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Clinical Skills in Children's Nursing$
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Imelda Coyne, Freda Neill, and Fiona Timmins

Print publication date: 2010

Print ISBN-13: 9780199559039

Published to Oxford Scholarship Online: November 2020

DOI: 10.1093/oso/9780199559039.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use.date: 17 May 2022

Essential care

Essential care

(p.115) 6 Essential care
Clinical Skills in Children's Nursing

Denise Jonas

Yvonne Muldowney

Oxford University Press

This chapter examines the principal skills of assessment and management of pain and wounds. It provides information on the assessment of a child’s skin and the management of eye and ear care, skin care, and mouth care. It also provides information on mobility and the moving and handling care of children. The care discussed is applicable to a variety of nursing settings such as the hospital or in the community and family participation and cultural needs are incorporated in keeping with the philosophy of family centred care (Chapter Two). It is anticipated that you will be able to do the following after you have read and studied this chapter: ● Discuss the importance of pain assessment to the child’s overall pain management. ● Understand different pain relief medications used to manage pain in children. ● Identify the factors affecting wound healing and discuss assessment of a wound. ● Develop an awareness of the importance of cleaning eyes and ears in children. ● Understand the general principles of maintaining mouth care in the child. ● Appreciate differences in the child’s care and needs at different developmental stages. ● Be aware of general principles of maintaining skin care for the child, including: relating anatomy and physiology of skin to skin care; carrying out an assessment of child and skin; and ensuring child safety and dignity. ● Develop a greater understanding of parent participation and cultural needs of the child in skin care. ● Understand the principles of moving and handling, describing the carrying and supporting of infants and children. You can review your knowledge in some of these areas using the online resource feature that accompanies this book. Pain assessment is an essential first step in the relief of pain. It forms a major part of overall pain management and provides a foundation on which future care is based. Prior to considering pain assessment for the child you should be familiar with the related anatomy and physiology of the child’s condition, an outline of which you should find in a chapter of this book. Revision of your core textbook in anatomy and physiology would also be useful.

Keywords:   Ametop, Emla, FLACC pain assessment, Mongolian blue spot, Oucher pain scale, Reye’s syndrome, bed baths, codeine

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