Alterations in Immune Function. Ball and Bindler Donna Hills APN EdD ( c). Signs and symptoms. In children, immune disorders are often non-specific. Why? How do children fight off infection? How are their immune systems anatomically different from the adult?. Pediatric Differences.
Ball and Bindler
Donna Hills APN EdD ( c)
Management of symptoms
Promoting growth and development
Promoting good nutrition followed by frequent measurement of height and weight.
Screening for infection, opportunistic infections, anemia.
Reducing child’s exposure to infectious organisms
Preventing further transmission of HIV
Provide psychological support for the child and family
Provide modified immunization schedule: no Varicella vaccine but provide MMR unless severely affected with AIDS. Annual PPD should be given.
Amanda is a 2 ½ yr old admitted with HIV admitted for pneumonia. When you bring in her antiretroviral medications, Amanda is quite difficult and refuses to take any from you. Her mother asks why you don’t just give it all together in one drink?
You are responsible for developing her plan of care.
What information would you need to know about Amanda and her mother? (History)
What would you need to assess? (Physical)
What is your plan of care? (Interventions)
Upon discharge, Amanda’s mother is considering enrolling Amanda in a nursery school situation 3 mornings per week.
Discuss some of the issues involved in sending a child with HIV to a preschool or day care.
Consider the following:
Risk of Infection
Development and Socialization