Contemporary Pediatrics PNP Corner

Screening for depression: A must in NP practiceJane Mendle, PhD’s research at Cornell University in Ithaca, New York, investigating the long-term psychological effects of early puberty has significant implications for our practices as pediatric nurse practitioners—and for all healthcare providers.
The wrath of influenzaThere are two articles in the March 2018 issue of Contemporary Pediatrics that merit your attention: Dr. Bass’ article on “Is it the flu?” and Ms. Zimlich’s article on “Major vaccines addressed in updated ACIP guidelines.”
The fifth vital sign: Has this concept gone too far?Is the overwhelming problem of too many opioid and narcotic pain prescriptions related to the identification of ‘pain’ as the ‘fifth vital sign’? Was the intention for the designation, the ‘fifth vital sign’, an expectation that individuals would be pain free during hospital stays, eg, after a surgical procedure, or after visiting ambulatory centers for an injury?
Be a health literacy catalystPediatric providers need to help patients and their parents develop critical thinking about their personal healthcare and the long-term outcomes from their decisions.
Therapy dogs to the rescue . . . warming our heartsMs. Hester presents a heartwarming story describing the puppy brigade program’s design and its process for helping children to heal at Akron Children’s Hospital in Ohio while receiving both inpatient and outpatient care.
Is the end of evidence-based guidelines near?Dr. Bass’ recent article in Contemporary Pediatrics, “Personalized medicine, right drug, right patient, right time,” provides a miniature but profound view of what may be the future of pediatric healthcare: focusing on healthcare that is truly individualized through precision science in the areas of diagnosis and treatment, rather than generalized, population-based treatment guidelines.
Revisit the “5 Rights” to avoid medication errorsI highly recommend reading his article, and then reflecting on your current office- and hospital-based practices surrounding prescribing medications for children to determine areas to apply these best practice initiatives in your personal work settings.
Opioids: The menace in our midstOpioids have impacted every population served by all healthcare providers in the United States and by now every nurse practitioner (NP) has been exposed to the opioid scourge. Perhaps it’s time to reassess the role for NPs in caring for their individual populations confronting an opioid crisis.
Get response ready for the anaphylactic momentEvery nurse practitioner should review the AAP guidelines and include an action plan in each of their practice settings. All providers should communicate information to all school, camp, and field nurses who are often the first to assess a child presenting with symptoms of anaphylaxis outside a medical facility.
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