Contemporary Pediatrics PNP Corner

New AAP guidance addresses teens’ risky eating habitsGoals for NPs caring for children and adolescents with weight problems are early identification and referral to treatment in order to prevent the well-known adverse effects the diagnosis of eating disorders places on the child, adolescent, and family members—and, in time, the overall health of the adult population.
Are NPs code-blue ready?Traditionally, first positions for graduating registered nurses (RNs) are hospital based, where many have expertise and experience in emergency management. However, when RNs attend graduate school to become primary care nurse practitioners, planning for managing emergencies in an outpatient medical office may or may not have been a part of graduate education.
Look through the lens of traumaChildren in the foster care system are exposed early in life to adverse experiences by living within dysfunctional families and specific facts have not changed. What has changed is the recognition of the need for the healthcare system to change its care for these vulnerable children to prevent the adverse effects that traumatic stress imposes on their physical and emotional development and well-being.
The 15-year action gap: Children lose in long waits from recommendation to practice
Challenging the ‘cute chubby baby’ notionDr Bass’s article on “Factoring the Metabolic X Syndrome” in the latest issue of Contemporary Pediatrics provides us with information on the emergence of Metabolic X syndrome in the pediatric/adolescent populations, previously a syndrome seen only in adults. How can we, as nurse practitioners (NPs) prevent children from developing the symptoms for a diagnosis of Metabolic X Syndrome?
Kid safety on the slippery slopesIn their article, “Kid care on the slopes,” in the latest Contemporary Pediatrics, Drs. Brown and Fishman draw on their many years of caring for kids in Colorado ski country to provide this special primer on managing pediatric injuries sustained while skiing and snowboarding.
Injury prevention starts with youThe article “National hospital initiative targets preventable injuries,” in the most recent issue of Contemporary Pediatrics, describes 35 years of impressive work by a nationwide coalition of concerned pediatricians and pediatric trauma surgeons who have championed hospital, school-based, and community-wide initiatives to reduce the prevalence and incidence of unintentional injuries in children.
One question that improves your family history-takingDo NPs specifically ask parents about their childhood parenting experiences? Dr. Howard King’s article “How to help adult children of alcoholic parents” prompts us to ask about important information that most likely is not a part of our routine family history questions, and thus not a part of our child’s treatment plan.
Let’s prevent parents from becoming newborn screen refusers!I truly fear a day when parents are asked to consent to every routine newborn screening. The outcomes for newborns whose parents refuse newborn screening would be disastrous.
The opioid oxymoronOpioids are known for their powerful pharmacokinetics for pain relief, but are now well recognized for their overuse and abuse through prescriptions provided by healthcare providers. This has created a medical oxymoron: well-meaning pain management as a valued, caring practice for successful recovery from both medical problems and surgical procedures, juxtaposed by the alarming growth of opioids' prescriptive footprint.