Journal of child health care : for professionals working with children in the hospital and community
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In this article Lauren, who is 10 years old, writes a letter to Victoria, a friend who is thinking about having a gastrostomy. Lauren describes why she needed a gastrostomy and about the operation she had. ⋯ She writes about the advantages of having medicines put down the tube, and tries to reassure other children about gastrostomies. One of Lauren's nurses sets the scene and explains why Lauren wrote the letter in the first place.
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The tasks along the way to developing a children's hospice service are examined. CHASE Children's Hospice Service aims to establish a network of care for life-limited and life-threatened children, young people and their families. The services will be provided for families living mainly in SW London, Surrey and parts of West Sussex. They will comprise a source of palliative and respite care for the children and their families in their own homes (community care), backed-up by a respite care service in the related hospice at Artington, near Guildford (Christopher's).
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J Child Health Care · Jan 2001
ReviewReflective growth and professional development: an ABC approach for the novice reflector.
This step guide acknowledges, today more than any other time in nursing history, nurses are being encouraged to evaluate and evidence learning. The UKCC guidelines on mandatory PREP (2001) demands a nursing profession who can evidence analysis of personal growth and development, learning from experience in practice. The step guide has been developed to enable novice reflectors to develop skills in reflective dialogue and writing. Nurses need guidance in this approach to learning more about themselves and the domain of nursing as for many it is a challenge to more formal modes of learning.
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J Child Health Care · Jan 2001
Review'A bridge to the future': impact on high dependency and intensive care.
The availability and increased demand on Paediatric Intensive Care beds continues on line with the advances with medical technology. The provision of District General Hospitals providing level 1 care and initiating level 2 is extremely important. ⋯ Care of critically ill children should always be provided by appropriate trained and experienced nursing staff. The partnership and negotiation of care for parents and relatives should be maintained as a high priority in PICU.
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Earlier discharge following tonsillectomy increases the need for good pain management advice and effective analgesia. An audit determined the nature of children's pain experiences at home following tonsillectomy and identified pain management strategies used. ⋯ Pain could worsen following discharge, persist for three to ten days and be at times moderate to severe. 50% of parents contacted their GP and 75% of children required paracetamol and ibuprofen concurrently. Audit data was utilised to develop comprehensive written pain management advice and a discharge protocol for combined analgesia.