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Pediatrics: Home Care Nursing of the Complex, Fragile Child

presented by Deborah Boroughs, RN, MSN

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Disclosure Statement:

Financial: Deborah Boroughs receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Deborah Boroughs has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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This course gives students an overview of the high-stake, high-risk nature of nursing care in the home of medically-complex, fragile children. Common diagnostic categories of children with complex health care needs who receive in-home nursing care are identified. Primary preventable causes of death in pediatric home care are listed. Nurse competence to care for the fragile child and family at home is defined. Essential training components for the home care nurse are listed.

Meet Your Instructor

Deborah Boroughs, RN, MSN

Deborah Boroughs, RN, MSN, has extensive professional and personal experience in the management of medically complex children. As an advanced practice nurse, she led a professional team of nurses and social workers as the director of the Pennsylvania Ventilator Assisted Children’s Home Program (VACHP), a Pennsylvania Department of Health program with offices at Children’s Hospital…

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Chapters & Learning Objectives

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1. The Pediatric Intensive Care Unit Has Moved Home

The pediatric intensive care unit has moved to a home setting. This chapter will explain the high-risk nature of caring for a medically-fragile child at home. The common diagnostic categories of medically-fragile children in pediatric home care are listed. Preventable accidental death causes and statistics in pediatric home care are presented. The process for decreasing accidental mortality of fragile children in home care is outlined.

2. Nursing Skill to Fit the Bill

The specific training and assessment skills required for home care nurses of medically-fragile children is described. Autonomous home care of a fragile child requires a different focus than hospital nursing care; thus, training methodology and a training agenda for nursing care of the fragile child at home is suggested.

3. Confidence Through Competence

Evidence-based practice differentiates clinical opinion and scientific evidence in pediatric home care nursing. What defines competence of the nurse who cares for a fragile child at home? This chapter describes the elements and assessment of competence for pediatric home care nurses before they assume autonomous care of a fragile child.

More Courses in this Series

Behavior Management Strategies for Children with Special Needs

Presented by Deborah Boroughs, RN, MSN

Behavior Management Strategies for Children with Special Needs

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course provides students with an overview of managing challenging behaviors of children with special health care needs in pediatric home care. The importance for the home care nurse to recognize that behavior is a form of communication is emphasized. Improper response by the nurse to challenging behavior can result in negative outcomes for the child and family. Home care nurses have a unique opportunity to provide behavior support to the child and family. This course will identify the (1) common causes of challenging behavior in children with special needs, (2) examples of challenging behaviors in these children with disabilities, and (3) core components of positive behavior support and communication for home care nurses.

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Introduction to Pediatric Home Care Nursing: Children and Adolescents

Presented by Deborah Boroughs, RN, MSN

Introduction to Pediatric Home Care Nursing: Children and Adolescents

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course provides students with an overview of nursing care in the home of children and adolescents with complex health care needs. The three most common diagnoses of children and adolescents who receive home care nursing are identified. Normal growth and development patterns are described so that the home care nurse may detect pathologic deviations. General physical assessment home care guidelines for children and adolescents are outlined. Required skill preparation for the pediatric home care nurse to autonomously provide proficient, safe care to a child or adolescent with complex medical needs is presented. The role of the home care nurse in fostering independence and self-care in the child or adolescent with special health care needs is described.

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Introduction to Pediatric Home Care: Infants and Toddlers

Presented by Deborah Boroughs, RN, MSN

Introduction to Pediatric Home Care: Infants and Toddlers

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course provides students with an overview of nursing care in the home of infants and toddlers with special health care needs. Important differences between nursing care of children and adults are differentiated. Normal growth and development patterns are described so that the home care nurse may detect pathologic deviations and ‘red flags’ that may indicate abnormal growth and development. Common diagnoses of infant and toddlers who receive in-home nursing care are identified. General assessment home care guidelines for infants and toddlers are outlined. Required skill preparation for pediatric home care nurses to become proficient and safe to deliver autonomous care to an infant or toddler with complex medical needs is presented.

View full course details

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