Pediatric primary care : a handbook for nurse practitioners / Catherine E. Burns ... [and others].

Format:

Book

Contributor:

Burns, Catherine E.

Language:

English

Subjects (All):

Pediatric nursing--Handbooks, manuals, etc.

Pediatric nursing.

Ambulatory medical care for children.

Ambulatory medical care for children--Handbooks, manuals, etc.

Pediatrics.

United States.

Primary Health Care.

Medical Subjects:

Pediatrics.

United States.

Primary Health Care.

Genre:

Handbooks and manuals.

Physical Description:

xxix, 1387 pages, 4 unnumbered pages of plates : illustrations (some color) ; 26 cm

Edition:

Third edition.

Place of Publication:

St. Louis, Mo. : Saunders, [2004]

Summary:

This new third edition covers conditions seen in the primary care of children, emphasizing prevention as well as management of problems from the nurse practitioner perspective. It begins with an overview of the status of children in the United States and a review of developmental theory, followed by guidelines on how to assess children and families. A significant portion of the text is devoted to issues of daily living that are a part of every child's growth and issues that could lead to health problems (nutrition, toilet training) unless appropriate guidance is given. Disease processes often encountered by the pediatric primary provider are addressed through discussions of assessment, differential diagnosis, management, and prevention.

Contents:

Unit 1 Pediatric Primary Care Foundations 1

1 Child Health Status in the United States / Catherine E. Burns, Janie Huff-Slankard 3

Child Health Status in America 3

Health, Health Promotion, Disease Prevention, and Primary Care Definitions 8

Implementing Health Promotion and Disease Prevention in Practice 9

Nurse Practitioners and Managed Care 16

2 Child Assessment in Pediatric Primary Care / Catherine E. Burns 19

Pediatric Nurse Practitioner Assessment Competencies 19

The Database 26

Validating Data Collection 38

3 Family Assessment in Pediatric Primary Care / Sheila M. Kodadek 41

Family Database 43

4 Cultural Perspectives for Primary Health Care / Ardys M. Dunn 55

Culture 55

Providing Culturally Competent Care 57

Cultures in American Society 62

Unit 2 Management of Development 65

5 Developmental Management in Pediatric Primary Care / Barbara Jones Deloian, Mary A. Murphy 67

Developmental Principles 67

Developmental Theories 68

Cultural Factors Influencing Development 73

Developmental Assessment 74

Management Strategies in Child Development 77

6 Developmental Management of Infants / Barbara Jones Deloian 85

Birth Rates and Infant Mortality 85

Development During the First Year of Life 85

Assessment of Infants 92

Anticipatory Guidance for Infants 93

Common Developmental Issues for Infants 100

Classification of Developmental Disorders in Infants 101

Red Flags for Infants 101

7 Developmental Management of Toddlers and Preschoolers / Mary A. Murphy 107

Development of Toddlers and Preschoolers 107

Assessment of Toddlers and Preschoolers 115

Anticipatory Guidance for Toddlers and Preschoolers 119

Common Developmental Issues for Toddlers and Preschoolers 121

Red Flags for Toddlers and Preschoolers 122

8 Developmental Management of School-Age Children / Barbara Jones Deloian, Bonnie Gance-Cleveland 127

Development of School-Age Children 127

Assessment of School-Age Children 133

Anticipatory Guidance for School-Age Children 139

Common Developmental Issues for School-Age Children 142

9 Developmental Management of Adolescents / Ardys M. Dunn, Judith W. Fisher 151

Development of Adolescents 151

Developmental Screening and Assessment 160

Anticipatory Guidance During Adolescence 161

Common Developmental Issues for Adolescents 165

Unit 3 Approaches to Health Management in Pediatric Primary Care 171

10 Introduction to Health Promotion / Catherine E. Burns 173

Models to Predict Health Behavior 173

Influences on Children's Health Promotion Behaviors 177

Functional Health Patterns

The Behaviors of Health 178

Management Strategies for Health Promotion 180

11 Health Perception and Health Management Pattern / Ardys M. Dunn 187

Normal Patterns of Health Perception and Health Management 188

Assessment of Health Perception and Health Management Pattern 191

Management Strategies for Positive Health Perception and Health Management 193

Altered Patterns of Health Perception and Health Management 199

12 Nutrition / Ardys M. Dunn 213

Normal Patterns of Nutrition 214

Assessment of Nutritional Status 226

Management Strategies for Optimal Nutrition 227

Altered Patterns of Nutrition 234

13 Breastfeeding / Pamela J. Hellings 263

Characteristics of Human Milk 264

Anatomy and Physiology 265

Assessment of the Breastfeeding Dyad 267

Positions for Breastfeeding 268

Dynamics of Breastfeeding 269

Medications for Breastfeeding Mothers 275

Common Breastfeeding Problems 276

14 Elimination Patterns / Ardys M. Dunn 285

Standards 285

Normal Patterns of Elimination: Bowel and Urinary 285

Assessment of Patterns 286

Management Strategies for Normal Patterns 287

Altered Patterns of Elimination 289

15 Activities and Sports for Children and Adolescents / Catherine E. Burns, Catherine G. Blosser 301

Clinical Preventive Services Guidelines and Standards for Physical Activity and Fitness in Children 302

Assessment 304

High-Risk Conditions for Sports Participation 315

Management Strategies to Support Activity Patterns for Children and Adolescents 320

16 Sleep and Rest / Catherine E. Burns 331

Normal Sleep Stages and Cycles 331

Assessment 335

Strategies for Prevention and Management of Sleep Problems 337

Common Sleep Problems 338

Obstructive Sleep Apnea 343

17 Cognitive-Perceptual Patterns / Kathleen Shelton, Catherine E. Burns 347

Standards for Care 347

Conceptual Background 347

Assessment of Cognitive-Perceptual Patterns 351

Management Strategies 352

Cognitive-Perceptual Problems of Children 353

18 Self-Perception / Nancy Barber Starr 375

Standards of Care 375

Normal Patterns of Self-Perception 375

Assessment of Self-Perception 380

Management Strategies for Developing Positive Self-Perception 384

Specific Self-Perception Problems in Children 387

19 Role Relationships / Ardys M. Dunn, Margaret A. Brady 393

Assessment of Family Relationships and Dynamics 394

Management for Health Promotion and Disease Prevention 395

Challenges to Family Relationships 395

Other Challenges to the Family Unit 405

Child Care 408

Role Relationship Problems 409

20 Sexuality / Ardys M. Dunn, Jeanette M. Broering, Catherine G. Blosser 425

Standards 425

Normal Patterns of Sexuality 425

Assessment of Normal Patterns 428

Management Strategies of Normal Patterns 431

Management of Altered Patterns 442

21 Coping and Stress Tolerance: Mental Health Problems of Children and Adolescents / Gail M. Houck 449

Developmental Context 449

Stress during Childhood 450

Childhood Coping 450

Assessment 453

Strategies for Management 455

Common Behavior Problems 459

The Shy Child 471

Bereavement 472

Substance Abuse 473

22 Values and Beliefs / Ardys M. Dunn 481

Standards of Practice 481

Normal Patterns of Behavior 482

Assessment 483

Management of Normal Patterns 487

Altered Patterns 487

Unit 4 Approaches to Disease Management 491

23 Introduction to Disease and Pain Management / Margaret A. Brady 493

Approaches to Acute Disease in Children 493

Approaches to Chronic Disease in Children 494

Assessment 496

Use of Medication 497

Educational Strategies 499

Prevention of Illness 500

Pain in Children 501

Fever in Children 508

Telephone Management of Illness 509

Referrals and Consultative Services 512

Tips Regarding Documentation: Patient Visit and Follow-Up 513

National and Local Organizations and Resources 514

24 Infectious Diseases / Catherine G. Blosser, Mark H. Goodman, Margaret A. Brady 517

Pathogenesis of Infectious Diseases 517

Clinical Findings 517

Diagnostic Aids 519

General Management Strategies 520

Prevention of Infection Through the Use of Vaccines 521

Infections in Children Attending Day Care 540

Specific Infectious Diseases 540

Temperature and Fever 573

Helminthic Zoonoses 577

Infectious Agents Used in Bioterrorism 578

25 Atopic Disorders and Rheumatic Diseases / Catherine J. Goodhue, Margaret A. Brady 587

Anatomy and Physiology 587

Pathophysiology and Defense Mechanisms 587

Specific Immunologic Problems of Children: Common Atopic Disorders 590

Diseases with an Autoimmune Basis 612

Vasculitis Syndrome 618

26 Endocrine and Metabolic Diseases / Jean Betschart Roemer 623

Standards for Screening 623

Anatomy and Physiology 623

Pathophysiology 625

Assessment 626

Management Strategies 627

Specific Endocrine and Metabolic Disorders of Children 628

27 Hematologic Diseases / Martha K. Swartz 649

Anatomy and Physiology 649

Pathophysiology 652

Assessment 656

Management Strategies 659

Specific Hematologic Problems 659

28 Neurologic Disorders / Catherine G. Blosser, Catherine E.

Burns 673

Anatomy and Physiology 673

Pathophysiology and Defense Mechanisms 673

Assessment of the Nervous System 676

Management Strategies 680

Specific Neurologic Problems of Children 681

29 Eye Problems / Catherine G. Blosser, Margaret A. MacDonald, Nancy Barber Starr 707

Standards for Visual Screening and Care 707

Development and Physiology of the Eye 708

Pathophysiology of the Eyes 710

Assessment 710

Management Strategies 714

Common Eye Disorders 719

The Injured Eye 734

30 Ear Disorders / Ann Marie Petersen-Smith 743

Standards for Hearing Screening 743

Development, Anatomy, and Physiology 743

Pathophysiology and Defense Mechanisms 744

Assessment 745

Management Strategies 749

Specific Ear Problems in Children 752

31 Cardiovascular Disorders / Catherine G. Blosser, Jan Freitas-Nichols 769

Standards of Care 769

Anatomy and Physiology 770

Pathophysiology 772

Assessment of the Cardiovascular System 774

Management Strategies 781

Congenital Heart Diseases 783

Acquired Heart Disease 796

Heart Conduction Disturbances 808

32 Respiratory Disorders / Catherine J. Goodhue, Margaret A. Brady 811

Anatomy and Physiology 811

Pathophysiology Involved in Airway Disease 812

Defense Systems 813

Assessment of the Respiratory System 813

Basic Respiratory Management Strategies 816

Indications for Tonsillectomy and Adenoidectomy 817

Upper Respiratory Tract Disorders 817

Extrathoracic Airway Disorders 825

Intrathoracic Airway Disorders 828

33 Gastrointestinal Disorders / Ann M. Petersen-Smith 839

Anatomy and Physiology 839

Pathophysiology 840

Assessment 840

Management Strategies 841

Upper Gastrointestinal Tract Disorders 842

Lower Gastrointestinal Tract Disorders 854

Inflammatory Bowel Disease 868

Failure to Thrive (Organic) 872

Lower Gastrointestinal Tract Infections 875

34 Dental and Oral Diseases / Charles Poland III, Kevin J. Hale 885

Standards of Care 885

Dental Caries 889

Other Dental Diseases and Dental Problems 896

35 Genitourinary Disorders / Nan M. Gaylord, Nancy Barber Starr 911

Standards of Care 911

Anatomy and Physiology 911

Pathophysiology and Defense Mechanisms 912

Assessment of the Genitourinary System 912

Management Strategies 916

Upper Genitourinary Tract Disorders 916

Lower Genitourinary Tract Disorders 929

Common Genitourinary Conditions in Males 940

36 Gynecologic Conditions / Linda M. Kollar, Nancy Barber Starr 955

Standards of Care 955

Anatomy and Physiology 955

Pathophysiology and Defense Mechanisms 956

Assessment of the Gynecologic System 958

Management Strategies 959

Specific Gynecologic Problems of Children and Adolescents 960

37 Dermatologic Disease / Peggy Vernon, Nancy Barber Starr 983

Skin Development 983

Anatomy and Physiology 983

Special Dermatologic Considerations in Children with Dark Skin or From Diverse Cultural or Ethnic Groups 985

Pathophysiology and Defense Mechanisms 985

Assessment of the Skin and Subcutaneous Tissue 986

Management Strategies 987

Bacterial Infections of the Skin and Subcutaneous Tissue 992

Fungal Infections of the Skin 996

Viral Infections of the Skin 1001

Infestations of the Skin 1006

Allergic and Inflammatory Reactions of the Skin 1012

Vascular Reactions of the Skin 1024

Papulosquamous Eruptions of the Skin 1027

Congenital Lesions of the Skin 1031

Hair and Nail Disorders 1034

Body Art 1039

38 Musculoskeletal Disorders / Margaret A. Brady, Catherine E. Burns 1047

Anatomy and Physiology 1047

Pathophysiology and Defense Mechanisms 1048

Assessment of the Orthopedic System 1050

Special Examinations 1052

Diagnostic Studies 1055

Management Strategies 1055

Specific Orthopedic Problems of Children 1056

Knee Injuries and Foot Problems 1072

Other Common Musculoskeletal System Findings Needing Attention 1076

39 Perinatal Conditions / Deborah K. Parks, Robert J. Yetman 1083

Standards of Care 1083

Anatomy and Physiology 1083

Pathophysiology 1084

Assessment of the Neonate 1085

Management Strategies 1095

Common Neonatal Conditions 1097

Sudden Infant Death Syndrome and Apparent Life-Threatening Events 1124

40 Common Injuries / Constance Blair Brehm 1129

Principles of Injury Control 1129

Common Pediatric Injuries 1130

41 Genetic Disorders / Pamela J. Hellings, Catherine E. Burns 1159

Cellular and Molecular Genetics 1159

Causes of Genetic Variation and Genetic Disorders 1160

Human Genome Project 1162

Ethical Issues 1162

Assessment 1163

Management Strategies 1170

Genetic Disorders 1174

42 Environmental Health Issues / Ardys M. Dunn, Catherine E. Burns 1185

Implications for Nurse Practitioners 1185

Relationship between Environmental Factors and Human Health 1188

Common Environmental Agents and Adverse Effects 1191

43 Complementary Medicine / Catherine G. Blosser 1211

History of Complementary Medical Practices 1215

Scientific Observation and Complementary Medicine 1216

The Use of Complementary Practices in the United States 1216

The Attraction of Complementary Medical Practices 1217

The Role of Nurse Practitioners 1217

Talking with Patients 1218

Safety and Regulatory Issues 1218

Using Complementary Therapies with Children 1222

The Role of Allergies as Viewed by Complementary Medicine Practitioners 1223

Specific Complementary Treatments for Children and Adolescents 1224

Glossary of Terms Used in the Preparation of Herbal Treatments 1224

44 Practice Management Strategies for a Health Care Practice / Denise A. Hall 1249

The Business Plan 1249

The Operations Plan 1250

A Medications / Teri Moser Woo, Catherine G. Blosser 1263

B Growth Grids / Catherine E. Burns 1321

C Normal Laboratory Values / Steven Goodstein, Catherine E. Burns 1333

D Healthy People 2010 Objectives Focused on Children and Adolescents 1340.

Notes:

Includes bibliographical references and index.

ISBN:

0721601855

OCLC:

54074108