BAPTIST HEALTH SCHOOL OF NURSING NSG 3026A: CHILDREN S HEALTH
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1 J 1 BAPTIST HEALTH SCHOOL OF NURSING NSG 3026A: CHILDREN S HEALTH NURSING MANAGEMENT OF ENDOCRINE DYSFUNCTION: THEORETICAL SKILLS and KNOWLEDGE, SCIENTIFIC PRINCIPLES, CRITICAL THINKING, HEALTHCARE PROMOTION, WELLNESS and ILLNESS, and STRESS ADAPTATION LECTURE OBJECTIVES: Differentiate between the disorders caused by hypopituitary and hyperpituitary dysfunction. Describe the manifestations of thyroid hypofunction and hyperfunction and the management of children with these disorders. Distinguish between the manifestations of adrenal hypofunction and hyperfunction. Differentiate among the various categories of diabetes mellitus. Discuss the management and nursing care of the child with diabetes mellitus in the acute care setting. Distinguish between a hypoglycemic and a hyperglycemic reaction. Discuss a teaching plan for a child with diabetes mellitus. Discuss a teaching plan for instructing parents of a child with diabetes mellitus. READING ASSIGNMENT: Wong, Perry, & Hockenberry (2006). Maternal Child Nursing Care. Chapter 52, pp
2 J 2 LECTURE OUTLINE: I. Disorders of Pituitary function A. Hypopituitarism: growth hormone (GH) Deficiency B. Pituitary Hyperfunction C. Precocious Puberty 2.. Nursing care management D. Diabetes Insipidus (DI) 1. Clinical manifestations 2. Diagnostic evaluation 3. Therapeutic management 4. Nursing care management E. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) 1. Nursing care management J 3
3 II. Disorders of Thyroid Function A. Juvenile Hypothyroidism 1. Nursing care management B. Goiter 1. Nursing care management C. Lymphocytic Thyroiditis (Hashimoto Disease/Juvenile Autoimmune Thyroiditis) 1. Pathophysiology 2. Diagnostic evaluation 3. Therapeutic management 4. Nursing care management D. Hyperthyroidism (Graves Disease) a. Surgical care E. Hypoparathyroidism F. Hyperparathyroidism J 4
4 III. Disorders of Adrenal Function A. Acute Adrenocortical Insuffiency B Chronic Adrenocortical Insufficiency (Addison Disease) 2. Nursing care management C. Cushing Syndrome D. Congenital Adrenogenital Hyperplasia (CAH) 1. Pathophysiology 2. Diagnostic evaluation 3. Therapeutic management 4. Nursing care management J 5
5 E. Hyperaldosteronism 2. Nursing care management F. Pheochroocytoma 2. Nursing care management IV. Disorders of Pancreatic Hormone Secretion A. Diabetes Mellitus (DM) 1. Classification 2. Etiology a. Genetic factors b. Autoimmune mechanisms 3. Pathophysiology a. Ketoacidosis b. Long-term complications 4. Diagnostic evaluation 5. Therapeutic management a. Insulin therapy b. Monitoring c. Nutrition J 6
6 d. Exercise e. Hypoglycemia f. Illness management i. Management of diabetic ii. Ketoacidosis 6. Nursing care management a. Assessment b. Nursing diagnosis c. Planning d. Implementation i. Identification ii. iii. iv. Nature of diabetes Meal planning Insulin v. Injection procedure vi. vii. viii. ix. Glucose monitoring Urine testing Hyperglycemia and Hypoglycemia Exercise x. Record keeping xi. Self-management J 7
7 xii. xiii. xiv. Hygeine Acute care Family support e. Evaluation SUPPLEMENTARY RESOURCES: Study Guide: Chapter 52 Electronic Images: CD Companion: Critical Thinking Exercise Hypothyroidism Case Study: Diabetes Mellitus Nursing Care Plan The Child with Diabetes Mellitus NCLEX Review Questions Evolve Website: NCLEX Review Questions
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