Care Planning in Children and Young People's Nursing
Care Planning in Children and Young People's Nursing addresses a selection of the most common concerns that arise when planning care for infants, children and young people within the hospital and community setting. Clear and detailed, this text reflects both the uniqueness and diversity of contemporary children's nursing and utilizes images and case studies to provide a holistic insight into the practice of care planning through the reporting of best available evidence and current research, policy and education. Divided into sections for ease of reference, Care Planning in Children and Young People’s Nursing explores both the theory and practice of care planning. Chapters on the principles of care planning include issues such as managing risk, safeguarding children, ethical and legal implications, integrated care pathways, interprofessional assessment, and invaluable parent perspectives. Additional chapters on the application of planning care examine the practical aspects of a wide range of specific conditions including cystic fibrosis, obesity, cardiac/renal failure and HIV/AIDS. Each chapter is interactive, with questions, learning activities and points for discussion creating an engaging and enquiry-based learning approach. Care Planning in Children and Young People’s Nursing is a definitive resource, reflecting innovative practice which is suitable for undergraduate and postgraduate nurse education.
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 3 Doris Corkin and Pauline Cardwell Introduction 3 Nursing process – what is the nursing process? 3 Nursing diagnoses 6 Planning care – what is a care plan? 7 Philosophy of care 9 What are nursing models 9 Summary 15 References 19 2 Risk Assessment and Management 21 Sonya Clarke and Doris Corkin 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 25 References 25 3 Safeguarding to Protect Children, Young People and Their Families 27 Lorna Liggett 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 39 Orla McAlinden 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 50 Catherine Monaghan Introduction 50 Summary 55 References 56 6 Sexual Health 57 Jim Richardson Introduction 57 Answers to questions 58 Some facts 59 Summary 61 References 61 7 Integrated Care Pathways 62 Pauline Cardwell and Philomena Morrow 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 69 Philomena Morrow 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 81 Michael Davidson and Nuala Devlin 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 89 Erica Brown 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’ Refl ective Account 96 Ian and Nicola Markwell 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 107 Clare Morfoot and Susanne Simmons Answers to questions 108 References 114 13 Epidural Analgesia 116 Michelle Bennett and Sharon Douglass 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 125 Alan Forster The epilepsies 126 Answers to questions 127 Seizures 130 References 136 Websites for further reading 138 15 Nut Allergy – Anaphylaxis Management 139 Diane Gow Answers to questions 140 References 146 16 Closed Head Injury 147 Katie Dowdie and Carol McCormick Answers to questions 148 References 159 17 Obesity 160 Janice Christie Answers to questions 162 Summary 169 References 170 Section 4: Care of Neonates and Children with Respiratory Disorders 173 18 Neonatal Respiratory Distress Syndrome 175 Susanne Simmons and Clare Morfoot Answers to questions 176 References 182 19 Cystic Fibrosis 183 Hazel Mills and Mary MacFarlane Answers to questions 184 References 189 20 Asthma 191 Barbara Maxwell Answers to questions 192 References 198 Section 5: Care of Infants and Young Persons with Cardiac Conditions 199 21 Cardiac Catheterisation 201 Pauline Carson Answers to questions 202 References 207 22 Infant with Cardiac Failure 208 Anne Finnegan Answers to questions 209 References 219 Section 6: Care Planning – Surgical Procedures 223 23 Tonsillectomy 225 Kathryn O’Hara and Doris Corkin Answers to questions 226 References 231 24 Appendicectomy 233 Lorna Liggett Answers to questions 234 References 240 Section 7: Care of Infants and Young Persons with Orthopaedic Conditions 241 25 Ilizarov Frame 243 Sonya Clarke Answers to questions 245 References 254 26 Developmental Dysplasia of the Hip 256 Sonya Clarke Answers to questions 258 References 262 Section 8: Care of the Gastro-intestinal Tract in Infants and Children 263 27 Gastro-oesophageal Reflux 265 Doris Corkin and Heather McKee Answers to questions 266 References 271 28 Cerebral Palsy and Nasogastric Tube Feeding 272 Gillian McEwing Answers to questions 273 References 280 29 Enteral Feeding – Gastrostomy Care 282 Catherine Paxton Answers to questions 283 References 290 Section 9: Care of Children and Young Persons with Endocrine Disorders 291 30 Nephrotic Syndrome 293 Janet Kelsey Answers to questions 294 References 299 31 Newly Diagnosed Diabetic 300 Pauline Cardwell and Doris Corkin What is diabetes mellitus? 301 Answers to questions 301 References 307 32 Acute Renal Failure/Kidney Injury 308 Hazel Gibson, Gloria Hook and Rosi Simpson 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 321 Gilli Lewis and Debbie Rickard Answers to questions 322 References 329 34 Burns Injury 332 Idy Fu 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 343 Doris Corkin and Julie Chambers Answers to questions 344 References 350 36 HIV/AIDS 352 Karen Salmon Answers to questions 356 References 359 37 Bereavement Support 361 Una Hughes and Breige Morgan Answers to questions 362 Summary 366 References 367 Appendices 368 Index 391
“This book’s broad content and readability, supported by contemporary evidence, make it a valuable resource to purchase.” (Primary Health Care, 1 November 2012) “The book is aimed at undergraduate students, but would serve as an excellent resource for any nurse wanting to improve his or her skills in planning children and young people’s care.” (Nursing Times, 22 October 2012) "This is a must read for all children and young people's nurses." (Nursing Children and Young People, 1 February 2012) “This book provides essential knowledge and good examples of care planning scenarios in clinical practice that would be useful for undergraduate nursing student and registered children’s nurse alike.” Laura Camps, Staff Nurse “I really like the look and feel of this book, it’s not too large or heavy so can be carried round easier than some of the bigger texts on care planning…The level is just right for someone learning care planning. Its style of writing isn’t patronizing, and it is an interesting read.” Emma Scragg, 3rd year child nursing student, Salford University “A very useful and important book which should be used from year 1 as it is relevant to many things which I have already done whilst on placement… It is easy to follow, understandable and clear. It is eye-catching and colourful and covers several important topics specific to children i.e. Safeguarding.” Amy Warburton, 1st year child nursing student, University of Nottingham "The style of the book is clear and gives good examples to illustrate each aspect of care. The level is appropriate for a student nurse and is a great foundation for nursing care." Clare Allberry, 3rd year nursing student, University of Nottingham "A useful book, well set out and relevant content. It was easy to read and I’m sure many other nursing students will think so too." Bianca Hansen, 2nd year nursing student, University of Nottingham
Doris Corkin is Teaching Fellow (Children's Team), School of Nursing & Midwifery, Queen's University Belfast Sonya Clarke is Senior Teaching Fellow, (Children's & Orthopaedic / Trauma Nursing), School of Nursing & Midwifery, Queen's University Belfast Lorna Liggett is Discipline Lead (Children's Nursing), School of Nursing & Midwifery, Queen's University Belfast
Care Planning in Children and Young People’s Nursing comprehensively addresses a selection of the most common issues that arise when planning care for infants, children and young people within the hospital and community setting. This core text utilizes clear images and detailed case studies to provide a holistic insight into the practice of care planning through the report of current research, best available evidence, policy and education which reflects both the uniqueness and diversity of contemporary children’s nursing. Divided into sections for ease of reference, Care Planning in Children and Young People’s Nursing explores both the theory and practice of care planning. Chapters on the principles of care planning include issues such as managing risk, safeguarding children, ethical and legal implications, integrated care pathways, interprofessional assessment, and invaluable parent perspectives. Additional chapters on the application of planning care examine the practical aspects of a wide range of specific conditions including cystic fibrosis, obesity, cardiac/renal failure and HIV/AIDS. Each chapter is interactive with questions, learning activities and points for discussion creating an engaging and enquiry-based learning approach. Care Planning in Children and Young People’s Nursing is a definitive resource, reflecting innovative practice which is suitable for undergraduate and postgraduate nurse education.
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