LIVRO WONG FUNDAMENTOS DE ENFERMAGEM PEDIATRICA PDF GRATIS
Baixar Livro Fundamentos De Enfermagem Pediatrica Wong em PDF. Wong Manual Clinico de Enfermagem Pediatrica - 8. WONG - FUNDAMENTOS DE. Nenhum outro livro-texto prepara melhor o profissional de enfermagem para cuidar de crianças em todas as fases do crescimento e desenvolvimento!. Wong´s Fundamentos Enfermagem Pediátrica (Portuguese Edition) Marilyn Hockenberry. Nenhum outro livro-texto prepara melhor o profissional de enfermagem para Pediátrica (Portuguese Edition) by Marilyn Hockenberry Free PDF.
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In addition to promoting child development in all its dimensions, it is the most genuine way they use to communicate and express feelings, anxieties and frustrations, which otherwise would not be possible, due to their emotional immaturity 4 - 5. At the hospital, playing may be performed in different ways.
Recreational play includes activities in which children engage spontaneously just for pleasure, being the playroom a conducive environment to develop it 4 - 5. The role of this physical space in promoting play in the hospital provides to the adult a rich access to the seriously ill children experience 8. Therapeutic play, in turn, encompasses specialized activities and directed by professionals to promote physical and emotional well-being to the child in order to experience a situation of unusual life for their age, such as hospitalization and surgery 4 - 5.
Among therapeutic play, we highlight the therapeutic toy TT.
This is a non-directive play, which gives the child freedom to express themselves non-verbally and without concern that the adults around them will identify when they are talking about themselves 4 - 5. Suitable for any child who experiences a crisis situation, the TT can be developed by different professionals and anywhere, and the sessions last about 15 to 45 minutes 4 - 5.
The TT can be widely used by nurses as a best practice and regulated by the Federal Board of Nursing Studies on the perception of nurses regarding the use of TT showed that they are aware of the benefits of their practice These studies, however, point out to the need to prepare professional to do it and incorporate it into their daily lives 15 , emphasizing that teaching about the toy and integrating it with care are still challenges to be overcome There are different types of TT, depending on the purpose for which it is employed, and instructional and therapeutic play ITP is one of them.
This play allows the child to learn about a particular event, such as surgery or other hospital procedures, which the understanding would be impossible with only verbal explanation. It also enables children to understand how to act and how they will feel in real time, facilitating the expression of feelings and clarifying misconceptions 4 - 5.
Its routine use in units that care for children is justified by the fact that information should be clear about the need for hospitalization and surgery, which helps to alleviate anxiety, making them feel safe and able to trust the adult who cares for them. Parents and professionals find it difficult to convey this information, often omitting the truth in an attempt to save the child and not causing them suffering. Given these findings and considering the experience of the authors in childcare who undergo surgery, this study aimed to explore the use of ITP in preparation for surgery and its influence on child behavior in these events.
The aim of this study was to describe the behavior of preschool children undergoing minor surgery during an instructional session of therapeutic play ITP in the preoperative period, and after the session of ITP, in the perioperative period. This is a descriptive and exploratory research, conducted in the pediatric inpatient units IU , Day Clinic and Surgical Center SC of an extra sized private hospital, located in the city of Sao Paulo.
Livro wong fundamentos de enfermagem pediatrica pdf gratis
The sample consisted of 30 children between three and five years old, undergoing elective minor surgery during the 2nd semester of They were intentionally selected by choosing the first 30 children who presented good general condition, who agreed to participate in the research and whose guardians authorized their participation by signing the Consent Form.
Data were collected by the first researcher of the study, who even though worked as a nurse in the SC unit, she did not participate in the perioperative procedures performed with the child.
Data collection was performed through observation of the behavior manifested by children in two moments: ITP session held before surgery at surgery unit, and in the perioperative period from admission to the SC awakening from anesthesia. For data records, we used an instrument developed by the researchers that was based on her experiences in surgical child care, consisting of: As the researcher told the story, she would dramatize the procedures with toys and in the end she would ask the child to repeat the play.
The toys were selected as recommended in the literature 4 - 5 including: Data were analyzed quantitatively by means of descriptive statistics and the results were presented in absolute and relative numbers. Most children were male 20; General anesthesia was used in the majority 22; Behaviors showing a decreased involvement of children in the play were less frequent such as: On admission to the SC, the majority 22; Initially analyzing the behaviors presented by the children in ITP session before surgery, it appears that the children showed great interest in the play, participating actively by asking questions and repeating the play by dealing with hospital toys resourcefully.
These behaviors show that, when they play, the child is free to create and when they create, accomplish something, they express their being and are able to find themselves at that moment. Playing is always a creative and intensely real experience for the child A study conducted with preschool children prepared with ITP before outpatient chemotherapy showed that during the session, they also showed a very similar behavior to those found in this study.
They would carefully observe the dramatization of the procedures by professional and ask questions, collaborating with the professional, catering to their requests in the dramatization, and took the initiative in the play.
They would also verbalize what they felt when they were undergoing the procedure in a real situation Another study conducted with children prepared with ITP prior to cardiac surgery also pointed out that almost all children showed interest in playing before and after surgery. Only one struggled to play after surgery. Quite weakened by prolonged ICU stay due to postoperative complications, she seemed to have lost confidence in the environment, failing to play freely It was also found that children expressed the desire to carry some of the hospital toys used in play.
This finding was also found in the aforementioned study It is emphasized that the repetition of a stressful event playfully brings stress relief, evidencing the therapeutic value of play in childhood. Although with less frequency, some behaviors showed that some children were not motivated during the play, who would only observe the researcher dramatizing the procedures, having difficulty concentrating or refusing to participate. However, the ability to trust others varies greatly from one child to another, depending on confidence experiences that each one has lived since birth Efficacy of standard doses of ibuprofen alone, alternating, and combined with acetaminophen for the treatment of febrile children.
We chose to enfermage a qualitative study, considering the unique character of the experience of managing pain in children and adolescents under palliative care. Please share this post and follow us to show support. Share this article Bookmarks.
Managing fever in children: parents’ knowledge and practices
Employees use your springbranchisd. HockenberryDeitra Lowdermilk 0. Get our free newsletter I was angry with this friend from school. With consent from the responsible adults, meeting were scheduled with the children and adolescents on the day of their appointments at the clinic at different times.
The interview is only made available for viewing or publication after the adult responsible for the child or adolescent has checked the transcription and signed an assignment term for the use of the generated documents, recordings and transcriptions.
Depression and functional disability in chronic pediatric pain. Can you tell me what you do to alleviate your pain?
American Journal of Disease of Children, 2 ,. Seeley, R. Sullivan, J. Clinical report: Fever and antipyretic use in children. Pediatrics 3 , Walsh, A. Yilmaz, D. Attitudes of parents and physicians.
Zomorrodi, A. Parental concerns. Clinical Paediatric Emergency Medicine, 9 4 , This work is licensed under a Creative Commons Attribution 4. Article template Editable format. Article sheet. Model of article structure. Skip to main content Skip to main navigation menu Skip to site footer.
Knowledge, Child, Fever, Parents. Abstract Introduction: References Abramczyk, M.
Guias de medicina ambulatorial e hospitalar pp. Editora Manole Lda. Winkelstein Eds. Broom, M. Physiology of fever.
livro enfermagem pediatrica pdf
Paediatric Nursing, 19 6 , Summary of the italian pediatric society guidelines. Have parental misconceptions about fever changed in 20 years? Pediatrics, 6 , Clinical Paediatrics, 48 2 , Related Articles. References Abramczyk, M. Concerned with not hiding the truth from the child, the family of one of them had already talked to her about the surgery using the toy. Another study conducted with children prepared with ITP prior to cardiac surgery also pointed out that almost all children showed interest in playing before and after surgery.
Revista da Escola de Enfermagem da USP
The interview is only made available for viewing or publication after the adult responsible for the child or adolescent has checked the transcription and signed an assignment term for the use of the generated documents, recordings and transcriptions. Subsequently, a questionnaire of characterization was applied, which contained five questions about the child age, number of siblings, sex, if attending school, and if the child does some physical activity , and vital signs were assessed temperature, pulse, respiratory rate, blood pressure, and pain in two time points with an interval of one minute.
However, further research is needed to prove the effectiveness of this practice in the situation studied. Elsevier; Although with less frequency, some behaviors showed that some children were not motivated during the play, who would only observe the researcher dramatizing the procedures, having difficulty concentrating or refusing to participate.
After surgery, most children awoke quietly, once again reinforcing the findings of the study cited above 22 which also identified more frequently behaviors indicative of greater acceptance and adaptation of children in conducting post-surgical dressing after preparation with ITP.