This chapter aims to give you knowledge and understanding of the skills required to provide safe and effective care to a child presenting with a neurological disorder. The chapter will focus mainly on the more frequently encountered neurological conditions and procedures both in a hospital and community setting. In addition the importance of family centred care (Chapter Two) and a culturally sensitive approach to care will be discussed. ● The rationale for undertaking a neurological assessment and how to carry out a neurological assessment on a child. ● The important elements of care of the child with a head injury based on the best practice. ● Key responsibilities of the nurse before, during, and after a lumbar puncture procedure. ● Various approaches to neurological imaging and the main principles involved in preparing a child for these. ● The main causes of seizures in childhood. ● The main principles involved in caring for a child with a convulsive seizure. ● The nurse’s role in caring for an unconscious child. Good knowledge of national and local polices and guidelines in relation to this area are recommended to compliment learning in this chapter. Furthermore it is essential for students to have a good understanding of the anatomy and physiology of the neurological system when caring for a child with a neurological disorder. A thorough understanding and knowledge of the key structures and functions of the brain will assist in understanding neurological conditions and will help in appreciating the significance and relevance of monitoring neurological status (this section will concentrate mainly on the structure and function of the brain). Nevertheless, it is advisable to revise in more depth the nervous system in your core anatomy and physiology book. Knowledge from other chapters is also advisable in order to understand the interdependence between body systems and the brain.
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