Principle of Pediatric Nursing

Philosophy of Pediatric Nursing - Family is constant in child's life Treat As Whole (family and child) Infant mortality - Number of death per 1000 live births during the 1st year of life Rx factors for Infant Mortality - Low birth weight African American race Male Short/long gestation Maternal age Maternal education Application of Car seat - Placed in approved rear-facing car seat in the back Preferable in the middle (away from air bags & side impact) Family - Is whatever a person considers it to be Family System Therory - A change in any one part of a family system affects all others General system therory - "Interactions" Family Stress Therory - Family the "Patient" & focus of care Adaptation requires change in family structure and/or interaction Development Theory - Families develop & change over time in similar and consistent ways Family role performance in one stage influences family behavioral options at next stage In stage of disequilibrium when entering new stage Strive for homeostasis within stages Parenting Behavior - Limit setting and discipline Minimizing misbehavior Set realistic goals for acceptable behavior Praise desirable behavior General guidelines for implementing discipline - Consistency Timing Unity Behavior orientation - not child - always disapprove of the behavior, not the child Types of discipline - Reasoning Behavior modification Time-out Time-out rule - Removing the reinforcer (should be planned in advanced) RULE - 1 minute per year of age Growth - Increase in size and weight of the whole or any parts *quantitative change* Development - Gradual change and expansion Advancement from lower to more advanced stage of complexity Increased capacity through growth, maturation and learning *qualitative change* Maturation - Increase in competence and adaptability