A Nurse’s Open Letter to Parents Who Have Lost a Child

“You are never alone as you miss these children, as you laugh recalling moments with them. Don’t worry that the memory of them is fading—their presence is strong and lives even beyond you and your love for them. We remember them, too.”

Illustration by Barbara Hranilovich for AJN. All rights reserved.

In this month’s Reflections column, author Jessica L. Spruit has written an open letter to parents who have lost a child. Spruit, a pediatric NP in a hematology/oncology department, makes it clear that the children in her care are not forgotten and that their deaths are never routine, even on a hem/onc unit. Here, she shares memories of her patients from over the years, recalling the things that made them unique—as children, and not just as “patients.”

In her letter, Spruit describes something that is often hard to convey about our work. In spite of all of the stress and frustrations of nursing today, we still are able to engage deeply with other people. The courage and grace (and fun and joy, too) that we have the privilege to witness become part of who we are. When our patients are children, their gifts to us are particularly memorable.

“Please don’t ever think that we ‘do this all the time’ or that it is ‘just part of our job.’ Please don’t fear that you are the only ones who remember and miss your children.”

Read “We Remember Them, Too” in […]

2018-07-17T14:28:09-04:00July 17th, 2018|Nursing, pediatrics|0 Comments

Recognizing Delirium in Hospitalized Children

A hospital can be a scary place for any of us, but the experience is likely to be especially upsetting for children. An unfamiliar environment, possibly painful procedures, immobility, food that’s not from home (or no food), and disturbed sleep are hard on most people. A child’s particularly vivid imagination may exacerbate an already-frightening experience. It’s not surprising that delirium can occur in hospitalized children.

Characteristics of pediatric delirium.

Delirium in children has not been explored to the extent that it has been in adults, but research suggests its manifestations in either group can include five characteristics: agitation, disorientation, hallucinations, inattention, and sleep–wake cycle disturbances. Some evidence also suggests that children with delirium may have a more labile affect than adults, and more severe perceptual disturbances. […]

2018-04-25T10:05:56-04:00April 25th, 2018|Nursing, pediatrics|0 Comments

New Warnings About Protecting Children from Dangerous Substances in the Home

Photo © Istock.

As we report in a June news article, findings from several recent studies have underscored the importance of educating parents on how to keep younger children as well as older adolescents safe from exposure to dangerous substances they might accidentally ingest or deliberately seek out. Nurses can talk to parents about safe storage, ask questions about the presence of potentially hazardous substances in the home, and provide information about risks and precautions.

MARIJUANA

A study of the National Poison Data System found an increase in the rate of marijuana exposure (including edible products) among children younger than six. The rates were higher in states that had legalized the use of marijuana—an implication to be aware of as more states do the same.

HAND SANITIZERS

Another study, conducted by the Centers for Disease Control and Prevention, identified health risks in young children who had ingested alcohol-based hand sanitizers. The researchers drew attention to dangers associated with inadequate safety precautions when these products are used with young children, as well as the possibility that older children might abuse them. […]

2017-06-12T09:32:38-04:00June 12th, 2017|Nursing, pediatrics|0 Comments

Chemical Exposure: A Preventable Cause of Harm to Children’s Health

“Children are often exposed to. . . contaminants through their behavior—when they crawl on the floor or explore their environment by touching and tasting objects indiscriminately. In addition, because they are young, there is the potential for environmental exposures to negatively impact their health for a long time.”

Photo © Associated Press

Chemicals are ubiquitous

In “Project TENDR,” an article in this month’s issue of AJN, author Laura Anderko, PhD, RN, a professor at the Georgetown University School of Nursing and Health Studies, discusses why children are particularly susceptible to environmental exposures to chemicals.

Aside from children’s vulnerability to chemical exposures as still developing individuals, Anderko observes that chemicals are also especially hazardous to children simply because they are everywhere: “ . . . in health care supplies and equipment, the food we eat, the water we drink, the air we breathe, and the cosmetics and personal products (such as shampoos, baby bottles, toys, and thousands of other consumer products) we use.”

Developmental harms of children’s exposure to chemicals

Anderko summarizes the concerns raised by a growing body of evidence linking environmental exposures and pediatric health outcomes:

“ . . . widespread exposure to toxic chemicals can increase the risk […]

Nurse-Led Evidence-Based Sleep Program Helps Hospitals and New Mothers Keep Babies Safe

Photo © Associated Press. Photo © Associated Press.

I can remember, when I was pregnant, reading everything I could get my hands on about every mother’s fear—sudden infant death syndrome (SIDS). My mother, who followed the norms of her time when I was born, was surprised that my son’s crib was bare—no blankets, pillows, toys, or bumpers. He wore a sleep sack and was placed on his back to sleep until he began to roll over by himself.

To add to what I learned from my preparatory reading, the nurses at the hospital I gave birth in set a standard for how to care for my newborn—explaining the abovementioned safe sleep tips, and much more. After all, nurses are probably a mom’s first stop for this information, helping new mothers navigate the choppy waters of caring for their newborns.

This month’s Cultivating Quality article, “

Go to Top