Pediatric nursing
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An investigation was conducted to determine the overall incidence and reasons for extubation and reintubation in a NICU population in order to establish a baseline for ongoing quality assessment and evaluation monitoring. The investigators sought to identify factors associated with accidental extubation for which action plans to improve care could be developed.
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In a country where many U. S. children live in poverty, do not share equally in health and access to health care, and are at risk for several adolescent problems, health promotion has become the new frontier in health care. The newer approaches to health promotion are discussed.
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A collaborative effort to improve pain control in the young pediatric patient resulted in new policies and a change in pain management practice. A retrospective chart review of 15 pediatric surgical patients identified the use of patient controlled analgesia (PCA) as a successful method of pain control for children 3 years of age and older.
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Patient-controlled analgesia (PCA) has been found to be an effective method of pain management for adults. Children are now being considered for self-administration of analgesia. With careful patient selection and preparation, nurses and children find patient-controlled analgesia to be an effective way to maintain comfort in the postoperative period.