LPN (non-req) 3030 - Pediatric Nursing

Clock Hours: 60

Delivery Mode
on-ground

Course Description:
This course introduces the student to the care of the well child, the child with special needs, and the child with acute and chronic healthcare needs. A strong emphasis on maintaining the dignity of the child and promoting healthy growth and development, even during illness, will be manifested. Students will also examine the role of the family and the importance of it to the care of the child. This course will provide the student an opportunity to identify the pediatric patient as being intrinsically a member of a family unit. In the pediatric nursing course, the principles and concepts of nursing care are adapted to the care of the child. The growth and development of the child is studied along with specific diseases and disorders affecting each age group from the neonate to the adolescent.

Student Learning Outcomes:
Upon completion of this course the student will be able to:

Describe the various developmental stages and their supportive theories.
1. Erickson
2. Freud
3. Piaget
Discuss the basic principles of growth and development, in relation to both physical and psychosocial changes, across the span of childhood.
Demonstrate an understanding of basic principles of progression in regards to motor skills, language development, and sensory development.
Identify basic concepts of health promotion in the areas of nutrition and safety.
Identify recommended immunization schedules and techniques for administration based upon age.
Identify safety principles in administration of medications to pediatric patients.
Discuss how nursing care must be altered for the hospitalized child in relation to age and developmental stage.
1. Possible reactions
  1. Anxiety & Fear
  2. Separation Anxiety
    1. Protest
    2. Despair
    3. Detachment
  3. Loss of Control
  4. Regression
2. Factors affecting child’s response to hospitalization
  1. Developmental Levels
    1. Infants
    2. Toddlers
    3. Preschoolers
    4. School-age
    5. Adolescents
  2. Previous experiences
  3. Reactions of parents/ siblings
3. Nurse’s Role
  1. Maximize family functioning
  2. Promote self (family) care
  3. Admission status
    1. General
    2. Emergent
    3. Pediatric intensive care unit (ICU)
    4. Outpatient/special procedures
    5. Rehabilitation
  4. Consents
    1. Informed
      1. Parental
      2. Guardianships
    2. Exceptions to parental consent
      1. Mature minor
      2. Emancipated minor
    3. Assent (of the child)
  5. Confidential & Legal -Ethical Issues
    1. HIPAA
    2. Mandatory reporting
      1. Abuse &Neglect
      2. Criminal acts
      3. Injuries by weapons
      4. Threats to self
      5. Certain infectious diseases and sexual trauma
  6. Maintaining Safety During Hospitalization
    1. Atraumatic Care
    2. Use of Restraints
      1. soft limb
      2. Elbow
      3. Mummy
      4. Jacket (vest)
    3. Transporting
  7. Basic Care
    1. General hygiene
    2. Nutritional care
    3. Play therapy
  8. Preparing child & family for discharge
    1. Follow-up appointments/ Referrals
    2. Diet
    3. Activity &/or return to school
    4. Medications
    5. Additional treatments
Identify basic principles and techniques for physical assessment for pediatric patients.
1. Admission
  1. DaLabs
  2. Vital Signs
  3. Height/Weight
  4. Intravenous Access
  5. Nutritional Assessment-age appropriate
  6. Allergies
  7. Activity Level
  8. Family Involvement
  9. Elimination
    1. Diapering/voiding
    2. Special needs (wheelchair, crib, etc.)
    3. Focused Assessment
      1. Reason for hospitalization/chief complaint
Recognizes the holistic concept of care of critically ill, dying children, and the family.
Define Munchausen’s syndrome by proxy.
Identify common diseases and/or disorders of childhood in relation to body systems and describes etiology, signs/symptoms, treatment, and nursing interventions unique to the pediatric patient.
1. Conditions related to inadequate nutrition
  1. Iron Deficiency Anemia
  2. Protein malnutrition (Kwashiorkor)
  3. Rickets
  4. Scurvy
  5. Pellagra
  6. Failure to Thrive
2. Neurological Disorders
  1. Meningitis
  2. Seizures
    1. Epilepsy
    2. Febrile seizures
  3. Cerebral Palsy
  4. Head Injuries
  5. Reye’s Syndrome
  6. Encephalitis
  7. Hydrocephalus
3. Sensory Disorder
  1. Blindness
  2. Deafness
  3. Eye Disorders
    1. Myopia
    2. Hyperopia
    3. Astigmatism
    4. Strabismus
    5. Amblyopia
    6. Conjunctivitis
    7. Retinoblastoma
    8. Stye
  4. Ear Disorders
    1. Otitis Externa
    2. Otitis Media
    3. Barotrauma
4. Respiratory Disorders
  1. Nasopharyngitis, Coryza, Cold and Rhinitis
  2. Tonsillitis/adenoiditis
  3. Croup
    1. Congential laryngeal stridor
    2. Spasmodic laryngitis
    3. Laryngotracheobronchitis
  4. Pneumonias
  5. Bronchitis/ Bronchiolitis
  6. Epiglottitis
  7. Asthma
  8. Streptococcal infection
  9. Cystic Fibrosis
5. Cardiovascular Disorders
  1. Congential Heart Defects
    1. Atrial Septal Defect
    2. Ventricular Septal Defect
    3. Patent Ductus Arteriosus (PDA)
    4. Coarctation of the Aorta
    5. Tetralogy of Fallot
    6. Hypoplastic Left Heart Syndrome
    7. Transposition of the Great Vessels
  2. Acquired Heart Diseases
    1. Congestive Heart Failure
    2. Rheumatic Fever/ Carditis
    3. Hypertension/Hyperlipidema
    4. Kawasaki Disease
6. Endocrine Disorders
  1. Tay-Sachs Disease
  2. Hypothyroidism/ Hyperthyroidism
  3. Diabetes Insipidus
  4. Diabetes Mellitus
    1. Type 1
    2. Type 2
7. Gastrointestinal Disorders
  1. Infecitous/Epidemic Diarrhea
  2. Constipation
  3. Colic
  4. Vomiting & Regurgitation
  5. Intussusception
  6. Esophageal Atresia (Tracheoesophageal Fistula)
  7. Imperforate Anus
  8. Pyloric Stenosis
  9. Congenital Aganglionic Megacolon or Hirschsprung’s Disease
  10. Types of Hernias
  11. Celiac Disease
  12. Helminths
    1. Enterobiaisis (Pinworms)
    2. Ascariasis (Roundworms)
  13. Appendicitis
8. Urinary/ Renal Disorders
  1. Phimosis/ Hypospadias/ Epispadias
  2. Exstrophy of the bladder
  3. Obstructive uropathy
  4. Nephrotic Syndrome
  5. Glomerulonephritis
  6. Urinary tract infections
  7. Wilm’s Tumor
9. Reproductive Disorders
  1. Orchipexy
  2. Hydrocele
  3. Cryptorchidism
  4. Testicular torsion
  5. Dysmenorrhea
  6. Sexually Transmitted Infections (STIs)
  7. Adolescent Pregnancy
10. Musculoskeletal Disorders
  1. Fractures
  2. Soft Tissue Injuries
  3. Duchene Muscular Dystrophy
  4. Legg-Calve-Perthes Disease
  5. Juvenile Idiopathic Arthritis (Juvenile Rheumatoid Arthritis)
  6. Ewing’s Sarcoma
  7. Spinal Defects/Deformities
    1. Scoliosis
    2. Lordosis
    3. Kyphosis
  8. Osteomyelitis
11. Integumentary Disorders
  1. Infantile Eczema (Atopic Dermatitis)
  2. Congenital Lestions
    1. Strawberry Nevus
    2. Port-wine Nevus
  3. Miliaria
  4. Dermatitis/ Intertrigo
  5. Lice
    1. Pediculosis capitis
    2. Pediculosis corporis
    3. Pediculosis pubis
  6. Scabies
  7. Ringworm
    1. Tinea pedis
    2. Tinea corporis
    3. Tinea cruris
    4. Tinea capitis
  8. Acne Vulgaris
  9. Lyme Disease
12. Hematologic/Lymphatic Disorders
  1. Sickle Cell Disease
  2. Thalassemias
  3. Idiopathic Thrombocytopenia Purpura (ITP)
  4. Leukemia
  5. Hemophillia
  6. Lymphadenopathy
  7. Hodgkin’s Disease
  8. Infectious Mononucleosis
  9. Rocky Mountain Spotted Fever
Identify common communicable diseases of childhood and describes etiology, signs/symptoms, treatment, and nursing interventions.
1. Rubella
2. Rubeola
3. Roseola
4. Parotitis
5. Varicella
6. Variola
7. Pertussis
8. Diphtheria
9. Poliomyelitis
10. Hepatitis A, B, C
11. Rotavirus
12. Fifth disease (erythema infectiosum)
13. Haemophilus influenza
14. Respiratory Syncytial Virus (RSV)
15. Pneumococcal infections
16. Staphylococcal infections
17. Meningococcal infections
18. Sepsis
19. Impetigo
Identify common mental health issues related to childhood and describes etiology, signs/symptoms, treatment, and nursing interventions.
1. Eating Disorders
  1. Obesity
  2. Anorexia Nervosa
  3. Bulimia Nervosa
2. Substance Abuse
3. Suicide
4. Down’s Syndrome
5. Autism/ Asperger Syndrome
6. Obsessive-Compulsive Disorder (OCD)
7. Attention-Deficit Hyperactivity Disorder (ADHD)
8. Oppositional Defiant Disorder (ODD)
Identify common pediatric emergencies and describes signs/symptoms, treatment, and nursing interventions.
1. Sudden Infant Death Syndrome (SIDS)
2. Accidents
3. Drowning/ Near Drowning
4. Poisoning
  1. Plants
  2. Drugs
    1. Acetaminophen
    2. Salicylate
    3. Other
  3. Lead
  4. Carbon Monoxide
5. Foreign Body Ingestion
6. Burns
7. Smoke Inhalation Injury
8. Frostbite/Chilblain
9. Disaster/Bioterrorism
Identify professional responsibilities of the Practical Nurse related to pediatric patients, including but not limited to:
1. Legal/Ethical issues
2. Child abuse/neglect
3. Guardianship
4. Community resources