Pediatrics: Home Care Nursing of the Complex, Fragile Child
Presented by Deborah Boroughs
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This course gives students an overview of the high-stake, high-risk nature of nursing care in the home of medically-complex, fragile children. Common diagnostic categories of children with complex health care needs who receive in-home nursing care are identified. Primary preventable causes of death in pediatric home care are listed. Nurse competence to care for the fragile child and family at home is defined. Essential training components for the home care nurse are listed.
Meet your instructor
Deborah Boroughs
Deborah Boroughs, RN, MSN, has extensive professional and personal experience in the management of medically complex children. As an advanced practice nurse, she led a professional team of nurses and social workers as the director of the Pennsylvania Ventilator Assisted Children’s Home Program (VACHP), a Pennsylvania…
Chapters & learning objectives
1. The Pediatric Intensive Care Unit Has Moved Home
The pediatric intensive care unit has moved to a home setting. This chapter will explain the high-risk nature of caring for a medically-fragile child at home. The common diagnostic categories of medically-fragile children in pediatric home care are listed. Preventable accidental death causes and statistics in pediatric home care are presented. The process for decreasing accidental mortality of fragile children in home care is outlined.
2. Nursing Skill to Fit the Bill
The specific training and assessment skills required for home care nurses of medically-fragile children is described. Autonomous home care of a fragile child requires a different focus than hospital nursing care; thus, training methodology and a training agenda for nursing care of the fragile child at home is suggested.
3. Confidence Through Competence
Evidence-based practice differentiates clinical opinion and scientific evidence in pediatric home care nursing. What defines competence of the nurse who cares for a fragile child at home? This chapter describes the elements and assessment of competence for pediatric home care nurses before they assume autonomous care of a fragile child.
More courses in this series
Behavior Management Strategies for Children with Special Needs
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Introduction to Pediatric Home Care Nursing: Children and Adolescents
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Pediatrics: Home Care Nursing of the Complex, Fragile Child
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Introduction to Pediatric Home Care: Infants and Toddlers
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