Pub Date : 2024-05-21DOI: 10.1177/23320249241253746
Lori A. Sutton, Jenny Pappas
This article provides an overview of managing pain in the pediatric population for the surgical nurse. Proper assessment of pediatric pain, newborn to age 18, is reviewed, including appropriate pain scales and self-report of pain. Pain management, including pharmacological and nonpharmacological approaches, is stated. Innovative practices such as virtual reality and educational tool kits for families are reviewed. Special considerations in the pediatric population, including undertreatment of pain in infants, preprocedural pain treatment, and postoperative pain, are included. The importance of educating, aligning expectations, and communicating among the healthcare team, patients, and families is discussed.
{"title":"Pain Management in Pediatric Patients: Evidence-Based Practices and Future Directions for Pediatric Surgical Nurses","authors":"Lori A. Sutton, Jenny Pappas","doi":"10.1177/23320249241253746","DOIUrl":"https://doi.org/10.1177/23320249241253746","url":null,"abstract":"This article provides an overview of managing pain in the pediatric population for the surgical nurse. Proper assessment of pediatric pain, newborn to age 18, is reviewed, including appropriate pain scales and self-report of pain. Pain management, including pharmacological and nonpharmacological approaches, is stated. Innovative practices such as virtual reality and educational tool kits for families are reviewed. Special considerations in the pediatric population, including undertreatment of pain in infants, preprocedural pain treatment, and postoperative pain, are included. The importance of educating, aligning expectations, and communicating among the healthcare team, patients, and families is discussed.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"43 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141113536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-18DOI: 10.1097/jps.0000000000000398
Bettina Shank, Eve Rice
Abstract The incidence of concussions in kids has increased over the past decade. Concussions occur from blunt force trauma and are often caused by sports-related head injuries. Clinical presentation varies by individual, and symptoms typically resolve within a couple of weeks from the injury. Key domains for diagnosis, clinical presentation, and clinical management include somatic, cognitive, emotional, and sleep-related disturbances. Patient education is an essential component of care for concussion prevention and recovery. Pediatric nurses play a pivotal role in patient education and optimizing care for kids suffering from a concussion and associated complications. Most concussions resolve without complications over time, but with continued education and research, a mild traumatic brain injury will become less problematic through continued prevention methods and early diagnosis.
{"title":"Concussion in Kids","authors":"Bettina Shank, Eve Rice","doi":"10.1097/jps.0000000000000398","DOIUrl":"https://doi.org/10.1097/jps.0000000000000398","url":null,"abstract":"Abstract The incidence of concussions in kids has increased over the past decade. Concussions occur from blunt force trauma and are often caused by sports-related head injuries. Clinical presentation varies by individual, and symptoms typically resolve within a couple of weeks from the injury. Key domains for diagnosis, clinical presentation, and clinical management include somatic, cognitive, emotional, and sleep-related disturbances. Patient education is an essential component of care for concussion prevention and recovery. Pediatric nurses play a pivotal role in patient education and optimizing care for kids suffering from a concussion and associated complications. Most concussions resolve without complications over time, but with continued education and research, a mild traumatic brain injury will become less problematic through continued prevention methods and early diagnosis.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135890095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1097/jps.0000000000000408
Lori Lynch
{"title":"Message From the APSNA President","authors":"Lori Lynch","doi":"10.1097/jps.0000000000000408","DOIUrl":"https://doi.org/10.1097/jps.0000000000000408","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1097/jps.0000000000000406
{"title":"Recognition of Editorial Board and Peer Reviewers","authors":"","doi":"10.1097/jps.0000000000000406","DOIUrl":"https://doi.org/10.1097/jps.0000000000000406","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"198 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139325831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-25DOI: 10.1097/jps.0000000000000402
Kristen Butler, Heather Moran, Debra Rose Wilson
Abstract The incidence of anterior cruciate ligament (ACL) tears is increasing in youth, with rates higher in female athletes. The injury is usually noncontact; rather, a quick change of direction induces a “popping” sensation. The injury will be swollen, bruised, and painful, and there will be a limited range of motion and an inability to bear weight. The Lachman test, pivot test (used when patients are anesthetized), and anterior drawer test help diagnose ACL injuries. ACL injuries are categorized by severity as Grade I, II, or III sprains. Prompt first aid care can help reduce pain and swelling using the RICE method, an acronym for rest, ice, compression, and elevation. Medical treatment with stabilization braces might be enough to promote a return-to-normal function, but surgical options are usually required for Grade II and III injuries. Reconstructive surgeries can use an autograft or allograft, but consideration of the growth plates in children might delay the surgery. Postoperative therapy helps reduce edema and immobility. It is essential that injury prevention programs are implemented. Prevention programs and increased awareness of parents and coaches are called for with the population of youth athletes.
{"title":"Anterior Cruciate Ligament Injury in Young Athletes","authors":"Kristen Butler, Heather Moran, Debra Rose Wilson","doi":"10.1097/jps.0000000000000402","DOIUrl":"https://doi.org/10.1097/jps.0000000000000402","url":null,"abstract":"Abstract The incidence of anterior cruciate ligament (ACL) tears is increasing in youth, with rates higher in female athletes. The injury is usually noncontact; rather, a quick change of direction induces a “popping” sensation. The injury will be swollen, bruised, and painful, and there will be a limited range of motion and an inability to bear weight. The Lachman test, pivot test (used when patients are anesthetized), and anterior drawer test help diagnose ACL injuries. ACL injuries are categorized by severity as Grade I, II, or III sprains. Prompt first aid care can help reduce pain and swelling using the RICE method, an acronym for rest, ice, compression, and elevation. Medical treatment with stabilization braces might be enough to promote a return-to-normal function, but surgical options are usually required for Grade II and III injuries. Reconstructive surgeries can use an autograft or allograft, but consideration of the growth plates in children might delay the surgery. Postoperative therapy helps reduce edema and immobility. It is essential that injury prevention programs are implemented. Prevention programs and increased awareness of parents and coaches are called for with the population of youth athletes.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135816517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-25DOI: 10.1097/jps.0000000000000395
Katherine Marilyn Tenemaza-Rojas, L. Roney
Latinx children represent over a quarter of the child population in the United States and are cared for by pediatric nurses in various settings across the care continuum. In the clinical setting, medical interpretation resources help pediatric nurses interact with their patients and their families, yet significant barriers to therapeutic communication remain. A case study will illustrate critical points for nurses to consider as they strive to provide the best care for their Latinx pediatric patients and their families. Although most support resources are community based, nurses who better understand the social and legal implications of immigration support higher levels of advocacy at the bedside.
{"title":"Pediatric Surgical Nurses as Advocates for Immigrant Latinx Children","authors":"Katherine Marilyn Tenemaza-Rojas, L. Roney","doi":"10.1097/jps.0000000000000395","DOIUrl":"https://doi.org/10.1097/jps.0000000000000395","url":null,"abstract":"\u0000 Latinx children represent over a quarter of the child population in the United States and are cared for by pediatric nurses in various settings across the care continuum. In the clinical setting, medical interpretation resources help pediatric nurses interact with their patients and their families, yet significant barriers to therapeutic communication remain. A case study will illustrate critical points for nurses to consider as they strive to provide the best care for their Latinx pediatric patients and their families. Although most support resources are community based, nurses who better understand the social and legal implications of immigration support higher levels of advocacy at the bedside.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46202309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-04DOI: 10.1097/JPS.0000000000000393
Carolyn Kiolbasa, Apurva Chaturvedi, Colleen Ryan, Linda Johnsen, B. Schmidt, J. Schroeder, P. Birmingham, R. Manworren
Abstract There is a lack of evidence-based guidance for postoperative feeding of infants after outpatient surgeries. This randomized controlled trial tested the hypothesis that infants, aged ≤12 months who are fed formula or milk at home, will have more oral intake, less pain, and less emergence delirium when fed formula/milk as compared with clear liquids in the postanesthesia care unit. Infants were randomized to receive formula/milk or clear liquids as first feeding after outpatient myringotomy and tube insertion. Pain (Faces, Legs, Activity, Cry, and Consolability) and emergence delirium (Pediatric Anesthesia Emergence Delirium) scores were recorded and compared immediately and again 15 and 30 minutes after arrival in the postanesthesia care unit. Infants randomized to the formula/milk first-feeding group had significantly more volume of oral feeding intake than infants randomized to the clear liquid first-feeding group (M = 80.5 ml, 95% CI [15, 146], p = .017). There was no significant difference in vomiting, pain scores, or emergence delirium scores between groups. These results support the practice of ad lib feeding of infants who preferred full liquids after outpatient surgical procedures.
{"title":"The Effect of Early Feeding of Full Liquids on Postoperative Infants","authors":"Carolyn Kiolbasa, Apurva Chaturvedi, Colleen Ryan, Linda Johnsen, B. Schmidt, J. Schroeder, P. Birmingham, R. Manworren","doi":"10.1097/JPS.0000000000000393","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000393","url":null,"abstract":"Abstract There is a lack of evidence-based guidance for postoperative feeding of infants after outpatient surgeries. This randomized controlled trial tested the hypothesis that infants, aged ≤12 months who are fed formula or milk at home, will have more oral intake, less pain, and less emergence delirium when fed formula/milk as compared with clear liquids in the postanesthesia care unit. Infants were randomized to receive formula/milk or clear liquids as first feeding after outpatient myringotomy and tube insertion. Pain (Faces, Legs, Activity, Cry, and Consolability) and emergence delirium (Pediatric Anesthesia Emergence Delirium) scores were recorded and compared immediately and again 15 and 30 minutes after arrival in the postanesthesia care unit. Infants randomized to the formula/milk first-feeding group had significantly more volume of oral feeding intake than infants randomized to the clear liquid first-feeding group (M = 80.5 ml, 95% CI [15, 146], p = .017). There was no significant difference in vomiting, pain scores, or emergence delirium scores between groups. These results support the practice of ad lib feeding of infants who preferred full liquids after outpatient surgical procedures.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"12 1","pages":"73 - 78"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47646699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1097/jps.0000000000000401
{"title":"The Effects of Early Feeding of Full Liquids on Postoperative Infants","authors":"","doi":"10.1097/jps.0000000000000401","DOIUrl":"https://doi.org/10.1097/jps.0000000000000401","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135805132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1097/jps.0000000000000397
Anita Catlin
As we welcome Dr. Mayra Garcia as the new editor, I would like to thank APSNA members and the Board for the opportunity to serve as editor for the last 5 years. It was a learning and growth experience. I thank all who served as editorial board members for the Journal while I was editor: Marianne Rogoff, Emilie Lamberg Jones, Rachel Joseph, Saramma PP, Amy Six-Means, Megan Infanti Mraz, Janelle Sherman, Michaela McSpadden, Debra Rosa Wilson, Carlos Vasquez, Scott Boothe, Janet Selekman, Mayra Garcia, Jennifer Berkbigler, Robin Huey, Koren McGuire, and Marcia Pestana-Santos. I wish the organization and Journal best wishes for a successful future. Sincerely, Anita Catlin
{"title":"Thank You From Outgoing Editor","authors":"Anita Catlin","doi":"10.1097/jps.0000000000000397","DOIUrl":"https://doi.org/10.1097/jps.0000000000000397","url":null,"abstract":"As we welcome Dr. Mayra Garcia as the new editor, I would like to thank APSNA members and the Board for the opportunity to serve as editor for the last 5 years. It was a learning and growth experience. I thank all who served as editorial board members for the Journal while I was editor: Marianne Rogoff, Emilie Lamberg Jones, Rachel Joseph, Saramma PP, Amy Six-Means, Megan Infanti Mraz, Janelle Sherman, Michaela McSpadden, Debra Rosa Wilson, Carlos Vasquez, Scott Boothe, Janet Selekman, Mayra Garcia, Jennifer Berkbigler, Robin Huey, Koren McGuire, and Marcia Pestana-Santos. I wish the organization and Journal best wishes for a successful future. Sincerely, Anita Catlin","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135805133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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