very much useful for basic nursing students

1. MURUGANANDAN . M.Sc (N)

2. PEDIATRICS - Meaning
• It is derived from Greek words.
• PEDIA means CHILD
• IATRIC means TREATMENT
• ICS means BRANCH OF SCIENCE,

3. PEDIATRICS – Definition.
• Pediatrics can be defined as the branch of
medical science, that deals with the care
of the children, from conception to
adolescence, in health and illness.
• It is concerned with preventive, curative, &
rehabilitative care of children.

4. Importance of PEDIATRICS
• Major consumers of health care.
• 35 – 40 of total population are children below the
age of 15.
• More vulnerable to various health problems.
• Majority of Childs morbidity & mortality
preventable.
• Needs special care to survive & thrive.
• Wealth of tomorrows society &nation.

5. Factors Affecting the Child Health.

6. Common Child Health Problems

7. Criteria's for identifying - High Risk Infants
• Birth weight less than 2.5kg
• Twin births
• Birth order 5 or more
• Spacing of children less than 2years
• No breastfeeding or insufficient breastfeeding along with
artificial feeding
• Failure to gain weight during 3 successive months
• Weight below 70% of the reference standard
• History of death of 2 or 3 siblings before the age of 24
months
• Death of either or both parents
• Children with PEM and severe acute infections.

8. Pediatric Nursing
 Pediatric nursing is the
specialized area of the nursing
practice concerning the care of
children during wellness and
illness, which includes
preventive, promotive, curative
and rehabilitative care of
children.

9. • Pediatric nursing practice is concerned
with
# Well being of the children towards optimal
functioning.
# Integration of developmental needs of children into nursing
care with holistic approach.
# Integration of scientific principles and theory related to child
health into nursing practice.
# Delivering care to the family- child unit.
# Interdisciplinary team approach to plan and provide child care in
comprehensive manner
# Focusing on the ethical, moral and legal problems regarding
child care.

10. Pediatric nursing practice is
concerned with

11. Goals of Pediatric Nursing

12. • To provide skillful, intelligent, need based
comprehensive care to the children in health and
sickness.
• To interpreted the basic needs of the children to
their parents and family members and to guide
them in child care.
• To prevent disease and alleviate suffering in
children.
• To promote growth and development of children
towards optimum state of health for functioning
at the peak of their capacity in future.

13. • Build a working relationship with the parents and
their children from the time of first contact .
• Should be aware that all behaviors should be
meaningful.
• Should accept parents and their children exactly
as they are.
• Allow them to know that their problems are
important, and the nurse is there to aid in their
solutions.

14. • Have an empathy for parents and children.
• Willing to acknowledge the parents right to their
own decisions concerning their accident.
• Allows the parents and the children to express
their emotions, even negative emotions.
• Ask questions limited to a single idea or
reference
• Speak a language understandable to the parent
and children.
• Must help the parents to feel that there is unity
among the health team.

15. • Attention to the full range of human
experiences and responses to health and
illness without restriction to a problem-
focused orientation.
• Integration of objective data with
knowledge gained from an understanding
of the patient or group’s subjective
experience.
• Provision of a caring relationship that
facilitates health and healing.

16. Aspects of Pediatric Nursing
Pediatric nursing practice depends on the 3
aspects. They are as follows:
• Family centered care.
• A traumatic care
• Case management.

17. Aspects of
Pediatric
nursing
practice
A traumatic care Case management.
Family centered care.

18.  the family is a constant
 family/ professional collaboration
 Exchanging complete and unbiased
information
 honoring of cultural diversity
 different methods of coping
 family- family support
 Appreciating families as families

19. The overriding goal in providing a traumatic
care is first do no harm.
3 principles provide the framework for
achieving this goal:
 Prevent or minimize the child’s separation from the
family.
 Promote a sense of control.
 Prevent or minimize bodily injury and pain.

20.  It is an approach to coordinate care and
control costs. The benefits of case
management include improved patient/
family satisfaction,
 Case managers are responsible and
accountable for particular groups of
patients and often use timeless derived
from standards of care.

21. RIGHTS OF THE CHILD

25. QUALITIES OF PEADIATRIC NURSE.
Be a loving person and have liking for the children.
Have patience, pleasant appearance and ability to
understand the child's behavior.
Be able to maintain good IPR with children.
Be friendly ,honest, gentle, diligent and humorous.
Have good observation, judgment and
communication ability-based on scientific knowledge
and experience
Be well-informed, skillful, responsible, truthful,
trustworthy.

26. Role of PEADIATRIC NURSE
Nurse Nurse
consultant Researcher

27. Remarkable changes have occurred in the
field of pediatric nursing in recent years
• Modern approach of child health care
emphasizes on preventive care rather
than curative care.
• Growth of specialization within the field of
pediatric medicine has had an impact on
nursing care of children.

28. • Independent practitioner who can fulfill an
autonomous position as a member of an
interdisciplinary health team.
• Acceptance of family centered care of
children impart more responsibility on
pediatric nursing and pediatric nurse
• Involving in research and findings newer
techniques in nursing sciences.

29. Pediatric care need specialized education and training
of pediatric nurse.
Increasing number of HIV infected innocent children
create problems in pediatric care and nursing
practices .
Increasing number of psychological problems among
children due to unhealthy competition, comparison,
single parent and family disruption

30. • Ethical decision making in ethical dilemmas about issues
like refusal of treatment , euthanasia, prolongation of life,
prenatal genetic screening, abortion, invitro fertilization,
allocation of scarce medical resources and rights of
children in health care research etc.
• Moral dilemmas for pediatric nurses arise from power
conflicts about treatment in which the nurse may need to
decide whether to continue to co-operate with the health
team and follow the physicians directions or not to follow
them.
• Legal issues related to consumer protection act,
malpractice and negligence are great challenges in all
areas of nursing practice and also in child care.

31. Thank you