Pediatric pain management in an adult critical care unit

Article Abstract:

Hospitalized children require special considerations to ensure adequate pain relief. Young children cannot describe their discomfort, so nursing staff must use assessment tools to judge their level of pain. The Children's Hospital of Eastern Ontario Pain Score (CHEOPS) and the Faces, Legs, Activity, Cry and Consolability (FLACC) scale quantify pain based on observed behavior. The Oucher scale is a visual analog scale children use to describe their own pain. Analgesic medication, parental support, and environmental stress reduction are important in pediatric pain management.

Care and treatment, Methods, Children, Hospitalization, Nursing assessment, Pain in children, Pediatric pain

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Neuromuscular scoliosis: a case of the pediatric patient in the adult ICU

Article Abstract:

Neuromuscular scoliosis may develop in patients with cerebral palsy, muscular dystrophy, and other conditions. Weak or paralysed muscles contribute to the lateral curvature of the spine, and the condition often progresses rapidly and compromises breathing and function. Surgical release of anterior ligaments and spinal fusion with instrumentation may be required to return the spine's normal anatomic curvature. Such surgeries can be extensive, with substantial blood loss and a long recovery period.

Complications and side effects, Pediatric diseases, Cerebral palsy, Surgery, Neuromuscular diseases, Orthopedic surgery, Muscular dystrophy, Scoliosis, Spinal fusion, Neuromuscular diseases in children

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Violence and the older adult: the role of the acute care nurse practitioner

Article Abstract:

The acute care nurse practitioner can identify and help victims of elder abuse, a common health problem. Stabilization of the injured patient after admission to the intensive care unit is followed by needs assessment and reporting of the abuse. Family conferences dictate a return to the home or other discharge solutions. Practitioners can empower the individual with contacts and encouragement in the case of further abuse.

Aged, Services, Practice, Nurse practitioners, Family violence, Domestic violence, Elder abuse, Critical care medicine

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