pediatric nursing Archives - Page 4 of 5

April Issue: Delirium in Hospitalized Children, Lyme Disease Basics, Ostomy Care, More

The April issue of AJN is now live. Here are some of the articles we’re pleased to have a chance to publish this month.

CE: Original Research: Recognizing Delirium in Hospitalized Children: A Systemic Review of the Evidence on Risk Factors and Characteristics

Among the key findings of this review was that delirium is multifactorial,
related to treatment (such as mechanical ventilation) and to a hospital
environment (such as the pediatric ICU) that deprives patients of normal
sleep–wake cycles and familiar routines.

CE: Lyme Disease: Diagnosis, Treatment, and Prevention

The authors describe the clinical features of Lyme disease, the appropriate use of diagnostic tests, the recommended treatment, and evidence-based strategies for preventing tick-borne diseases nurses can share with patients.

Environments and Health: The Great London Smog of 1952

Over five days in December 1952, smog engulfed London, killing up to 12,000 people. This article discusses the disaster’s impact on human health and subsequent pollution legislation—including the U.S. Clean Air Act—and its implications for nurses today, as dangerous air quality events continue and environmental regulations are increasingly under threat.

Supporting Family Caregivers: No Longer Home Alone: Ostomy Care at Home

The authors offer practical guidance, including an informational tear sheet and an instructional

Diane Szulecki, editor2018-04-02T09:22:34-04:00April 2nd, 2018|Nursing|0 Comments

Dosing Cups, Oral Syringes, or Spoons: A Pediatric Medication Safety Recipe for Disaster?

pediatricdosing A recent article I came across in Pediatrics said that researchers found (during laboratory experiments) that four out of five parents made at least one dosing error when using either a dosing cup or an oral syringe to dispense liquid medication meant for children. As a new parent who has grappled with multiple dosing tools, I can’t say I am surprised.

Growing up, I remember syrupy medicines being doled out by my mother on spoons of varying size—a teaspoon or tablespoon—not a very accurate method when you also factor in that most spoons differ in shape and, probably, actual volume.

After my son had his first round of vaccines, the nurse told me that, in case he had a fever that night, the standard dose of Tylenol for his size and age was 80 mg. He didn’t get a fever in the end, and I didn’t think about what she’d told me until he had his first fever from a cold several months later.

When I went to open my box of Tylenol, I saw that the syringe that came with it did not use the dosage the nurse had told me (in milligrams), but rather, milliliters. I looked on the box for instructions but it only listed the […]

Amy M. Collins, managing editor2016-11-21T13:00:52-05:00November 1st, 2016|patient safety, pediatrics|0 Comments

AJN in September: Pain Management in Opioid Use Disorder, STIs in the U.S., Teaching Vs. Unit Needs

On this month’s cover, perianesthesia nurse Carolyn Benigno helps prepare a young patient for surgery at Children’s National Medical Center in Washington, DC. The photo, the first-place winner of AJN’s 2015 Faces of Caring: Nurses at Work photo contest, shows Benigno practicing “Caring through Play.” The art of working at a pediatric hospital, she says, is “learning how to play with children so that part of your nursing care is play.” Such play can both distract a child in the moment and help the child cope with the disorienting experience of hospitalization.

For another piece on how nurses try to make hospitalization less stressful for children, see this month’s Cultivating Quality article, “Improving Pediatric Temperature Measurement in the ED.”

Some other articles of note in the September issue:

CE Feature: “Acute Pain Management for Inpatients with Opioid Use Disorder.” Inpatients diagnosed with opioid use disorder (OUD) commonly experience acute pain during hospitalization and may require opioids for pain management. But misconceptions about opioids and negative attitudes toward patients with OUD may lead to undermedication, unrelieved pain, and unnecessary suffering. This article reviews the current relevant literature and dispels common myths about opioids and OUD. […]

Amy M. Collins, managing editor2016-11-21T13:02:02-05:00September 2nd, 2015|career, Ethics, infectious diseases, Nursing, nursing perspective|1 Comment

The Borders of Loss: An Early First in One Nurse’s Career

Julianna Paradisi, RN, OCN, is an oncology nurse navigator and writes a monthly post for this blog. The illustration below is hers.

Peds Ward (2008), charcoal, graphite, flash, and acrylic. By Julianna Paradisi Peds Ward (2008)/charcoal, graphite, flash, and acrylic/by Julianna Paradisi

Working in oncology, the topic of whether it’s crossing a boundary for nurses to attend the funeral of their patients comes up. Sometimes, however, we’re carried across that boundary by our heartstrings. The first patient funeral I attended was that of my first patient.

During Jack’s short life, he was the first assignment of many a new nurse on the pediatric unit where I was hired as a newly graduated nurse. He had lived in the hospital his entire life.

Jack was nearly ten months old when we met. Born with a congenital illness requiring multiple surgeries, he failed to thrive. A nasogastric tube snaked through his nose into his stomach so he could conserve the calories burned eating from a bottle or spoon. As Jack’s nurse, I mastered the skill of nasogastric tube feedings.

Most parents bond with their chronically ill babies, but it takes a big commitment on their part. Babies like Jack do not look like the pictures of healthy babies in magazines. They are cloistered in an isolette and connected to […]

Julianna Paradisi, RN, OCN2016-11-21T13:02:33-05:00May 8th, 2015|career, narratives, Nursing, nursing perspective, Patients|2 Comments

Giving Thanks for Meaning in a Nonclinical Setting

Julianna Paradisi, RN, OCN, writes a monthly post for this blog and works as an infusion nurse in outpatient oncology. The illustration of this post is by the author.

Some Thanksgiving seasons, it feels like the only specific nursing thing to be thankful for is the overstocked larder of the staff lounge, marking the advent of The Season of Eating.

I’m being facetious. Actually, there’s lots to be thankful for in nursing, including a regular paycheck, which is not taken for granted. However, most nursing units remain understaffed, despite hoards of nursing school graduates desperately seeking jobs—creating a no-net gain on the gratitude side of the ledger.

Ethical issues and long hours also make finding gratitude a challenge. It’s not the gifts from patients of flavored popcorn and boxes of chocolates in the staff lounge that warm a nurse’s heart so much as the handwritten cards accompanying them, thanking us for their care. For nurses, finding meaning in what we do goes hand in hand with gratitude.

This season, however, I was surprised by an opportunity to find meaning as a nurse outside of a clinical setting, and I want to share the experience.

One afternoon, a neighbor came to my door asking for help. She is the mother of two small children, and her toddler had accidentally burnt his hand in the kitchen. She’d taken him to the emergency department and a […]