NCP Pediatrics

Pediatric Considerations

Encompasses problems related to childhood through adolescence.

CARE SETTING

Any setting in which nursing contact with children occurs/care is provided.

ASSESSMENT FACTORS (in addition to routine assessments)

Age and gender
Developmental level
Patterns of communication with SOs
Perception of body and its functions: in health and illness
Behavior when anxious, afraid, withdrawn, angry

SIGNIFICANT OTHERS

Nuclear family, extended family
Family developmental cycle
Child’s role in family tasks and functions
Peer group, friends
Socioeconomic
Social class, value system
Social acceptability of current situation

CULTURAL

Ethnic background, heritage, and residence

DISEASE (ILLNESS)

Condition requiring treatment and response of patient/family to situation
Nature of condition—acute, chronic, recurrent
Emotional response to current treatments
Past experience with illness, hospitalization, and healthcare providers
If illness is terminal, what do patient and family expect?
Availability/use of resources

NURSING PRIORITIES

1. Enhance level of comfort/minimize pain.
2. Reduce anxiety/fear.
3. Provide growth-promoting environment for child and parent(s).
4. Prevent/minimize complications.

DISCHARGE GOALS

1. Reports/indicates pain relieved.
2. Child/family dealing appropriately with current situation.
3. Safe environment maintained.
4. Plan in place to meet needs after discharge.

Full Nursing Care Plan Pediatrics