RESUMEN
Family presence and participation in care in the NICU is fundamental to the recovery and well-being of the sick neonate and family. However, some NICU visitation policies are not supportive of families. A new visitor-management program was initiated at a local hospital. The program included open visitation for parents and others chosen by parents to be a support during their hospital stay. This quality-improvement project evaluated if there was any improvement in parents' perceptions and experiences of family-centered care after the implementation of the new visitor-management program. The NICU parent survey data revealed a modest positive difference in parent responses after the implementation of the program.
Asunto(s)
Enfermería de la Familia/organización & administración , Unidades de Cuidado Intensivo Neonatal/organización & administración , Adhesión a Directriz , Humanos , Recién Nacido , Proyectos Piloto , Formulación de Políticas , Estados Unidos , Visitas a Pacientes/educación , Visitas a Pacientes/psicologíaRESUMEN
Children with disabilities that limit mobility are at increased risk for osteoporosis. In the United States, 10 million people have osteoporosis and 34 million people are estimated to be at risk of acquiring this condition. Typically, bone fragility and osteoporosis have been associated with older adults; however, these problems can also affect children. The childhood and adolescent years are critically important in producing healthy bone mass. Yet cerebral palsy and epilepsy, which are both chronic disorders that frequently coexist, are predictors of muscular and skeletal compromise. Nurse practitioners should be aware of recommendations for promoting and achieving optimal bone health in children with these disabilities and screening patients who are at risk of sustaining fractures.
Asunto(s)
Calcio de la Dieta/uso terapéutico , Parálisis Cerebral/complicaciones , Epilepsia/complicaciones , Fracturas Óseas/prevención & control , Osteoporosis/fisiopatología , Vitamina D/uso terapéutico , Absorciometría de Fotón , Adolescente , Densidad Ósea , Parálisis Cerebral/fisiopatología , Niño , Preescolar , Suplementos Dietéticos , Epilepsia/fisiopatología , Femenino , Fracturas Óseas/etiología , Humanos , Masculino , Osteoporosis/complicaciones , Osteoporosis/dietoterapia , Osteoporosis/etiología , Medición de Riesgo , Factores de Riesgo , Estados UnidosRESUMEN
Pseudotumor cerebri, also referred to as idiopathic intracranial hypertension, is a syndrome characterized by increased intracranial pressure and excludes underlying structural or systemic causes. Pseudotumor cerebri/idiopathic intracranial hypertension has been reported commonly in obese young women but can occur in children and adolescents. With the rise in overweight children, it is important to include this condition as a differential diagnosis, particularly when patients present with complaints of headache.
Asunto(s)
Enfermeras Practicantes/organización & administración , Obesidad , Enfermería Pediátrica/organización & administración , Seudotumor Cerebral , Acetazolamida/uso terapéutico , Adolescente , Índice de Masa Corporal , Inhibidores de Anhidrasa Carbónica/uso terapéutico , Niño , Diagnóstico Diferencial , Diuréticos/uso terapéutico , Diagnóstico Precoz , Fructosa/análogos & derivados , Fructosa/uso terapéutico , Cefalea/etiología , Humanos , Rol de la Enfermera , Evaluación en Enfermería , Obesidad/complicaciones , Obesidad/prevención & control , Oftalmoscopía , Seudotumor Cerebral/diagnóstico , Seudotumor Cerebral/etiología , Seudotumor Cerebral/terapia , Factores de Riesgo , TopiramatoAsunto(s)
Malformación de Arnold-Chiari/complicaciones , Malformación de Arnold-Chiari/diagnóstico , Convulsiones/diagnóstico , Convulsiones/etiología , Anticonvulsivantes/uso terapéutico , Malformación de Arnold-Chiari/cirugía , Preescolar , Diagnóstico Diferencial , Electroencefalografía , Humanos , Imagen por Resonancia Magnética , Masculino , Anamnesis , Enfermeras Practicantes , Enfermería Pediátrica , Examen Físico , Atención Primaria de Salud , Derivación y Consulta , Convulsiones/terapia , Tomografía Computarizada por Rayos XRESUMEN
INTRODUCTION: This study investigated the prevalence of migraine headache in pediatric patients with epilepsy and the incidence of these two disorders in the family history. METHOD: A retrospective chart review was conducted on 475 patients with a primary diagnosis of epilepsy between January 2003 and June 2004. The patients were managed in a pediatric neurology outpatient clinic at a major teaching hospital. Cases were selected using the ICD-9-CM definition for epilepsy. Data collected included age, sex, headache, migraine, and family history. RESULTS: The study revealed a higher prevalence of migraine in epilepsy patients (14.7%) than in the general population (2.7% to 11%). Only 4.7% had a family history of migraine, but 20.6% had a positive family history of epilepsy, supporting current ideas of the genetic etiology of some epilepsies. DISCUSSION: This study specifically addressed epilepsy and migraine in children, but whenever a primary diagnosis is made, the potential for a coexisting disorder should be investigated.