The Role of the Nurse Practitioner in the Care of Children with Chronic Respiratory Disorders

VandenBranden, Stacy L

doi:10.3928/00904481-20101116-11

Cited by 1 publication

(1 citation statement)

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“…There is an increasing spectrum of nurse practitioner roles identified in pediatric care that have been evolving for many years. While some areas of respiratory care, such as asthma 53,54 and cystic fibrosis, 55,56 have well established nurse practitioner roles, these roles may not be that easily identified in the management of children with acute RTI in the hospital environment.…”

Section: Nursing Strategies For Supporting Parents and Carersmentioning

confidence: 99%

Management of respiratory tract infections in children

Paul¹,

Wilkinson²,

Routley³

2014

NRR

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Respiratory tract infections (RTIs) in children are one of the most common reasons for parents consulting health professionals. Most RTIs are self-limiting viral illnesses that will resolve with time and supportive management. However, it is important for the health professional to identify any RTI that may have more serious implications for the child and require medical intervention. Diagnosis can usually be made from the history and presenting symptoms such as cough, wheeze, tachypnea, fever, or stridor. Exclusion of "red flag" symptoms will enable health professionals to appropriately reassure parents and advise symptomatic management with antipyretics and adequate fluid administration. With the expanding role of nurses in ambulatory settings, many children are now being seen by health professionals other than doctors, (eg, advanced nurse practitioners), some of whom are trained in pediatrics while others have limited knowledge of nursing sick children. It is therefore vital that these professionals remain aware of any risk factors and that they can recognize "red flags" in a sick child rapidly and escalate further management appropriately. Some children will require admission to hospital for respiratory support and other therapies, such as intravenous antibiotics and fluids. With advancement of the "non-medical prescriber" within the nursing profession, awareness of when to give or not give antibiotic therapy needs careful consideration, especially in light of the problems that may arise from overuse of antibiotic treatment. Nurses have a vital role, not only in administering medications and supporting other medical interventions, but also in supporting the child and family over the period of illness. The education of the parents and the child, in some instances, about prevention and avoidance to reduce the risks of any further RTIs must be addressed, including immunization and smoking cessation.

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Section: Nursing Strategies For Supporting Parents and Carersmentioning

confidence: 99%