Pediatric nursing
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Childhood lead poisoning remains a serious public health problem for millions of American children. Although adverse health effects related to elevated blood levels have been reported in children from all socioeconomic groups, the prevalence of serious lead poisoning remains highest among poor children in urban areas. The Centers for Disease Control has revised guidelines for intervention with an emphasis on primary prevention.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of preparation and narcotic-sedative premedication in children undergoing surgery.
A psychological preparation program was developed for use prior to emergency surgery in children. The purpose of this study was to test the hypothesis that provision of specific information prior to an emergency operation would reduce the need for premedication to control anxiety and stress. Children were randomly assigned to either a verbally prepared group given narcotic-sedative premedication (control) or to a psychologically prepared group given only atropine as premedication. ⋯ The children and parents were also assessed by a nurse preoperatively and postoperatively using a similar scale. The children's pulse, blood pressure, and cortisol were also measured. The results showed no significant difference between the psychologically prepared group and the premedicated group, suggesting that psychological preparation compares favorably with narcotic-sedative premedication.
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Stress is an ever-present part of nurses' work and personal lives. In an effort to facilitate coping with this stress, a diverse group of staff came together to plan what ended up being a unique and thoroughly beneficial experience.
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Injuries are the leading cause of childhood death and disability in the United States today. However, injuries can be studied, their magnitude described, and risk factors identified. Furthermore, many injuries can be prevented and controlled with available knowledge and technology.
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To present a conceptualization of health care costs and to describe costs of health care in the terminal phase of childhood cancer. To present an exploratory comparison of the costs of terminal care in the hospital versus home care services, and to discuss the use of cost research in nursing practice. ⋯ Nurses should consider direct health care costs, nondirect health care costs, and indirect costs when assisting family decisions about care. Nurses and families should be aware of potential cost shifting.