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Clinical skills are a fundamental aspect of nursing care of children and young people. The Great Ormond Street Hospital Manual of Children's Nursing Practices is an evidence-based manual of practical skills in children's nursing which builds on the extensive expertise developed at Great Ormond Street Hospital. It encompasses all aspects of children's nursing from the most basic aspects of everyday practice to advanced practice in high dependency and intensive care to provide a comprehensive resource for all qualified nurses, students, and other health-care professionals involved in caring for children, both in the hospital and the community setting.
Children's and young people's nursing presents unique challenges. The Great Ormond Street Hospital Manual utilises the latest clinical research and expert clinical knowledge to address these challenges, and provides the underlying theory and evidence for nursing care of children. It provides a definitive guide to clinical skills procedures in children's and young people's nursing which enables nurses working with children and young people to practice confidently and deliver clinically effective family-centred care.
Key features
Offers access to clinical procedures developed through the extensive expertise from Great Ormond Street Hospital
Contains evidence-based recommendations for expert care
Encompasses all aspects of children's care
Contains procedures guidelines students can rely on and effectively use in practice following qualfication
Highlights specific needs of neonates and adolescents
Placed in the context of inter-disciplinary care of the child
Includes the rationale for each procedure - the 'why' as well as 'how'
Information presented in a similar way to The Royal Marsden Manual of Clinical Nursing Procedures - offering continuity to those working in both adult and paediatric settings
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Autorentext
Sue Macqueen is now retired but was a Clinical Nurse Specialist in Infection Control at Great Ormond Street.
Elizabeth Bruce is a Clinical Nurse Specialist in Pain Control Service at Great Ormond Street.
Faith Gibson is a Clinical Professor of Children and Young People's Cancer Care at Great Ormond Street
Zusammenfassung
Clinical skills are a fundamental aspect of nursing care of children and young people. The Great Ormond Street Hospital Manual of Children's Nursing Practices is an evidence-based manual of practical skills in children's nursing which builds on the extensive expertise developed at Great Ormond Street Hospital. It encompasses all aspects of children's nursing from the most basic aspects of everyday practice to advanced practice in high dependency and intensive care to provide a comprehensive resource for all qualified nurses, students, and other health-care professionals involved in caring for children, both in the hospital and the community setting.
Children's and young people's nursing presents unique challenges. The Great Ormond Street Hospital Manual utilises the latest clinical research and expert clinical knowledge to address these challenges, and provides the underlying theory and evidence for nursing care of children. It provides a definitive guide to clinical skills procedures in children's and young people's nursing which enables nurses working with children and young people to practice confidently and deliver clinically effective family-centred care.
Key features
Inhalt
Foreword ix
Acknowledgements x
List of Contributors xi
Introduction xvii
1 Assessment 1
Introduction 2
Measuring vital signs, height and weight 6
Review of systems 13
Blood pressure 21
References 35
2 Allergy and anaphylaxis 38
Introduction 39
Allergy and the immune response 39
Diagnosis and management of allergy 40
Management of anaphylaxis 41
Food allergy 43
Respiratory allergy 46
Allergens in the healthcare setting 48
Conclusion 51
Key texts 51
References 51
Useful websites 52
3 Biopsies 53
Introduction 54
Liver biopsy 54
Punch skin biopsy 60
Renal biopsy 66
Bone marrow aspirate and trephine 69
References 72
4 Administration of blood components and products 74
Introduction 75
An overview of blood transfusion 75
Administration of red cells 76
Administration of platelets 76
Administration of fresh frozen plasma (FFP) 76
Administration of cryoprecipitate 76
Administration of albumin 80
Administration of immunoglobulin 80
Administration of coagulation factors 86
Conclusion 86
References 86
5 Bowel care 87
Introduction 88
Constipation 88
Treatment of constipation 89
Diarrhoea 91
Transanal colonic irrigation 95
Stoma care 97
References 101
6 Burns and scalds 103
Introduction 104
Common causes of burns in children 104
Overview of anatomy of the skin 104
Classification of burns 104
First aid following a burn 105
Fluid resuscitation for major burns 108
Wound healing and wound care 108
Which dressing? 111
Nutrition 112
Psychological care following a burn 112
References 115
7 Child protection 117
Introduction 118
The hospital setting 118
An individual and corporate responsibility 118
Defining child abuse and neglect 119
The effects of abuse and neglect 120
Sources of stress for families 120
Children with disabilities 121
Difference and culture 122
The legal framework, national and political influences 122
Learning from serious case reviews 123
A safeguarding culture 125
Implications for nursing practice 126
The Common Assessment Framework (CAF) 126
Practice guidance for the children's nurse 127
Professional responsibilities of staff at Great Ormond Street Hospital 127
Procedures for children attending A&E 128
Procedures for children admitted to hospital 129
Fabricated or induced illness: concerns or suspicion 130
Pre-discharge planning procedure 130
A final word communication with other agencies 131
Acknowledgements 131
References 131
8 Cytotoxic drugs 134
Chemotherapy administration 135
Legislation 135
Consent 135
Safe handling 135
Reconstitution and preparation of chemotherapeutic agents 135
Personal protective equipment 136
Work practices 136
Safe administration of chemotherapy 136
Routes of administration 138
Intrathecal route 140
References 141
9 Fluid balance 142
Introduction 143
Fluid balance in the ill child 143
Vascular access 149
Haemofiltration 151
Peritoneal dialysis 158
Interventions 163 References...