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LGBT Youth, Sex Trafficking, and the Nurse Practitioner's Role

Journal of Pediatric Health Care - Fri, 03/29/2019 - 00:00
Sex trafficking is one of the most profitable forms of transnational crimes (U.S. Department of Homeland Security, 2018). Sex traffickers prey on vulnerable populations to commission these crimes. Lesbian, gay, bisexual, and transgender (LGBT) youth are subject to adversity from an early age, which leaves them especially vulnerable to sex traffickers. Health care providers lack the resources, education, protocols, and policies required to protect these youth members of society. This literature review explores LGBT youth's risk factors for becoming a trafficked child, a provider's role in protecting and treating these youth, the legalities of a provider reporting sex trafficking, and research opportunities pertinent to these issues.
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Case Report: Neuropsychiatric Symptoms in PKU Disease

Journal of Pediatric Health Care - Fri, 03/29/2019 - 00:00
Phenylketonuria is a rare inborn error of metabolism. The build-up of phenylalanine in the blood and body tissues can have significant impact on the brain's development. High phenylalanine levels have been shown to be associated with an increase in neuropsychiatric symptoms, including mood, anxiety, and attention problems; decreased social competence; and low self-esteem. This case report highlights such a presentation in an adolescent with phenylketonuria.
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Management of the potential paediatric organ donor

Paediatrics and Child Health - Thu, 03/28/2019 - 00:00
Paediatric organ donors remain a critically scarce and precious resource at a time of ever increasing demand for donor organs. The early recognition and management of the potential paediatric organ donor can increase the number of viable donor organs available. Managing the cardiovascular instability that follows brain death requires a systematic intensive care approach in order to preserve viability of the potential donor organs. Careful consideration of the fluid status and inotrope requirements in addition to supplementation of the hormonal and haematological axes helps to optimize tissue perfusion.
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Nurse-Led Telephone Follow-Up to Improve Parent Promotion of Healthy Behaviors in Young Children With Motivational Interviewing Techniques

Journal of Pediatric Health Care - Wed, 03/27/2019 - 00:00
The American Academy of Pediatrics (AAP) recommends primary care–based health promotion for obesity prevention at all visits, focusing on nutrition and activity.
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Fifteen-minute consultation: Preseptal and orbital cellulitis

Jonathan Adamson
Mar 20, 2019; 104:79-83
BEST PRACTICE AND FIFTEEN-MINUTE CONSULTATIONS
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Fifteen-minute consultation: Childhood burns: inflicted, neglect or accidental

Stephen Mullen
Mar 20, 2019; 104:74-78
BEST PRACTICE AND FIFTEEN-MINUTE CONSULTATIONS
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Outcomes of a Brief Cognitive Skills-Based Intervention (COPE) for Adolescents in the Primary Care Setting

Journal of Pediatric Health Care - Wed, 03/20/2019 - 00:00
Approximately 25% of adolescents have behavioral disorders, yet few receive treatment. Primary care (PC) screening for depression and anxiety is recommended; however treatments, such as cognitive behavioral therapy (CBT), are rarely available in PC settings. Our aim was to determine whether the use of a CBT-based intervention (COPE for Teens) is associated with improved outcomes on measures of depression and anxiety, and to understand the patient experience.
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The Pediatric Procedural Holistic Comfort Assessment: A Feasibility Study

Journal of Pediatric Health Care - Tue, 03/19/2019 - 00:00
Holistic comfort is an essential component of pediatric procedural care. However, a main gap in the literature is the ability to measure this. In this study, researchers report the feasibility of implementing a newly developed psychosocial measurement instrument in clinical practice.
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Relationships Between Adolescent Stress, Depressive Symptoms, and Sexual Risk Behavior in Young Adulthood: A Structural Equation Modeling Analysis

Journal of Pediatric Health Care - Tue, 03/19/2019 - 00:00
This study examined longitudinal associations between stressful life events and depressive symptoms, assessed during two time points of adolescence, and sexual risk behavior, assessed during young adulthood.
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Traditional and Nontraditional Collaborations to Improve Population Health Using Geospatial Information SystemMaps: Analysis of the Opioid Crisis

Journal of Pediatric Health Care - Tue, 03/19/2019 - 00:00
The study aims were to analyze interprofessional practice collaborations among traditional and nontraditional health care providers and to educate nurse practitioner preceptors and students on population health, specifically, implementation of geospatial information system (GIS) maps and the correlation with the opioid crisis.
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Screening for the Social and Behavioral Determinants of Health at a School-Based Clinic

Journal of Pediatric Health Care - Tue, 03/19/2019 - 00:00
Screening and providing interventions for adverse social and behavioral determinants of health (SBDOHs) can potentially improve health outcomes. The purpose of this project was to evaluate the feasibility of screening for SBDOHs during an episodic visit at a school-based clinic and to evaluate whether it increased identification of and intervention for adverse SBDOHs.
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Respiratory support in children

Paediatrics and Child Health - Fri, 03/15/2019 - 00:00
Respiratory failure is defined by the inability of the respiratory system to adequately deliver oxygen or remove carbon dioxide from the pulmonary circulation resulting in hypoxemia, hypercapnia or both. A wide variety of disease processes can lead to respiratory failure in children. Multiple interventions can support the paediatric patient with respiratory failure, from simple oxygen delivery devices to high frequency oscillatory ventilation and extracorporeal membrane oxygenation. This article will review available devices to improve oxygenation and ventilation, their advantages and disadvantages, and help guide physicians in the management of children with respiratory failure.
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White Paper: Critical Shortage of Pediatric Nurse Practitioners Predicted

Journal of Pediatric Health Care - Thu, 03/14/2019 - 00:00
Pediatric health care providers play an essential role in the attainment of optimal child health. Ensuring that children have access to qualified pediatric health care providers is as important in improving outcomes as other variables contributing to child health outcomes (Children's Hospital Association, n.d.; Institute for Healthcare Improvement, 2019). Pediatric nurse practitioners (PNPs) are uniquely qualified advanced practice registered nurses (APRNs) with specialized education and focused clinical practice dedicated to the care of all children (American Nurses Association [ANA], 2015).
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The Developmental Screening Behaviors, Skills, Facilitators, and Constraints of Family Nurse Practitioners in Primary Care: A Qualitative Descriptive Study

Journal of Pediatric Health Care - Thu, 03/14/2019 - 00:00
Researchers have found that many primary care providers are not following developmental screening recommendations. Few studies exist on the screening behaviors of advanced practice nurses.
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An Examination of Factors Affecting Quality of Life for Children With Asthma and Their Caregivers in Southeastern Georgia

Journal of Pediatric Health Care - Thu, 03/14/2019 - 00:00
Despite effective treatments and interventions, asthma continues to affect children's health-related quality of life (QOL). This study explored factors affecting QOL of children with asthma and their caregivers.
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A Primer on Understanding Pediatric Health Care Quality Measurement

Journal of Pediatric Health Care - Thu, 03/14/2019 - 00:00
Advanced practice registered nurses implement evidence-based care guidelines and assess the quality of care delivered to pediatric and adolescent populations to ensure that the highest standards of care are provided to the patients and their families. Standardized health care quality measures allow for assessment of clinical competence, monitoring of equitable health care distribution, improvement of provider/institutional accountability, development of standards for accreditation and certification, informing of quality improvement efforts, and creation of criteria for provider incentive payments.
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Critiquing Research Evidence for Use in Practice: Revisited

Journal of Pediatric Health Care - Tue, 03/12/2019 - 00:00
Nurse practitioners need to critically appraise the abundance of research evidence and clinical practice guidelines to make astute decisions about the implementation of the best available evidence to clinical practice. There are numerous ways to appraise research and practice guidelines that are designed to inform clinical practice with the overall goals of improving patient outcomes. This article presents existing tools to appraise the research evidence in addition to a guide for providers on critical appraisal of a research study.
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Providing Supportive Hospital Environments to Promote the Language Development of Infants and Children Born Prematurely: Insights From Neuroscience

Journal of Pediatric Health Care - Mon, 03/11/2019 - 00:00
Rapid neural development occurs beginning in utero and extending throughout a child's first years of life, shaped by environmental input, which is essential for language learning. If this development is disrupted by premature birth and/or related repeated hospitalizations, atypical language development may result even in the absence of severe neurologic damage.
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What Is the Best Treatment for a Subperiosteal Abscess? A Case Report in a Pediatric Patient

Journal of Pediatric Health Care - Mon, 03/11/2019 - 00:00
Subperiosteal abscess is a condition that typically presents as collection of pus in the space between the periorbital and the lamina papyracea as a result of the migration and spread of an infection, such as sinusitis and ethmoiditis. The low incidence requires a high index of suspicion to be considered in the differential diagnosis when encountering this life-threatening illness. This case highlights the significance of a prompt and accurate diagnosis for this infrequent condition, because it may progress to blindness, meningitis, intracranial abscess, and death.
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