examples of risk

24

 

Following an incident

24

 

Summary

24

 

References

25

3

Safeguarding to Protect Children, Young People and Their Families   Lorna Liggett

27

 

Introduction

27

 

Inquiry into Victoria Climbié

27

 

Recognition of child abuse and neglect

28

 

Policies and procedures

31

 

Assessment

34

 

Record-keeping

35

 

Roles and responsibilities

36

 

Summary

37

 

References

38

4

Ethical and Legal Implications When Planning Care for Children and Young People   Orla McAlinden

39

 

Introduction

39

 

Ethics and morality

40

 

The law

42

 

What is advocacy?

43

 

The rights of the child

44

 

Consent

45

 

Challenges to healthcare decisions and actions

45

 

Evidence-based practice

46

 

Documentation within care planning

46

 

Summary

47

 

References

48

5

Young People and Truth Telling   Catherine Monaghan

50

 

Introduction

50

 

Summary

55

 

References

56

6

Sexual Health   Jim Richardson

57

 

Introduction

57

 

Answers to questions

58

 

Some facts

59

 

Summary

61

 

References

61

7

Integrated Care Pathways   Pauline Cardwell and Philomena Morrow

62

 

Introduction

62

 

The origins of integrated care pathways

63

 

What are integrated care pathways?

63

 

How do integrated care pathways contribute to evidence-based practice?

66

 

Summary

67

 

References

67

8

Interprofessional Assessment and Care Planning in Critical Care   Philomena Morrow

69

 

Introduction

69

 

Case study

69

 

Interprofessional working

70

 

ABCDE assessment framework

73

 

Assessment of disability

76

 

Summary

79

 

References

79

9

Practice Education Facilitator, Mentor and Student – Supporting the Planning of Care   Michael Davidson and Nuala Devlin

81

 

Introduction

81

 

Role of mentors

82

 

Practice education facilitator role

82

 

Case study

84

 

Summary

87

 

References

87

10

Holistic Care – Family Partnership in Practice   Eiica Brown

89

 

Introduction

89

 

Family-centred care

90

 

Families adapting to their child’s illness

90

 

Empowering parents

92

 

Summary

94

 

References

94

11

From Hospital to Home – Parents’ Reflective Account   Ian and Nicola Markwell

96

 

Introduction

96

 

Planning care

97

 

Hospital to home

99

 

Living with Ryan and his tracheostomy

100

 

Parents as carers

101

 

Siblings and extended family

102

 

Our son Ryan

103

 

Ryan’s education

103

 

Giving something back

104

SECTION 2

CARE PLANNING – PAIN MANAGEMENT

105

12

Managing a Neonate in an Intensive Care Unit   Clare Morfoot and Susanne Simmons

107

 

Answers to questions

108

 

References

114

13

Epidural Analgesia   Michelle Bennett and Shawn Douglass

116

 

Answers to questions

117

 

References

121

SECTION 3

CARE OF CHILDREN AND YOUNG PERSONS WITH SPECIAL NEEDS

123

14

Young Person with a History of Epilepsy   Alan Forster

125

 

The epilepsies

126

 

Answers to questions

127

 

Seizures

130

 

References

136

 

Websites for further reading

138

15

Nut Allergy – Anaphylaxis Management   Diane Gow

139

 

Answers to questions

140

 

References

146

16

Closed Head Injury   Katie Dowdie and Carol McCormick

147

 

Answers to questions

148

 

References

159

17

Obesity   Janice Christie

160

 

Answers to questions

162

 

Summary

169

 

References

170

SECTION 4

CARE OF NEONATES AND CHILDREN WITH RESPIRATORY DISORDERS

173

18

Neonatal Respiratory Distress Syndrome   Susanne Simmons and Clare Morfoot

175

 

Answers to questions

176

 

References

182

19

Cystic Fibrosis   Hazel Mills and Mary MacFarlane

183

 

Answers to questions

184

 

References

189

20

Asthma   Barbara Maxwell

191

 

Answers to questions

192

 

References

198

SECTION 5

CARE OF INFANTS AND YOUNG PERSONS WITH CARDIAC CONDITIONS

199

21

Cardiac Catheterisation   Pauline Carson

201

 

Answers to questions

202

 

References

207

22

Infant with Cardiac Failure   Anne Finnegan

208

 

Answers to questions

209

 

References

219

SECTION 6

CARE PLANNING - SURGICAL PROCEDURES

223

23

Tonsiliectomy   Kathiyn O’Haia and Doris Corkin

225

 

Answers to questions

226

 

References

231

24

Appendicectomy   Lorna Liggett

233

 

Answers to questions

234

 

References

240

SECTION 7

CARE OF INFANTS AND YOUNG PERSONS WITH ORTHOPAEDIC CONDITIONS

241

25

Ilizarov Frame   Sonya Clarke

243

 

Answers to questions

245

 

References

254

26

Developmental Dysplasia of the Hip   Sonya Clarke

256

 

Answers to questions

258

 

References

262

SECTION 8

CARE OF THE GASTRO-INTESTINAL TRACT IN INFANTS AND CHILDREN

263

27

Gastro-oesophageal Reflux   Doiis Corkin and Heather McKee

265

 

Answers to questions

266

 

References

271

28

Cerebral Palsy and Nasogastric Tube Feeding   Gillian McEwing

272

 

Answers to questions

273

 

References

280

29

Enteral Feeding – Gastrostomy Care   Catherine Paxton

282

 

Answers to questions

283

 

References

290

SECTION 9

CARE OF CHILDREN AND YOUNG PERSONS WITH ENDOCRINE DISORDERS

291

30

Nephrotic Syndrome   Janet Kelsey

293

 

Answers to questions

294

 

References

299

31

Newly Diagnosed Diabetic   Pauline Caidwell and Doris Corkin

300

 

What is diabetes mellitus?

301

 

Answers to questions

301

 

References

307

32

Acute Renal Failure/Kidney Injury   Hazel Gibson, Gloria Hook and Rosi Simpson

308

 

Answers to questions

309

 

References

315

 

Further reading

316

SECTION 10

CARE OF INFANTS AND YOUNG PERSONS WITH SKIN CONDITIONS

319

33

Infant with Infected Eczema   Gilli Lewis and Debbie Rickard

321

 

Answers to questions

322

 

References

329

34

Burns Injury   Idy Fu

332

 

Answers to questions

333

 

References

339

SECTION 11

CARE OF CHILDREN AND YOUNG PERSONS WITH LIFE-LIMITING CONDITIONS

341

35

Young Person with Spinal Muscular Atrophy   Doris Coikin and Julie Chambers

343

 

Answers to questions

344

 

References

350

36

HIV/AIDS   Karen Salmon

352

 

Answers to questions

356

 

References

359

37

Bereavement Support   Una Hughes and Breige Morgan

361

 

Answers to questions

362

 

Summary

366

 

References

367

 

Appendices

368

 

Index

391