NURS 2356 - Childhood Nursing B

Credit Hours: 2.00

1. The student can analyze and apply the critical components of evidence-based nursing practice.

Course Outcome: 1. The student can analyze evidence-based practice for nursing care of the child with acute and chronic illnesses.

Course Objectives:

1. The student will analyze and apply evidence-based nursing care for the child with neurological dysfunction.
2. The student will analyze and apply evidence-based nursing care for the child with cancer.
3. The student will analyze and apply evidence-based nursing care for the child with hematological dysfunction.
4. The student will analyze and apply evidence-based nursing care for the child with altered physical mobility.
5. The student will analyze and apply evidence-based nursing care for the child with cardiovascular dysfunction.
6. The student will analyze and apply evidence-based nursing care for the child with diabetes.

Program Outcome/Student Learning Outcome:

2. The student can recognize quality improvement strategies as an integral component of nursing practice.

Course Outcome: 2. The student can explain why continuous quality improvement is an essential part of professional nursing practice and uses national patient safety resources for selected pediatric patients with acute and chronic illnesses.

Course Objectives:

1. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with neurological dysfunction.
2. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with cancer.
3. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with hematological dysfunction.
4. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with altered physical mobility.
5. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with cardiovascular dysfunction.
6. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with diabetes.

1. The Child with a Cardiovascular Alteration
   1. Physiology of the cardiovascular system
   2. Diagnostic procedures for the cardiac deviations
   3. Acquired cardiovascular disorders
      1. Heart failure
      2. Infective endocarditis
      3. Rheumatic fever
      4. Kawasaki disease
   4. Congenital Defects
      1. Defects with increased pulmonary blood flow
         1. Patent ductus arteriosis (PDA)
         2. Ventricular septal defect (VSD)
         3. Atrial septal defect (ASD)
      2. Defects with decreased pulmonary blood flow
         1. Tetralogy of fallot (TOF)
      3. Obstructive defects
         1. Coarction of the aorta
      4. Mixed defects
         1. Transposition of the great arteries (TGA)
2. The Child with a Neurologic Alteration
   1. Assessment of neurologic function
      1. Diagnostic procedures
      2. Neurologic testing
      3. Increased intracranial pressure
   2. Care of the child with a neurologic disorder
   3. Seizure disorders
      1. Childhood epilepsy
      2. Febrile seizures
      3. Neonatal seizures
   4. Malformations of the CNS
      1. Hydrocephalus
   5. Intracranial infections
      1. Meningitis
      2. Encephalitis
      3. Reye syndrome
   6. Traumatic alterations of central nervous system (CNS)
      1. Head injuries
3. The Child with a Musculoskeletal Alteration
   1. Physiology and psychology of prolonged immobilization
   2. Therapeutic Management
      1. Child in a cast
      2. Child in traction or external fixator
   3. Congenital disorders
      1. Neural tube defects
         1. Spina bifida occulta
         2. Spina bifida cystica
      2. Congenital clubfoot
      3. Osteogenic imperfecta
      4. Developmental hip dysplasia
      5. Muscular dystrophy
      6. Cerebral palsy
   4. Acquired disorders
      1. Slipped Capital Femoral Epiphysis (SCFE)
      2. Legg-Calve-Perthes Disease
      3. Fractures
   5. Other disorders
      1. Juvenile idopathic arthritis
4. The Child with a Hematologic Alteration
   1. Red blood cell disorders
      1. Iron deficiency anemia
      2. Lead poisoning 
      3. Sickle cell disease
      4. B-thalassemia
   2. Defects in hemostasis
      1. Immune Thrombocytopenia Purpura (ITP)
      2. Hemophilia A (Factor VIII deficiency)
      3. Hemophilia B (Factor IX deficiency)
5. The Child with Cancer
   1. Etiologic factors
   2. Properties of malignant cells
   3. Assessment of malignancy
   4. Diagnostic procedures
   5. Modes of therapy
      1. Chemotherapy
      2. Radiation therapy
      3. Hemopoietic Stem cell Transplant
      4. Biologic response modifiers
   6. Cancers of the blood and lymph systems
      1. Acute lymphoblastic leukemia (ALL)
      2. Acute myeloblastic leukemia (AML)
   7. Nervous system tumors
      1. Brain tumors
      2. Neuroblastoma
   8. Sarcomas
      1. Bone tumors
         1. Osteogenic sarcoma
         2. Ewing’s sarcoma
      2. Rhabdomyosarcoma
   9. Other solid tumors
      1. Wilm’s tumor
      2. Retinoblastoma
6. The Child with Endocrine or Metabolic Alterations
   1. Diabetes mellitus
      1. Type 1
      2. Type 2