Saturday, April 17, 2010

Child health status

Health is a complex phenomena. According to World Health Organization, health is not merely the absence of disease of infirmity but is a stateof complete physical, mental and social well being. From this definition child health means a state of physical, mental and social harmony of the child which pro,otes his ottimum growth and development. However in estimating the health status of children in a country, the commonly used indicators are the absence commonly used indicators are the absence of disease (ie morbidity ) a death ( mortality)

The IMR can be divided into neonatal mortality rate (NMR) and post neonatal mortality rate ( PNMR). The NMR includes death of children less that 28 days of age and PNMR includes death of children from 28 days until 1 year of age.

Monday, April 5, 2010

Role of the paediatric nurse

Nursing care of children aims at achieving the highest possible health in children and promoting their optimum growth and development. In rder to achieve this aim, the paediatric nurse should play multiple roles as depicted in the following.

Care Provider
As a care provider , the nurese is responsible to care for the sick children in meeting their physical and emotionl needs. The responsibility to administer the prescribed medicines and treatments also falls on her. She is held accountalbe for all her nursing actions. So she must carry out her responsibilites with knowledge and dedication.
To demonstrate her sense of accountablity,she should use nursing process in her care. The use of nursing process enables her:
  • to assess each child's need through nistory taking and physical examination.
  • to identify the health needs of the child
  • to plan and implement nursing ations
  • to evaluate the outcome of nursing actions
A child specially the young one, is totally dependent on his parents or care givers to fulfill his basic needs such as food, toileting and clothing. So the parents should be included in the care of their children as far as possible.This enhances their responsibility as parents and help to build their confidence in child care at home.


Health Educator
Health education is oneof the important roles of the nurse. health education of children aims at giving essentail health information to the parents and guardians for the promotion and maintenance of the health of children. health education arouses awareness of the parents regarding child care and influences their child care practive . Some of the important topics of health education are:
  • child's nutrition
  • immunisation
  • prevention of accidents
  • personal adn environmental hygiene
  • oral rehydration therapy
  • child spacing

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