Term
| philosophy of care permeating all interactions between family and healthcare providers |
|
Definition
|
|
Term
| Key Elements of Family Centered Care |
|
Definition
| 1-Family at center; 2-Family to Provider Collaboration; 3-Open communication; 4-Family Centered Peer Support; 5-Cultural Diversity of Families; 6-Holistic Perspective |
|
|
Term
|
Definition
-Obstacles lead to increased tension
-Discomfort increases
-ie. increased stress on family from admission to hospital |
|
|
Term
|
Definition
-Unsuccessful attempts to cope with crisis
-Increased discomfort and disequilibrium
-ie. arguments among family |
|
|
Term
|
Definition
| -Mobilization of resources to cope with crisis |
|
|
Term
|
Definition
| -Phase of crisis in which equilibrium is restored in family dynamic OR continued disequilibrium requires outside intervention |
|
|
Term
| Concept for Transcultural Care Model |
|
Definition
| Centered around an individual as a unique cultural being. She is directly influenced by her Religion, Ethnicity and Culture. And more indirectly influenced by social norms, her environment, etc. |
|
|
Term
| Campinha-Bacote's Culturally Competent Model of Care |
|
Definition
Accompanies ASKED Model
-States that culturally competent care requires cultural awareness, knowledge, skill and encounters |
|
|
Term
|
Definition
| Awareness of personal biases; Skill to conduct a sensitive cultural assessment; Knowledge to understand cultural basics; Encounters/Experiences with various cultures; Desire to be culturally sensitive |
|
|
Term
| Autosomal Recessive Inheritance |
|
Definition
| Requires both parents to pass the mutation to offspring. One copy will result in carrier status, ie CF |
|
|
Term
| X-linked Recessive Inheritance |
|
Definition
| A recessive inherited condition passed only on the x-chromosome. In the case of female offspring, a carrier mother will always pass the X chromosome to a male and 50% of time to female. A carrier father will NOT spread to male child but 50% chance to female child. |
|
|
Term
| Genotype of Downs Syndrome |
|
Definition
| Trisomy 21, 47 chromosomes |
|
|
Term
| Phenotype of Downs Syndrome |
|
Definition
| 1-Growth failure; 2-Developmental delay; 3-Epicanthal folds and slanted eyes; 4-Low-set ears; 5-Large tongue; 6-congenital heart disease; 7-hands w/ simean crease; 8-mottling skin; 9-ALL |
|
|
Term
| Genotype in Turner Syndrome |
|
Definition
Only one sex chromosome, always an X
-45 chromosomes
-ID'ed as XO |
|
|
Term
| Phenotype of Turner syndrome |
|
Definition
| 1-Small stature; 2-Androgenous appearance; 3-Poor breast development; 4-Ovarian dysgenesis; 5-bicuspid aortic valve and COA; 6-multiple pigmented nevi |
|
|
Term
| Order or Developmental Progression of Infant |
|
Definition
| Progresses head to toe and then midline to distal |
|
|
Term
| Bronfenner's Social-Ecological Model of Development |
|
Definition
| A child is the result of their environment therefore we must consider her microsystem, mesosystem, exosystem and macrosystem |
|
|
Term
|
Definition
| 1-Home, 2-Siblings, 3-Peers, 4-Parents, 5-Teachers |
|
|
Term
|
Definition
| 1-House; 2-Neighborhood; 3-School; 4-Religious setting |
|
|
Term
|
Definition
| 1-Parents' workplace; 2-Local government; 3-School board; 4-Local industry |
|
|
Term
|
Definition
| dominant beliefs and ideologies |
|
|
Term
|
Definition
| a decrease in feeding at age 1 due to decrease in rapid growth |
|
|
Term
| the increase in the number and size of cells |
|
Definition
|
|
Term
| increase in competence and ability |
|
Definition
|
|
Term
| age at which teething begins |
|
Definition
|
|
Term
| age at which object permanence begins |
|
Definition
|
|
Term
|
Definition
|
|
Term
| ability to walk upright without support |
|
Definition
|
|
Term
|
Definition
-a theory on personality development
-humans are driven by a need to resolve certain biologically determined drives that center around sexual drives
-without resolution, fixation will result |
|
|
Term
|
Definition
-a theory on personality development based upon epigenetic principle
-Personality develops based upon predetermined steps that are maturational
-In each stage of development, a child is presented with a crisis. If handled well, a positive outcome results. If not, a negative outcome results. |
|
|
Term
|
Definition
-Cognitive Intellectual development
-Humans are constantly absorbing information and processing it to form ideas and concepts (schemas).
-Each stage considers a new way of thinking achieved through maturation. |
|
|
Term
| the process of taking in info from the environment and incorporating it into one's existing knowledge |
|
Definition
|
|
Term
| when information is absorbed from the environment and this new knowledge is used to alter one's perception of the world or one's schema |
|
Definition
|
|
Term
|
Definition
-a Cognitive Intellectual theory based upon Piaget
-discusses egocentrism in children |
|
|
Term
| age posterior fontanel closes |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Factors that Affect Distribution of Drugs in Children |
|
Definition
1-Higher proportion of total body water; 2-lower proportion of body fat
3-Protein binding of meds is age-dependent
4-Neonates have immature BBB and decreased fetal albumin |
|
|
Term
| Factors that Affect Metabolism of Drugs in Children |
|
Definition
1-Neonates have decreased enzymatic sx
2-Liver maturation varies |
|
|
Term
| Factors that Affect Elimination of Drugs in Children |
|
Definition
1-Increased renal clearance
2-Kidneys are not matured until 1-2 yrs |
|
|
Term
|
Definition
|
|
Term
| Age at which strabismus is considered abnormal |
|
Definition
|
|
Term
| Age at which tracking to midline is normal |
|
Definition
|
|
Term
| Age at which tracking 180 degree is normal |
|
Definition
|
|
Term
| Age at which head lab disappears |
|
Definition
|
|
Term
| Age at which crawling begins |
|
Definition
|
|
Term
| Age at which walking begins |
|
Definition
|
|
Term
| Age at which child begins reaching |
|
Definition
|
|
Term
| Age at which object permanence begins |
|
Definition
|
|
Term
| Age at which teething begins |
|
Definition
|
|
Term
| Age at which child can follow directions |
|
Definition
|
|
Term
| Age at which child uses complete sentences |
|
Definition
|
|
Term
|
Definition
| Adolescent Screening: H-home environment; E-educational performance/employment; E-exercise, eating behaviors; A-activities; D-Drugs; D-depression; S-suicidal thoughts/attempts; S-sex hx |
|
|
Term
|
Definition
| Adolescent Screening Tool for Substance Use: C-car--use when driving?; R-use when Relaxing?; A-use when Alone?; F-are family/friends bringing it up as an issue?; T-Getting into trouble? |
|
|
Term
| Which patients do not get rectal temps? |
|
Definition
| <1 month or >1 year; thrombocytopenia; irritated rectum; occult blood in stool |
|
|
Term
| Skin tags are indicative of what? |
|
Definition
|
|
Term
| Stages of Separation Anxiety |
|
Definition
Ages 6 months to 4 years
1-Protest--hours or days--searches for parent, cries and rejects staff. Accepts parent on return
2-Despair--more sad but cries less, may or may not approach parent on return
3-Denial--child becomes cheerful and ignores parent upon their return |
|
|
Term
|
Definition
| Barky cough and Inspiratory stridor; Onset over 1-3 days; XR reveals "steeple" sign; Affects children age 6 mos-6 yrs |
|
|
Term
|
Definition
Dexamethasone PO
Nebulized racemic epi |
|
|
Term
| Presentation of Bacterial Tracheitis |
|
Definition
Cough (maybe barky with thick sputum) and inspiratory stridor
*Appears toxic
-viral prodrome for days then suddenly worse
Diagnosed by bronchoscopy
Affects children 3 mos-13 yrs (esp 3-5 yr) |
|
|
Term
| Treatment of Bacterial Tracheitis |
|
Definition
OR for airway management and bronchoscopy
Ampicillin-Sulbactam or Cephalosporin / Clindamycin |
|
|
Term
| Presentation of Epiglottitis |
|
Definition
Affects any age
-Presents with Drooling, Dysphagia, Muffled voice, Respiratory distress that is worse supine, no cough; TOXIC
-Onset is rapidly over hours
-Diagnosed by visualization or XR |
|
|
Term
| Treatment of Epiglottitis |
|
Definition
OR for airway management or intubation
Abx--cephalosporin
May try nebulized racemic epi |
|
|
Term
| Causative agents in croup |
|
Definition
| 1-Parainfluenza virus; 2-RSV; 3-Adenovirus; 4-Measles; 5-Mycoplasma pna (only one that is bacterial) |
|
|
Term
| Acute Spasmodic Croup vs Laryngotracheobronchitis (LTB) |
|
Definition
| Acute Spasmodic Croup is typically recurrent. While Laryngotracheobronchitis rarely occurs more than once. |
|
|
Term
|
Definition
| Inflammation in trachea that extends all the way down into the bronchioles--complicated croup; less common and not recurrent |
|
|
Term
| Criteria for hospitalization of croup patient |
|
Definition
| 1-Anxiety/restlessness; 2-stridor at rest; 3-Cyanosis or Hypoxia; 4-Retraction or respiratory distress |
|
|
Term
|
Definition
| 1-humidified O2; 2-close assessment of resp status; 3-Racemic epinephrine nebulizer; 4-steroids |
|
|
Term
| Causative organisms of Acute Epiglottitis |
|
Definition
1-Haemophilus influenza type B
2-Strep pna
3-Strep pyogenes |
|
|
Term
| Clinical Presentation of Bronchiolitis |
|
Definition
Usually <2 yrs; often viral etiology (RSV)
-trapping of mucus in bronchioles
-dry cough; URI symptoms; low grade fever; wheezing that does not resolve with meds; difficulty feeding |
|
|
Term
|
Definition
Synergis
-requires 5 doses |
|
|
