Study sets matching "pediatric assessment and management"

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Study sets matching "pediatric assessment and management"

Pediatric pain assessment and management
pain
acute pain
chronic
behavior changes... self reporting of pain
unpleasant sensory and emotional experience associated with p…
pain... sudden, short duration... surgery/injury... sickle cell crisis
pain... longer than 3 months... juvenile idiopathic arthritis... cancer
which indicators are measured by pain assessment tools?
pain
unpleasant sensory and emotional experience associated with p…
acute pain
pain... sudden, short duration... surgery/injury... sickle cell crisis
10 terms
Assessment and Management of the Pediatric Patient
What neonatal condition generally nece…
What finding would alert the WOC nurse…
A neonate id diagnosed with malrotatio…
A neonate id diagnosed with imperforat…
A
D
D
B
What neonatal condition generally nece…
A
What finding would alert the WOC nurse…
D
17 terms
Pediatrics Class #3: Pediatric Pain Assessment and Management
pain assessment in children
situational factors
Self Report: What the child says...
Behavioral Observation: How the child…
-self report (what the child says)... -physiological (how the in…
-behavioural (what you and child do to lessen pain)... -emotiona…
18 months - 3 years... -Understand surrogate words for pain (e.g…
-Observe infant/child's behaviors for a specified amount of t…
pain assessment in children
-self report (what the child says)... -physiological (how the in…
situational factors
-behavioural (what you and child do to lessen pain)... -emotiona…
16 terms
Pain assessment and management in the Pediatric patient
What are general concerns of pain rega…
What are ways to assess pain in the in…
what are physiological ways to assess…
How can you assess pain in a child wit…
fear of bodily harm and pain are prevalent among children. th…
used for infants and pre or non-verbal children facial expres…
used for infants and pre or non-verbal children provides an i…
these children are at increased risk for under treatment of p…
What are general concerns of pain rega…
fear of bodily harm and pain are prevalent among children. th…
What are ways to assess pain in the in…
used for infants and pre or non-verbal children facial expres…
16 terms
Pain assessment and management in the Pediatric patient
What are general concerns of pain rega…
What are ways to assess pain in the in…
what are physiological ways to assess…
How can you assess pain in a child wit…
fear of bodily harm and pain are prevalent among children. th…
used for infants and pre or non-verbal children facial expres…
used for infants and pre or non-verbal children provides an i…
these children are at increased risk for under treatment of p…
What are general concerns of pain rega…
fear of bodily harm and pain are prevalent among children. th…
What are ways to assess pain in the in…
used for infants and pre or non-verbal children facial expres…
Pediatric assessment
Pediatric assessment triangle
Airway and respiratory problems
Tachypnea
Tachycardia
Appearance: focus on the mental status and muscle tones... Breat…
The most common causes of cardiac arrest in infants and young…
Often the first manifestation of respiratory distress in infa…
Often the first sign of shock in pediatrics
Pediatric assessment triangle
Appearance: focus on the mental status and muscle tones... Breat…
Airway and respiratory problems
The most common causes of cardiac arrest in infants and young…
16 terms
Exam 4 Pediatric Dysphagia Assessment and Management (Lecture)
Pediatric Dysphagia
Warning signs
1st referred to
2nd referred to
Swallowing issues and food issues in kids. Have difficultly f…
-Arching the back during feeding... -Turning away from nipple... -R…
ENT or gastroenterologist for cause
feeding specialist SLP and OT for treatment
Pediatric Dysphagia
Swallowing issues and food issues in kids. Have difficultly f…
Warning signs
-Arching the back during feeding... -Turning away from nipple... -R…
16 terms
Pediatric Physical Therapy Assessment- Management of Neuro
PL 94-142 EHA
PL 101-476-IDEA
PL 108-44 IDEIA
Individual Educational Program IEP
Education for the Handicapped Act in 1978, all states have to…
Individuals with disability education Act 1990 is same as PL…
Individuals with Disability Education Improvement 2004, to de…
Evaluation in the school, educational goals
PL 94-142 EHA
Education for the Handicapped Act in 1978, all states have to…
PL 101-476-IDEA
Individuals with disability education Act 1990 is same as PL…
11 terms
Pediatric Nursing - HESI - Pain Management & Assessment
What are some complications of untreat…
What pain scale will be used with infa…
What pain scale will be used with chil…
What pain scale can be used by prescho…
delayed recovery... alterations in sleep pattern... alterations in…
CRIES = 10pts (10 being worst)... C = crying (0 = absent; 2 = in…
Pain Rating Scale (PRS) or FLACC (0-10, 10 being worst)... -face…
FACES... 0-10 (10 being the worst)
What are some complications of untreat…
delayed recovery... alterations in sleep pattern... alterations in…
What pain scale will be used with infa…
CRIES = 10pts (10 being worst)... C = crying (0 = absent; 2 = in…
50 terms
Pediatrics Chapter 7: Pain Assessment and Management in Children
how does a young infant respond to pain?
how does an older infant respond to pa…
how does a young child respond to pain?
how does a school-age child respond to…
generalized body response of rigidity or thrashing... loud cryin…
localized body response... loud crying... facial expression of pain…
loud crying and screaming... verbal expression (ow!)... thrashing o…
stalling behavior... muscle rigidity
how does a young infant respond to pain?
generalized body response of rigidity or thrashing... loud cryin…
how does an older infant respond to pa…
localized body response... loud crying... facial expression of pain…
11 terms
Pediatric Nursing - HESI - Pain Management & Assessment
What are some complications of untreat…
What pain scale will be used with infa…
What pain scale will be used with chil…
What pain scale can be used by prescho…
delayed recovery... alterations in sleep pattern... alterations in…
CRIES = 10pts (10 being worst)... C = crying (0 = absent; 2 = in…
Pain Rating Scale (PRS) or FLACC (0-10, 10 being worst)... -face…
FACES... 0-10 (10 being the worst)
What are some complications of untreat…
delayed recovery... alterations in sleep pattern... alterations in…
What pain scale will be used with infa…
CRIES = 10pts (10 being worst)... C = crying (0 = absent; 2 = in…
33 terms
Pt management: typical motor development, pediatric assessment
developmental direction
during gross motor development what oc…
chronological age
gestational age
head --> tail... proximodistal ... generalized --> localized (ex: m…
- head control (4 mo) ... - sitting (8 mo) ... - creeping (9 mo) ... -…
calendar age based on the date of birth
weeks spent in utero
developmental direction
head --> tail... proximodistal ... generalized --> localized (ex: m…
during gross motor development what oc…
- head control (4 mo) ... - sitting (8 mo) ... - creeping (9 mo) ... -…
50 terms
Pediatrics Chapter 7: Pain Assessment and Management in Children
how does a young infant respond to pain?
how does an older infant respond to pa…
how does a young child respond to pain?
how does a school-age child respond to…
generalized body response of rigidity or thrashing... loud cryin…
localized body response... loud crying... facial expression of pain…
loud crying and screaming... verbal expression (ow!)... thrashing o…
stalling behavior... muscle rigidity
how does a young infant respond to pain?
generalized body response of rigidity or thrashing... loud cryin…
how does an older infant respond to pa…
localized body response... loud crying... facial expression of pain…
Pediatric management
FBAO children
FBAO infants
8 Fr
8-10 fr
Older than year age, perform a serious of abdominal thrusts.…
5 back blows followed by chest chest thrusts inspect mouth wi…
Suction Catheter size for Up to 1 year
Suction Catheter size for 1-5 years
FBAO children
Older than year age, perform a serious of abdominal thrusts.…
FBAO infants
5 back blows followed by chest chest thrusts inspect mouth wi…
Pediatric Pain Assess & Manage (test1)
What is pain
What is acute pain
What is chronic pain
Childs response to pain can be influen…
unpleasant sensory and emotional experience associated with p…
sudden, short duration... surjery/injury... sickle cell crisis
longer than 3 months... juvenile idiopathic arthritis... cancer (ne…
maturation of nervous system, developmental stage, previous p…
What is pain
unpleasant sensory and emotional experience associated with p…
What is acute pain
sudden, short duration... surjery/injury... sickle cell crisis
64 terms
Pediatric Assessment
Communication Strategies with Families
Respiratory rate
Cardiac output
Diaphragm
Introduction, purpose, provide privacy... Demonstrate interest i…
Anatomic: Fewer and smaller alveoli, and less lung volume... Phy…
Anatomic: Rate dependent, not stroke volume dependent... Physiol…
Anatomic: Diaphragm is the primary breathing muscle... Physiolog…
Communication Strategies with Families
Introduction, purpose, provide privacy... Demonstrate interest i…
Respiratory rate
Anatomic: Fewer and smaller alveoli, and less lung volume... Phy…
Pediatric assessment
Pediatric assessment triangle
Airway and respiratory problems
Tachypnea
Tachycardia
Appearance: focus on the mental status and muscle tones... Breat…
The most common causes of cardiac arrest in infants and young…
Often the first manifestation of respiratory distress in infa…
Often the first sign of shock in pediatrics
Pediatric assessment triangle
Appearance: focus on the mental status and muscle tones... Breat…
Airway and respiratory problems
The most common causes of cardiac arrest in infants and young…
14 terms
Pediatric Management
Infant HR
Child HR
Infant BP
Child BP
100-140
80-120
80/40
100/60
Infant HR
100-140
Child HR
80-120
Pediatric Assessments
Bruininks Oseretsky Test of Motor Prof…
The Beery-Buktenica Developmental Test…
The Test of Visual Perceptual Skills (…
Sensory Integration and Praxis Test (S…
Age Range: 4.5 years to 14.5 years... Purpose: This test provid…
Age Range: 2 years to Adult... Purpose: to assess the extent th…
Age Range: 4 years to 18 years... Purpose: Assesses visual-perc…
Age Range: 4 years to 8 years 11 months... Purpose: Measures se…
Bruininks Oseretsky Test of Motor Prof…
Age Range: 4.5 years to 14.5 years... Purpose: This test provid…
The Beery-Buktenica Developmental Test…
Age Range: 2 years to Adult... Purpose: to assess the extent th…
18 terms
Pediatric Assessment
Denver II Developmental Screening Exam
Adolescent Tips to Remember
Fevers
Lymph nodes
*Is a standardized tool for clinician administration... *Measure…
*Lymph nodes more prominent until puberty... *Sinuses are too sm…
*Temperature... >Young children with infections can have High Te…
>more prominent and often palpable in child until puberty. Sh…
Denver II Developmental Screening Exam
*Is a standardized tool for clinician administration... *Measure…
Adolescent Tips to Remember
*Lymph nodes more prominent until puberty... *Sinuses are too sm…
Pediatric Assessment
General
Respiratory
Cardiovascular/Peripheral Vascular
Neurologic
Maintains hand hygiene before and after assessment... Proper id…
Inspection:... Respirations (rate, effort, use of accessory musc…
Inspection:... Edema... Color... Auscultation:... Heart sounds and rhythm…
Assessment:... LOC (awake, alert, orientation)... Headaches/visual…
General
Maintains hand hygiene before and after assessment... Proper id…
Respiratory
Inspection:... Respirations (rate, effort, use of accessory musc…
Pediatric Assessment
Peabody Developmental Motor Scales
Bayley Scales
Denver 2 Screening of Infants
alberta infant motor scales
developed for 1-72 months; assess both gross and fine motor s…
identifies infants who are at risk for delays or neurological…
developed for 1wk-6 1/2 yrs; looks at gross motor, language,…
developed for birth-18 mo; an observation test; play with chi…
Peabody Developmental Motor Scales
developed for 1-72 months; assess both gross and fine motor s…
Bayley Scales
identifies infants who are at risk for delays or neurological…
26 terms
Pediatric Pain Management
Pediatric Pain Management Assessment
Pediatric Pain Management Assessment C…
Psychological Treatment Methods:
Complex Regional Pain Syndrome Definit…
multitude of methods for assessing pain (and related conditio…
- Often the most prominent aspect of pediatric chronic pain t…
Definition: (IASP) continuous pain in a portion of an extremi…
Pediatric Pain Management Assessment
multitude of methods for assessing pain (and related conditio…
Pediatric Pain Management Assessment C…
Pediatric Assessment
How to approach Toddlers (1-3)
Allow toddlers to touch ___
Preschoolers (3-5)
School-age (6-11)
•Non threatening, speak softly... •Talk before touching... •No sens…
equiptment and "help"
•"Magical thinkers" (CAT scan involves cats)... •Very inquisitiv…
•Understand cause and effect... •Understand time (countdown)... •As…
How to approach Toddlers (1-3)
•Non threatening, speak softly... •Talk before touching... •No sens…
Allow toddlers to touch ___
equiptment and "help"
Pediatric Assessments
Neonatal Development Assessments
Overall Development Assessments
Motor Assessments
Visual Motor/Perceptual Assessments
-Assessment of Premature Infant Behavior (APIB)... -Neuro Assess…
-Denver Developmental Screening Test II... -Bayley Scales of Inf…
-Bruininks-Oseretsky Test of Motor Proficiency (BOT-2)... -Earha…
-Beery-Buktenica Development Test of Visual Motor Integration…
Neonatal Development Assessments
-Assessment of Premature Infant Behavior (APIB)... -Neuro Assess…
Overall Development Assessments
-Denver Developmental Screening Test II... -Bayley Scales of Inf…
41 terms
Pediatric Assessment
facilitators of physical exams
vitiligo
nevi
jaundice
parents, siblings, toys
occurs when the cells that produce melanin die or stop functi…
moles
too much bilirubin in the blood; liver cannot handle the bloo…
facilitators of physical exams
parents, siblings, toys
vitiligo
occurs when the cells that produce melanin die or stop functi…
51 terms
Pediatric Assessment
Age range: Newborn/neonatal
1 month - 1 year
1-3 yrs old
3-5 yrs old
birth - 1 month
Age range: infants
Age range: toddler
Age range: preschoolers
Age range: Newborn/neonatal
birth - 1 month
1 month - 1 year
Age range: infants
Pediatric Assessments
Assessment of Preterm Infants' Behavio…
Neurological Assessment of Pre-term an…
Denver Developmental Screening Test II
Bayley Scales of Infant Development, 3…
o Focus: assesses infant's pattern of developing behavioral o…
o Focus: Rating scale consisting of a brief neurological exam…
o Ages: 1 month - 6 years... o Focus: standardized task performa…
o Ages: 1-42 months (3.5 years)... o Focus: standardized rating…
Assessment of Preterm Infants' Behavio…
o Focus: assesses infant's pattern of developing behavioral o…
Neurological Assessment of Pre-term an…
o Focus: Rating scale consisting of a brief neurological exam…
Pediatric assessments
Adolescent/Adult Sensory Profile
Ages and Stages Questionnaires
Alberta Infant Motor Scale (Aims)
Bayley Scales of Infant and Toddler De…
Self-questionnaire, for individuals 11 years of age or older,…
These parent questionnaires are designed to screen children f…
A norm-referenced measure designed to identify and monitor in…
A norm-referenced assessment tool that measures the cognitive…
Adolescent/Adult Sensory Profile
Self-questionnaire, for individuals 11 years of age or older,…
Ages and Stages Questionnaires
These parent questionnaires are designed to screen children f…
Pediatric Assessments
Knox Pre-school Play Scale
Test of Playfulness
School Function Assessment
Peabody Developmental Motor Scales
This observational assessment is designed to provide a develo…
By observing the child engaged in free play, the occupation o…
SFA is designed to assess and monitor a student's functional,…
This motor development program provides in-depth assessment a…
Knox Pre-school Play Scale
This observational assessment is designed to provide a develo…
Test of Playfulness
By observing the child engaged in free play, the occupation o…
pediatric assessment
Denver Developmental Testing is used f…
What is considered a term baby?
Preterm babies are defined as gestatio…
Post term babies are ____
Birth to 6 years old
37-41 weeks
less than 37 weeks
greater than 41 weeks
Denver Developmental Testing is used f…
Birth to 6 years old
What is considered a term baby?
37-41 weeks
Pediatric Assessment
How to Approach Children?
At What Ages do Children Cooperate Wel…
What To Assess before Touching the Chi…
Informant
Get on their level... Take into consideration their developmen…
under 6 months and over 30 months ... Between there is a lot o…
Development, sound like, breathing pattern, skin color, how a…
Who is giving the information regarding the child ... *Parent or…
How to Approach Children?
Get on their level... Take into consideration their developmen…
At What Ages do Children Cooperate Wel…
under 6 months and over 30 months ... Between there is a lot o…
Pediatric Assessments
PDMS age range
PDMS subtests
BOT-2 age range
BOT-2 Subtests
Birth to 5 years
Reflexes, stationary, locomotion, object manipulation, graspi…
4 years to 21.11 months
FM precision, FM integration, manual dexterity, bilateral coo…
PDMS age range
Birth to 5 years
PDMS subtests
Reflexes, stationary, locomotion, object manipulation, graspi…
Pediatric Assessment
Assessment Approach
Observational Assessment
History
Birth History
-Get on their level... -Pay attention to developmental level... -In…
-Development (on track?)... -Sound/type of cry... -Breathing patter…
-Identify informant: who is giving info regarding child... -Chie…
-Weeks gestation... -Vaginal vs. c-section --> complications?... -B…
Assessment Approach
-Get on their level... -Pay attention to developmental level... -In…
Observational Assessment
-Development (on track?)... -Sound/type of cry... -Breathing patter…
28 terms
Pediatric Assessments
Battelle Developmental Inventory
Bayley Scales of Infant Development
Beery-Butenica Developmental Test of V…
Bruininks-Oseretsky Tests of Motor Ski…
B-8 yrs; norm-referenced; assesses developmental skills in th…
1 mth - 3.5 yrs; norm-referenced; assesses cognitive and moto…
3 yrs - 18 yrs; norm- referenced; visual motor integration de…
4.5 yrs - 14.5 yrs; norm referenced; gross motor, upper limb,…
Battelle Developmental Inventory
B-8 yrs; norm-referenced; assesses developmental skills in th…
Bayley Scales of Infant Development
1 mth - 3.5 yrs; norm-referenced; assesses cognitive and moto…
Health Assessment Pediatric Assessment
Normal respirations for a neonate
Normal P&R for Infants (birth - 12 mo)
Normal P&R for Toddlers
Normal P&R for Preschoolers
40 - 60
P: 120 - 160... R: 30 - 60
P: 90 - 140... R: 24 - 40
P: 80 - 110... R: 22 - 34
Normal respirations for a neonate
40 - 60
Normal P&R for Infants (birth - 12 mo)
P: 120 - 160... R: 30 - 60
Pediatric Assessment
physical assessment
developmental assessment 5
denver developmental screening test re…
growth
measurement of child's physical growth; key element in evalua…
important component of child's assessment... development-progres…
birth to 6 years... 4 areas of assessment: gross motor, fine mot…
weight is measured in kg or lb, preferably naked with a clean…
physical assessment
measurement of child's physical growth; key element in evalua…
developmental assessment 5
important component of child's assessment... development-progres…
Pediatric Assessment
Peabody Developmental Motor Scales
Bayley Scales
Denver 2 Screening of Infants
alberta infant motor scales
developed for 1-72 months; assess both gross and fine motor s…
identifies infants who are at risk for delays or neurological…
developed for 1wk-6 1/2 yrs; looks at gross motor, language,…
developed for birth-18 mo; an observation test; play with chi…
Peabody Developmental Motor Scales
developed for 1-72 months; assess both gross and fine motor s…
Bayley Scales
identifies infants who are at risk for delays or neurological…
10 terms
Pediatric Assessment
infants
approach to infants
toddlers
approach to toddlers
trust vs. mistrust stage... stranger anxiety 6-7 months... separati…
approach slowly, conduct as much of exam as possible with car…
autonomy vs. shame and doubt stage... striving for independence…
DISTRACTION... allow child to check out equipment... demonstrate on…
infants
trust vs. mistrust stage... stranger anxiety 6-7 months... separati…
approach to infants
approach slowly, conduct as much of exam as possible with car…
9 terms
Pediatric Assessment
Goals
Referrals
0-6m Testing Strategies
6m-1y Testing
Identify the existence of an auditory disorder... Identify the n…
Infants: Failed hearing screening, At risk for hearing loss... Y…
Otoscopy, Immittance testing, ABR and/or OAEs, Behavioral obs…
Immittance, OAEs, Speech audiometry (SDT), Visual Reinforceme…
Goals
Identify the existence of an auditory disorder... Identify the n…
Referrals
Infants: Failed hearing screening, At risk for hearing loss... Y…
Pediatric Assessment
Approach - General
Approach: infants (1 month-1 year)
Approach: toddlers and preschoolers
Approach: school age
- Developmentally appropriate!... - Be an opportunist (quiet thi…
- Trust vs mistrust... - Physical needs first... - Speech: soft, hi…
- Toddlers (1-2): autonomy vs. shame and doubt... - Preschoolers…
- School age (6-12): industry vs. inferiority... - Establish rap…
Approach - General
- Developmentally appropriate!... - Be an opportunist (quiet thi…
Approach: infants (1 month-1 year)
- Trust vs mistrust... - Physical needs first... - Speech: soft, hi…
82 terms
Pediatric Assessment
Infant
Toddler
Preschooler
School Age
0-1
1-3
3-6
6-12
Infant
0-1
Toddler
1-3
146 terms
Pediatric assessment
flu, mmr
1,2,5
1,4
4 months
What vaccines can you not receive if you have an allergy to e…
At what ages do you need to get weight recorded?
At what ages do you have to record length/height?
At what age can an infant hold up head steadily?
flu, mmr
What vaccines can you not receive if you have an allergy to e…
1,2,5
At what ages do you need to get weight recorded?
Pediatric Assessment
Which pulses are palpated in newborns/…
Supernumerary nipples
Pectus Excavatum
When do breasts begin to develop?
Femoral
An extra nipple
Breast bone is sunken into the chest
9-14 years... May develop asymmetrically ... Abnormal before 6 in A…
Which pulses are palpated in newborns/…
Femoral
Supernumerary nipples
An extra nipple
117 terms
Pediatric Assessment
Health History Tips
Approaching Parent
Approaching Child (pt)
Trust vs Mistrust
Obtain age appropriate materials... Consider developmental stage…
Greet by name... Provide toys - Time for questions... Refer to pt b…
Address child by name and make eye contact... Use low & delibera…
infancy - 1 year
Health History Tips
Obtain age appropriate materials... Consider developmental stage…
Approaching Parent
Greet by name... Provide toys - Time for questions... Refer to pt b…
Pediatric Assessment
Embryology stages of development
Pre-embryonic ... Day 1
Pre-embryonic... Day 3
Pre-embryonic... 2nd week
preembryonic - 3 weeks... embryonic - 4 to 8 weeks... fetal develop…
-fertilization of ovum... -creates cell called zygote... -zygotes i…
-cell mass evolves into blastocyst, a section of which evolve…
maternal blood supply established
Embryology stages of development
preembryonic - 3 weeks... embryonic - 4 to 8 weeks... fetal develop…
Pre-embryonic ... Day 1
-fertilization of ovum... -creates cell called zygote... -zygotes i…
pediatric assessment
tonic neck relfex
first year of life
history
physical exam
...
weight should double by six months... triple by one year... heigh…
will usually come from parent... hereditary disease - family... a…
have parent hold child... use distraction and or play... exam may…
tonic neck relfex
...
first year of life
weight should double by six months... triple by one year... heigh…
Pediatric Assessment
head to toe sequence
recommendations for toddler assessment
tips for toddler assessment
growth charts
look at the age of the child ... order in which we do things is…
respirations FIRST (least invasive - no touching required)... m…
be calm... be truthful... - warn if hands are cold ... - advise ear pu…
gender specific (male vs female) ... age specific... reflect percen…
head to toe sequence
look at the age of the child ... order in which we do things is…
recommendations for toddler assessment
respirations FIRST (least invasive - no touching required)... m…
30 terms
Pediatric Assessment
Fatigue
Informant
Chief complaint
Nursing Plan of Care
#1 stressor on child
patient, mother, father, grandmother, other, or combination o…
Tell me what seems to be the problem, what have you noticed;…
provide teaching/anticipatory guidance
Fatigue
#1 stressor on child
Informant
patient, mother, father, grandmother, other, or combination o…
17 terms
Pediatric assessment
trust vs mistrust; feeding
autonomy vs shame and doubt; toilet tr…
initiative vs guilt; exploration
industry vs inferiority; school
infancy (birth to 10 months)
early childhood (2-3) years
preschool (3-5 years)
school age (6-11)
trust vs mistrust; feeding
infancy (birth to 10 months)
autonomy vs shame and doubt; toilet tr…
early childhood (2-3) years
1 of 10