What is. Paediatric Nursing?. On children. It takes special understanding to know children They are complex, they are hard to understand They are different They are valuable They are vulnerable They have a need to be loved and to be valued. Paed-iatric, (Pais Iatros).
The Americans don’t know much Latin and consequently they have confused ‘Pais’ with the Latin ‘Ped’. Probably, after the French variant of ‘pais’ (‘ped’). Hence the US ‘pediatric’ (foot physician).
The term ‘pediatric’ was first used in the USA, from about the middle of the nineteenth century.
The first time it was used in the UK was in 1928 when Sir Frederick Still gave birth to the British Paediatric Association. He put an ‘a’ in the word to be true to correct Latin usage.
Forfar, J. O., A. D. M. Jackson, et al. (1989). The British Paediatric Association 1928-1988. London, The Royal College of Child Health and Paediatrics.
And he said: "I tell you the truth, unless you change and become like little children, you will never enter the kingdom of heaven. Matthew 18:3
And a women who held a babe against her bosom said, Speak to us of children.
And he said:
Your children are not your children.
They are the sons and daughters of life's longing for itself.
They come through you but not from you,
And though they are with you yet they belong not to you.
You may give them your love but not your thoughts.
For they have their own thoughts.
You may house their bodies but not their souls,
For their souls dwell in the house of tomorrow, which you cannot visit, not even in your dreams.
You may strive to be like them, but seek not to make them like you.
For life goes not backward nor tarries with yesterday.
You are the bows from which your children as living arrows are sent forth.
The Archer sees the mark upon the path of the infinite, and He bends you with His might
that His arrows may go swift and far.
Let your bending in the Archer's hand be for gladness;
For even as He loves the arrow that flies, so He loves also the bow that is stable.
The Prophet 1926
Children are faster
adult 70ml / kg / day
newborn baby 150ml / kg / day
child 1ml/kg/hr↑ than adult
The younger the child, the bigger the difference
Physiological differences not commensurate with size
Children are not small adults THEY ARE DIFFERENT
Time taken for a
femoral fracture to heal:
Newborn One week
5-yr old Four weeks
10-yr old Eight weeks
Adolescent Three months
Adult Four months or longer
Not determinable from the adult value
Ribs in neonates are more horizontal (limits anterio-posterior chest expansion, limited ‘bucket handle’ effect)
Infant much more dependent on diaphragm and susceptible splinting with
Estes, M.E. (2002). Health assessment and physical examination. Albany. Delmar.
Paediatric nursing is an ancient craft, the exercise of which has sought to ameliorate suffering throughout the ages;
Paediatric nursing exists as a therapeutic intervention and is not merely ‘supportive’;
Medicine’s primary goal is to cure the patient of disease and to remedy the effects of trauma. In contrast, paediatric nursing’s primary goal is to reduce discomfort and ameliorate the effects of disease, trauma and of treatment itself;
Paediatric nursing uses science, including social, psychological and medical science to achieve its goal; however, paediatric nursing is not driven by science. Rather, paediatric nursing is driven by the therapeutic influence which one caring person can have on a suffering human being. It follows that, it is the relationship between the nurse and the child patient and family that is at the heart of the therapeutic activity called nursing.
Paediatric nurses achieve much by simply being there with the suffering person, by demonstrating empathy and an unconditional regard for the child patient and his or her family and in relation to which, the words ‘affection’ and ‘love’ are fully appropriate.
NAWCH is now called Action for Sick Children
Look it up!
ABPN – check it out!
Date published 1988
Senior Nurse. 8(4): 8-9
Based on Roper / Clarke
Type - Concept isolating
‘a way of caring for children and their families within health services which ensures that care is planned around the whole family, not just the individual child/person and in which all the family members are recognised as care recipients'.
Shields, L. (2010). "Questioning family-centred care." Journal of Clinical Nursing 19(17/18): 2629-2638.