Defining the concept of obesogenic environment has utility for nursing theory development, practice, research, and education.

Issues and Purpose: Health care providers need to understand and respond effectively to the cultural and linguistic needs brought by patients to the health care encounter. However, there is almost no research on the needs of immigrant children, especially children with mental disabilities. This case study of an autistic Korean immigrant child and his family illustrates the need for cultural and linguistic competence in providing care. Conclusions: This Korean immigrant child did not receive culturally and linguistically competent care. His diagnosis was delayed and his engagement in ongoing treatment was problematic. Language problems and unfamiliarity with the health care system posed difficulties for the child's caregivers in accessing and participating in care and community resources. The parents experienced guilt, conflict, frustration, and isolation from viable support communities, even the Korean-American religious community. Practice implications: Health care professionals need to provide culturally and linguistically competent care to help to decrease the disparities in health status and health care access. Health care providers must assess their own cultural viewpoints and biases while learning about the issues and needs of children from different cultures.

Significant hearing loss was found in about two-thirds of a series of 107 individuals with Down's syndrome. Hearing loss of that degree causes retardation of speech, language and intellectual development in normal children. Down's children are presumably affected even more by this sensory deprivation and without correction are prevented from reaching their full potential.

Aim: To report an analysis of the concept of creative arts therapy (CAT) in the context of pediatric cancer. Background: Literature supports the intuitive conclusion that creative interventions improve a patient’s journey through the cancer trajectory. However, a new definition is needed to encompass CAT and creative expression interventions in order to better understand the concept of creativity in health care, specifically in pediatric oncology. Design: Concept analysis. Data Sources: The scientific databases CINAHL, PsycInfo (Ovid), AMED (Allied and Complementary Medicine), and PubMed were queried for English language research articles published between 2008 and 2018 using the search terms: creative arts therapy and cancer. Method: The Walker and Avant method of concept analysis was implemented. Results: CAT is a broad concept bringing creative arts in a therapeutic manner to children with cancer. Attributes include expression of feelings; creating art, music, or movement; and improvement of symptoms. CAT is frequently measured using quality of life and symptom assessment scales. Antecedents include the diagnosis of cancer, the distress caused by cancer, and a child’s willingness to participate in creative activity. Consequences include improved quality of life, improved sense of well-being, decreased psychosocial symptoms, and less cancer pain. Conclusion: The literature supports CAT as a concept that may decrease distress for children with cancer.