RESUMO
BACKGROUND: Attire bolsters identity, self-expression, and comfort. Hospital gowns are known to be distressing in adults. Attitudes of children with cancer toward hospital attire remain uninvestigated and may be a modifiable factor in overall well-being. METHODS: A 39-item mixed methods survey evaluated perceptions of patient attire in children with cancer. Children aged 7-18 years were recruited at an academic medical center. Data analysis included simple statistics and thematic analysis. RESULTS: Forty children with cancer receiving oncologic care participated. Participants' mean age was 12.4 (SD = 3.0, range = 7-17) years, and 25 (62%) were male. Quantitative data revealed 81% of participants preferred their own attire when admitted to the hospital, feeling more comfortable in such when well (91%) or sick (75%). They did not feel like they "must" wear a gown when admitted (60%) and did not want to be asked about preferred inpatient attire (63%). Thematic analysis revealed that children had strong negative views of gowns and preferred to wear their own attire in the hospital, which provided physical and emotional comfort. Children worried wearing their own clothing could impede their care. CONCLUSION: Children with cancer prefer wearing their own clothes in the hospital for physical and emotional comfort. They are willing to wear gowns for ease of care; however, they do not want to arbitrate when they need to make that choice. Providers may ease distress by considering a child's own clothes as default hospital attire with instructions for when a gown is necessary for good clinical care.
Assuntos
Vestuário , Neoplasias , Humanos , Criança , Masculino , Feminino , Adolescente , Neoplasias/psicologia , Neoplasias/terapia , Vestuário/psicologia , Pacientes Internados/psicologia , Inquéritos e Questionários , PercepçãoRESUMO
The American Academy of Pediatrics has previously expressed concerns about the thematic content of television (TV) and the amount of time children spend viewing TV. The objective of this study was to determine the positive and negative themes depicted in a select number of TV shows targeted toward adolescents. We analyzed the thematic content depicted in the first season of 26 Netflix TV shows. The mean occurrences/h for positive and negative themes were 39.53 and 47.20, respectively. The most common positive themes were "encouragement from a friend/peer," "demonstrating honesty," and "staying true to oneself" (5.98, 5.38, and 3.72 mean occurrences/h, respectively). The most common negative themes were "dishonesty," "cursing," and "selfishness," (5.30, 4.96, and 4.85 mean occurrences/h, respectively). We suggest that health care providers become aware of TV thematic content and promote media education, and we encourage co-viewing and active mediation by parents/guardians with their children.
Assuntos
Pessoal de Saúde , Televisão , Humanos , Criança , Adolescente , Estados UnidosRESUMO
Through a case presentation, this article describes the assessment and management of a student presenting with a history of disordered eating and weight loss. As medical concerns are brought to the attention of the school nurse, it is important for the school nurse to be aware of common signs and symptoms seen in students with undiagnosed or established eating disorders, as well as possible medical complications associated with untreated or poorly controlled eating disorders. Possible signs and symptoms associated with eating disorders that require outpatient referral or emergent management is delineated in this article, and school nurses are provided with a helpful mnemonic called "BONES" to aid in the recognition of eating disorders in the school setting.
Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos , Serviços de Enfermagem Escolar , Atenção à Saúde , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Humanos , EstudantesRESUMO
Through a series of case scenarios, this article describes the assessment and management of suspected physical child abuse presenting as bruises and burns. Although it is not uncommon for school-age children to have accidental injuries, recognizing patterns associated with physical child abuse and understanding red flags for abuse is vital. Failure to recognize injury patterns suspicious for physical child abuse, and thus failure to intervene appropriately, may leave children at risk for more serious injury or death.
Assuntos
Queimaduras , Maus-Tratos Infantis , Contusões , Enfermeiras e Enfermeiros , Serviços de Enfermagem Escolar , Criança , Humanos , Maus-Tratos Infantis/diagnóstico , Maus-Tratos Infantis/prevenção & controle , Contusões/diagnóstico , Atenção à Saúde , Abuso Físico , Instituições AcadêmicasRESUMO
Teen dating violence (TDV) has become more prevalent in our schools, exacerbated by the omnipotent presence of social media and portals of what dating and gender roles "should be" in Hollywood films and television shows. It is important to recognize that TDV is a threat to mental health, and potentially physical health, and school nurses should develop a framework for recognizing problematic social, physical, and emotional interactions between students. This article describes typical presentations of TDV through a case, providing a mnemonic for recognition and resources for prevention.
Assuntos
Comportamento do Adolescente , Violência por Parceiro Íntimo , Enfermeiras e Enfermeiros , Serviços de Enfermagem Escolar , Adolescente , Atenção à Saúde , Humanos , Violência por Parceiro Íntimo/prevenção & controle , Instituições AcadêmicasRESUMO
An important subgroup of children with special healthcare needs are children with medical complexities that require long-term intensive healthcare interventions and treatments. As medical technology continues to advance and children with complex medical needs survive the neonatal period and progress into school-age, it is essential for school nurses to be able to recognize and acutely manage complications and malfunctions of devices in children requiring assistance from medical devices. An example of a common medical device includes central venous access devices that allow for access to the bloodstream to obtain blood for laboratory testing or to infuse medications or nutrition. These devices put children at serious medical or surgical risk when they malfunction or become infected, so it is important for healthcare providers, especially school nurses who are the first responders in schools, to recognize malfunctions and initiate appropriate care management.
Assuntos
Enfermeiras e Enfermeiros , Serviços de Enfermagem Escolar , Criança , Atenção à Saúde , Humanos , Recém-Nascido , Fatores de Risco , Instituições AcadêmicasRESUMO
An important subgroup of children with special healthcare needs are children with medical complexities that require long-term, intensive healthcare interventions and treatments. As medical technology continues to advance and children with complex medical needs survive the neonatal period and progress into school-age, it is essential for school nurses to be able to recognize and acutely manage complications and malfunctions of devices in children requiring assistance from medical devices. An example of a common medical device includes gastrostomy tubes (aka G-tubes or GJ-tubes), ensuring nutrition in children with failure to thrive, significant developmental delay, swallowing dysfunction, or severe gastroesophageal reflux. These devices put children at serious medical or surgical risk when they malfunction, so it is important for healthcare providers, especially school nurses who are the first responders in schools, to recognize malfunctions and initiate appropriate care management.
Assuntos
Enfermeiras e Enfermeiros , Serviços de Enfermagem Escolar , Criança , Atenção à Saúde , Gastrostomia , Humanos , Recém-Nascido , Estudos Retrospectivos , Instituições AcadêmicasRESUMO
An important subgroup of children with special healthcare needs are those children with medical complexities who require long-term intensive healthcare interventions and treatments. As medical technology continues to advance and children with complex medical needs survive the neonatal period and progress into school-age, it is essential for school nurses to be able to recognize and acutely manage complications and malfunctions of devices in children requiring assistance from medical devices. An example of a common medical device includes shunts systems (e.g., a ventriculoperitoneal shunt) to drain excess cerebrospinal fluid. These devices put children at serious medical or surgical risk when they malfunction or become infected, so it is important for healthcare providers, especially school nurses who are the first responders in schools, to recognize malfunctions and initiate appropriate care management. This article describes the initial assessment and management of common medical emergencies in students who have those devices.
Assuntos
Hidrocefalia , Enfermeiras e Enfermeiros , Serviços de Enfermagem Escolar , Criança , Atenção à Saúde , Humanos , Hidrocefalia/cirurgia , Recém-Nascido , Instituições Acadêmicas , Derivação VentriculoperitonealRESUMO
Through a presented case scenario, this article describes the assessment and management of the commercial sexual exploitation of children (CSEC), which includes sex trafficking, as relevant for the school nurse. CSEC is a major public health problem globally, nationally, and locally, even infiltrating school hallways. School nurses may be the last point of possible intervention for potential or actual victims of CSEC, therefore, it is vital for a school nurse to be able to recognize, report, and assist with advocacy and prevention efforts in the school community to put the brakes on the exploitation of children.
Assuntos
Abuso Sexual na Infância , Tráfico de Pessoas , Enfermeiras e Enfermeiros , Serviços de Enfermagem Escolar , Criança , Atenção à Saúde , Tráfico de Pessoas/prevenção & controle , Humanos , Instituições AcadêmicasRESUMO
Through a presented case scenario, this article describes the assessment and management of behaviors associated with autism spectrum disorder (ASD) in the pediatric population, with mnemonics as a memory tool. Although students present mainly to the school nurses' office with physical complaints, there are many mental health concerns in the school-age population with emotional and physical consequences, particularly among students with ASD. Typically considered a developmental disorder, ASD affects communication and behavior with a wide range of symptoms that can vary in severity from person to person. It is important to understand the presentation and management of common pediatric mental health issues at school to be on the front line of your students' health.
Assuntos
Transtorno do Espectro Autista/enfermagem , Transtorno do Espectro Autista/psicologia , Terapia Comportamental/normas , Cuidados de Enfermagem/normas , Guias de Prática Clínica como Assunto , Serviços de Enfermagem Escolar/normas , Estudantes/psicologia , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados UnidosRESUMO
Although students commonly present to the school nurses' office with physical chief complaints, there are many mental health concerns in the school-age population associated with emotional and physical consequences. Bullying is considered to be a public health crisis, plaguing students across the nation. It is important to develop a framework for recognizing problematic social and emotional interactions between students, like bullying, given the dire consequences on a student's physical and emotional well-being. This article describes typical presentations of bullying through a case scenario, providing a mnemonic for recognition and resources for prevention.
Assuntos
Bullying , Enfermeiras e Enfermeiros , Serviços de Enfermagem Escolar , Bullying/prevenção & controle , Atenção à Saúde , Humanos , Instituições Acadêmicas , EstudantesRESUMO
Sport participation is an important part of the development of children and adolescents in the United States. Due to the popularity of sport-related films, coaches, athletic trainers, and parents have used these films to both educate and motivate pediatric athletes. The objective of this study was to develop a discussion guide template based on common positive and negative themes depicted in sport-related films, and demonstrate the application of this discussion guide template to a select number of sport-related films released from 2014 to 2018. A discussion guide template ("SPORTS ARE FUN") was developed by the co-investigators, reflecting common themes of "Sportsmanship, Participation for All, Obstacles, Relationships, Teamwork, Setting Realistic Goals, Academics, Responsibility, Exercise/Nutrition/Rest/Drugs/Performance Enhancing Drugs, Fun, Unrelenting Spirit, and "No Pain, No Gain." The authors hope that pediatric health care providers, athletic coaches/staff, and parents can utilize this discussion guide template in the education and development of children and adolescents who participate in sports.
RESUMO
Participation in boxing, mixed martial arts, and wrestling is extremely popular among children and adolescents. The objective of this study was to determine themes depicted in a select number of combat-related films. Twenty films were independently viewed and analyzed by 4 reviewers. The average number of positive and negative themes was 34.4 and 18.1 mean events/hour for all included films, respectively. The most common positive themes were "positive interactions with family/friends/fans," "importance of mentorship," and "positive interactions with a coach/trainer" (4.23, 3.63, and 3.06 mean events/hour, respectively). The most common negative themes were "choosing to do the wrong thing," "negative interactions with family/friends/fans," and "poor sportsmanship" (2.70, 2.00, and 1.58 mean events/hour, respectively). In conclusion, the co-viewing of combat-related films among pediatric athletes and their coaches/trainers and/or parents in order to focus on "teachable moments" may encourage the acquisition and development of positive themes and the avoidance and de-emphasis of negative themes.