Hands-on Guide to Practical Paediatrics

Winner of the Paediatrics category at the BMA Book Awards 2015About to start a paediatrics rotation?Working with children for the first time?Thinking about a career in paediatrics?The Hands-on Guide to Practical Paediatrics is the ultimate practical guide for medical students encountering paediatrics for the first time, junior doctors thinking about working with children, and new paediatric trainees. It s full of vital information on practical procedures, prescribing for young patients, and communicating with children and young people, as well as guidance on the paediatric training programme and paediatrics as a career.Full of clinical tips, and covering key information on developmental stages, common paediatric emergencies and ethical dilemmas, and child protection, The Hands-on Guide to Practical Paediatrics is also supported by online resources including practice prescribing scenarios and video content at www.wileyhandsonguides.com/paediatricsTake the stress out of paediatrics with The Hands-on Guide!

Autorentext

Rebecca Hewitson is Paediatrics Specialist Trainee, London Deanery, The Whittington Hospital and Royal Free Hospital, London

Caroline Fertleman is Consultant Paediatrician, The Whittington Hospital
Site Sub-Dean and Honorary Senior Lecturer, University College London Medical School
Training Programme Director, School of Paediatrics, London Deanery
Honorary Consultant, Great Ormond Street Hospital, London

Klappentext

**About to start a paediatrics rotation?
Working with children for the first time?
Thinking about a career in paediatrics?

**The Hands-on Guide to Practical Paediatrics is the ultimate practical guide for medical students encountering paediatrics for the first time, junior doctors thinking about working with children, and new paediatric trainees. It's full of vital information on practical procedures, prescribing for young patients, and communicating with children and young people, as well as guidance on the paediatric training programme and paediatrics as a career.

Full of clinical tips, and covering key information on developmental stages, common paediatric emergencies and ethical dilemmas, and child protection, The Hands-on Guide to Practical Paediatrics is also supported by online resources including practice prescribing scenarios and video content at www.wileyhandsonguides.com/paediatrics

Take the stress out of paediatrics with The Hands-on Guide!

Winner of the Paediatrics category at the BMA Book Awards 2015

Zusammenfassung

Winner of the Paediatrics category at the BMA Book Awards 2015

**About to start a paediatrics rotation?
Working with children for the first time?
Thinking about a career in paediatrics?

**The Hands-on Guide to Practical Paediatrics is the ultimate practical guide for medical students encountering paediatrics for the first time, junior doctors thinking about working with children, and new paediatric trainees. It's full of vital information on practical procedures, prescribing for young patients, and communicating with children and young people, as well as guidance on the paediatric training programme and paediatrics as a career.

Full of clinical tips, and covering key information on developmental stages, common paediatric emergencies and ethical dilemmas, and child protection, The Hands-on Guide to Practical Paediatrics is also supported by online resources including practice prescribing scenarios and video content at www.wileyhandsonguides.com/paediatrics

Take the stress out of paediatrics with The Hands-on Guide!

Inhalt

Preface xi

Acknowledgements xii

About the Companion Website xiii

1 Getting started 1

Who's who? 1

Breastfeeding advisor 1

Child protection nurse 1

Clinical support worker 1

Dietitian 1

Health visitor 2

Healthcare assistant 2

Midwife 2

Nursery assistant 2

Nursery nurse 3

Occupational therapist 3

Orthoptist 3

Pharmacist 3

Pharmacy technician 3

Physician assistant 3

Physiotherapist 4

Play specialist 4

Psychologist 4

School teacher 4

Specialist nurse 5

Social worker 5

Speech and language therapist 5

Staff nurse 5

Ward clerk 6

Ward sister 6

What happens where? 6

Playroom 6

Teenage room 6

Treatment room 6

School room 7

Parents' room 7

Sensory room 7

Day care unit 7

Milk room 7

Postnatal ward 7

Paediatric emergency department 7

Be prepared 8

Jargon buster 9

2 Child development 19

What can a child of this age normally do? 19

Six weeks 20

Six to eight months 21

Twelve months 21

Eighteen months 21

Two years 22

Three years 22

School 22

Developmental delay and children with disabilities 22

Support for children with disabilities and their families 25

Growth 26

Obesity 28

Immunisations 29

The UK vaccination schedule 31

3 Communication with children and their parents 37

How to communicate with a baby or toddler 39

How to communicate with an infant school child (46 years) 40

How to communicate with a school-age child (712 years) 40

How to communicate with a teenager 41

How to communicate with a child using alternative communication 45

How to communicate with anxious parents 46

How to communicate with an expert parent or patient 47

Breaking bad news 49

Cultural sensitivity 54

Illiteracy 56

Consent 56

Parental responsibility 57

At what age can children consent for themselves? 57

4 Child protection and safeguarding 60

Different forms of abuse 60

Physical abuse 60

Fabricated or induced illness (FII) 62

Emotional abuse 64

Neglect 66

Sexual abuse 66

Maternal substance abuse in pregnancy 69

Female genital mutilation 70

Forced marriage and honour violence 70

Which children are most vulnerable to abuse? 72

What to do if you suspect child abuse 73

What should I say to the parents? 75

What to do if you suspect sexual abuse 75

Child protection medicals 77

Working with social care, education and the police 77

Social care 78

Police 78

I've made a referral to social services; what happens next? 83

What if you are worried about the immediate safety of the child? 83

What is a section 17 investigation? 84

Who is a child in need? 84

Who is a looked-after child? 84

What happens after it is decided that a child is in need? 84

What is a strategy discussion? 84

What is a section 47 enquiry? 85

What is a child protection conference? 85

What is a child protection plan? 85

What is a child protection review conference? 85

What is the child protection register? 85

What stops us from considering the possibility of abuse? 85

5 Common paediatric emergencies 88

Basic Life Support 88

Danger 88 <p&g...