Issues in comprehensive pediatric nursing
-
The aims of this article are to summarize the reports from various organizations and existing research applicable to the concept of adolescent consent, and to assemble guidelines to aid in consent decisions for research that focuses on adolescents. The regulations from the United States Department of Health and Human Service and the National Commission for Protection of Human Subjects are reviewed, along with legal, ethical, and research-based issues associated with obtaining consent from adolescents. A set of guidelines has been compiled to provide direction for the appropriate consent process with this special population.
-
Issues Compr Pediatr Nurs · Jul 1996
ReviewNonpharmacological interventions to use with children in pain.
Children's pain is often poorly managed, and interventions other than medications are rarely used. Yet many nonpharmacological interventions are helpful in managing children's pain. ⋯ A discussion of the three major classifications (sensory, cognitive, and cognitive-behavioral) of interventions follows. Factors that influence the use of nonpharmacological techniques, including type of pain and developmental level, are discussed.
-
Issues Compr Pediatr Nurs · Oct 1995
ReviewMethods of newborn infant temperature monitoring: a research review.
Although research related to infant temperature measurement has been reported in the nursing literature since 1969, issues regarding site of thermometer placement, resultant normative values, and length of thermometer placement time in full-term and preterm infants still need clarification. This article reviews research findings relevant to temperature monitoring in the newborn, examines the impact of these findings on clinical practice, and identifies areas where further research is needed.
-
The seriously ill or terminally ill child with cancer has received inadequate pain control in the past, partly due to physicians' and nurses' fears and misconceptions regarding the administration of effective pain medications to a child. Advances in assessment techniques in the infant and young child, as well as increasing use of pain assessment questionnaires and VAS in the older child, have mandated changes in administration of analgesia to children. ⋯ The goal of therapy for the dying child is to maintain comfort and support the child and the family. Providing analgesia in the hospital or the home has proven safe and effective when administered either orally or parenterally, and comfort of the child is achieved.