GEORGIA BAPTIST COLLEGE OF NURSING
NUR 331 Care of Infants and Children
Death & Dying in the Pediatric Patient:
Reactions in Children, Parents, and Nurses
Lesson Objectives: Upon completion of this lesson the student will:
1. Explain developmental concepts of death as related to theory
on developmental cognition.
2. Utilize research findings on children’s responses to death to provide guidance for parents dealing with a terminally ill child.
3. Describe unique responses to the death of a child on parents, grandparents, and siblings.
4. Develop a plan of care to assist family members in coping.
5. Identify ways in which health team members can deal with personal feelings and needs resulting from death of child abuse.
Content Outline:
1. Review of loss and grief theory
1.1. Factors affecting the loss/grief experience
1.2. Major theories on grief and mourning
1.3. Research findings on children’s grief
2. Developmental concepts of death
2.1. Application of Piagetian theory
2.2. Life experiences as a variable
2.3. Explaining death to children
3. Family response to death of a child
3.1. Parents
3.2. Grandparents
3.3. Siblings
4. Nurse’s role in helping families cope
4.1. Coping with terminal illness
4.2. Making treatment decisions
4.3. Dying at home; hospice care
4.4. Helping surviving children
5. Caring for the caregivers
5.1. Recognizing personal feelings
5.2. Health team grief responses
Teaching/Learning Activities:
1. Lecture presentation
2. Small group discussion
3. Audiovisual
Critical Thinking Focus:
Apply developmental concepts on death with children in a variety of settings.
Required Readings:
Hockenberry, M.J. & Wilson, D. (2007). Wong’s Nursing Care of Infants and Children (8thed.). Mosby: St. Louis Chapter 23. Pages 957-988.
Rev 4/03 SM; Reviewed 11/06 SM
GEORGIA BAPTIST COLLEGE OF NURSING
NUR 331 Care of Infants and Children
Holistic Care of Children with Alterations in Hematological
Composition
Lesson Objectives: Upon completion of this lesson plan the student will:
1. Describe the age-related differences in anatomy and physiology in
hematological composition.
2. Discuss the impact of hematological alterations on child and family
from a holistic perspective.
3. Identify the nurse’s role in caring for children with hematological
alterations.
4. Describe the nutritional, developmental, emotional and health
maintenance needs of children with hematological alterations.
5. Describe the acute and long term needs and interventions for
children with hematological function alterations.
6. Utilize the nursing process in planning care for a child with a
selected hematological function alteration.
7. Relate findings from research in caring for children with hematological alteration.
Content Outline:
1. Age-related differences in hematological comparison and function
2. Assessment of child with hematopoietic dysfunction
2.1. History
2.2. Physical assessment
2.3. Laboratory and diagnostic tests
3. Common nursing diagnoses
4. Planning and intervention
4.1. Therapeutic management
4.1.1. preparation for diagnostic testing
4.1.2. administration of blood and blood products
4.1.3. bone marrow aspiration
4.1.4. bone marrow transplantation
4.2. Acute care needs and intervention
4.2.1. prevention of injury
4.2.2. facilitation of oxygenation
4.2.3. control of infection
4.3. Nutritional needs
4.4. Developmental, emotional and health maintenance needs
5. Selected alteration in hematological function
5.1. Care of the child with anemia
5.1.1. iron deficiency anemia
5.1.1.1. assessment/diagnosis
5.1.1.2. planning/intervention
5.1.2. aplastic anemia
5.1.2.1. assessment/diagnosis
5.1.2.2. planning/intervention
5.1.3. sickle cell anemia
5.1.3.1. assessment/diagnosis
5.1.3.2. planning/intervention
5.1.4. B-Thalassemia (Cooley’s anemia)
5.1.4.1. assessment/ diagnosis
5.1.4.2. planning/intervention
5.2. Care of the child with coagulation dysfunction
5.2.1. hemophilia
5.2.1.1. assessment/ diagnosis
5.2.1.2. planning/intervention
Teaching/Learning Activities:
1. Discussion
2. Audiovisuals
3. Clinical case studies
Critical Thinking Focus:
Apply concepts of hematology alteration in selected clinical situations.
Required Readings:
Hockenberry, M.J. & Wilson, D. (2007). Wong’s Nursing Care of Infants and Children (8thed.). Mosby: St. Louis .pages 1509-1543.
REV 4/03 RS; 12/06 RS
GEORGIA BAPTIST COLLEGE OF NURSING
NUR 331 Care of Infants and Children
Holistic Care of Children with Altered Immune Function
Lesson Objectives: Upon completion of this lesson the student will:
1. Discuss developmental considerations related to the immune system.
2. Describe the significance of altered immune responses in children.
3. Discuss the impact of altered immune function on child and family from a holistic perspective.
4. Identify the nurse’s role in caring for children with altered immune response.
5. Describe the nutritional, developmental, emotional and health maintenance needs of children with altered immune function.
6. Describe the care needs and interventions for children with altered
immune functions.
7. Utilize the nursing process in planning care for a child with selected immune alteration.
8. Relate findings from research in caring for children with altered immune function.
Content Outline:
1. Significance of alteration of immune function
1.1. The immune function
1.2. Developmental consideration of the immune system
1.3. Factors that affect immune function
1.4. Categories of altered immune system function
1.5. Impact on child and family
2. Assessment of child with altered immune function
2.1. History
2.2. Physical assessment
2.3. Laboratory and diagnostic tests
3. Nursing diagnosis
4. Planning and intervention
4.1. Acute care needs and intervention
4.1.1. pain relief
4.1.2. prevention of hazards of mobility
4.1.3. protection from infection
4.1.4. medication administration
4.1.4.1. antihistamine
4.1.4.2. corticosteroid
4.2. Nutritional needs
4.3. Developmental needs
4.4. Emotional needs
4.5. Health maintenance needs
5. Selected alterations in immune function
5.1. Child with immune deficiency (AIDS)
5.1.1. assessment/diagnosis
5.1.2. planning/intervention
5.2 Child with autoimmune disorder
5.2.1. acute rheumatic fever
5.2.2. juvenile arthritis
5.3 Child with immune complex disorder (Kawasaki disease)
5.3.1. assessment/diagnosis
5.3.2. planning/intervention
5.4 Child with allergy
5.4.1. classification of allergic response
5.4.2. assessment and diagnosis related to:
5.4.2.1. allergic rhinitis
5.4.2.2. urticaria/angioedema
5.4.2.3. bites and stings
5.4.2.4. food allergies
5.4.3. planning intervention
Teaching/Learning Activities:
1. Discussion
2. Audiovisuals
3. Clinical case studies
Critical Thinking Focus:
Apply concepts of immunologic alteration in selected clinical situations.
Required Readings:
Hockenberry, M.J. & Wilson, D. (2007). Wong’s Nursing Care of Infants and Children (8thed.). Mosby: St. Louis. Pages 1791-1803; 1545-1552; 1479-1485.
REV 4/03 SM; 12/06 RS