Identification of children at high-risk for MIS-CJuly 17th 2020
Every pediatric provider including pediatric nurse practitioners and pediatric nurses working in hospital or in outpatient settings must know the various ways children and adolescents may present with possible COVID-19 symptoms. They must also know which patients are at high risk of developing multisystem inflammatory syndrome in children (MIS-C).
Severe COVID-19 in children: Now termed MIS-CMay 26th 2020
It was initially thought that children were primarily unaffected by COVID-19 and were asymptomatic carriers if they did have the disease. The rise of multisystem inflammatory syndrome in children (MIS-C) has radically changed this thinking.
COVID-19 remains a major threat to our nation’s health and well-beingApril 23rd 2020
The COVID-19 pandemic continues to rage, but many questions remain. Questions like: How are children coping with the trauma many families are currently experiencing in their family lives? Are schools and pediatric offices prepared to help children and adolescents cope with their losses?
Our world is upside down-COVID-19 is the culpritMarch 23rd 2020
The world in which we live, work, socialize, learn, and play has turned upside down and is spinning out of control, directly related to COVID-19. Numerous questions have emerged and more emerge every day: How do we make sense of our world that changes direction within a millisecond of time?
Don’t forget the value of the PNP on the cystic fibrosis team!February 24th 2020
Cystic fibrosis (CF) is an emotionally and medically complex disorder. Advancements on the care management for children with CF are very promising. Pediatric nurse practitioners are a critical part of that team.
Are the issues and attitudes PNPs have similar to or different from pediatricians?January 28th 2020
I believe that professional practitioners survey results/research, and especially comparative survey results, offer professionals and professional organizations opportunities to make impactful change, and, in this case, changes that can improve health care delivery for infants, children, adolescents, and their families.
Advocate for removal of toxic heavy metals in baby foodsDecember 19th 2019
As advocates for child health, PNPs should actively support the Healthy Babies Bright Futures recommendations to create public health policies that ensure food safety and the removal of toxic heavy metals from infant and toddler food supplies. In fact, our advocacy should go beyond the infant food supply to all foods, to protect the health and well-being of all individuals regardless of age. Toxic metals should not be a part of anyone’s daily dietary intake.
Educational updates help improve pediatric healthcare outcomesNovember 25th 2019
Pediatric educational and policy conferences are always special, providing opportunities to update knowledge and practice skills; introduce new practice guidelines with rationales for evidence-based changes; present the most recent research findings that have the potential to improve practice and healthcare outcomes; and unequalled opportunities for networking.
Providers need to consistently implement immunization schedulesOctober 21st 2019
The evidence is clear: Practitioners who fail to administer immunizations according to the Centers for Disease Control and Prevention and Advisory Committee on Immunization Practices schedules results in adverse outcomes for children and adolescents who are needlessly exposed to vaccine preventable diseases.
Cannabidiol use: We do not know the potential to harmSeptember 24th 2019
I totally agree with Dr. Schuman’s perspective in his article that “it is inappropriate and irresponsible for pediatricians [and I include, PNPs] to encourage the use of cannabidiol (CBD) until more studies are available” to assure the safety and efficacy of CBD are clearly established in rigorous randomized controlled clinical trials (RCTs).
Autistic spectrum disorder: Challenges in the medical homeAugust 22nd 2019
'Building a medical home for children with autism' describes the importance of establishing a medical home in a pediatric office for children with a diagnosis of autistic spectrum disorder (ASD) and discusses five major management strategies for the successful management of children in the medical home.
Social justice, health policy, and vaccine-refusing parentsJuly 23rd 2019
To me, it seems that we are trapped traveling around the world within ‘non-connected circles’ that encompass viewpoints adversely affecting significant scientific immunization advances developed to improve the health and well-being of infants, children, adolescents, their families, and all individuals who interact with them.
New insights on the impact of paternal parentingJune 24th 2019
Covering the father as both parent and influential partner in childrearing from preconception to entrance into young adulthood, this issue provides the foundation for thoughtful consideration of how we, as nurse practitioners, can address paternal parenting and apply the past 10 years of research results on fathers to better inform our practices.
Taking a journal club approachMay 22nd 2019
Best practices for both hospital and ambulatory care centers include methods to encourage the continuous educational development of all members of nursing and interprofessional (IP) teams. One successful, but sometimes resisted strategy, is to engage all members of the team in planned monthly journal club luncheons in which the members review a recently published article that may impact practice management strategies.
The dilemmas and barriers that providers encounter daily in clinical practice in attempting to maintain confidentiality for their adolescent patient while simultaneously protecting the adolescent from potential harm are daunting for providers as there are no nationally recognized, evidence-based standards addressing adolescent confidentiality and privacy issues in the delivery of quality healthcare to adolescents.
4 reasons NPs get sued and 4 malpractice counterstrategiesMarch 26th 2019
I recommend not only reading "You've been served! What to do if you get sued for malpractice," but also consider current practice strategies and those that can be implemented with the goal of preventing malpractice claims.
Prescribing new antivirals for influenzaFebruary 21st 2019
Imagine the joy of experiencing a late fall, winter, and spring season of never having to press the e-prescribing submit button in the electronic health record for an antiviral medication to treat an infant, child, or adolescent who is very ill after contracting influenza.
Discovery learning via a deep dive with “Riddle me this!”November 20th 2018
I recommend trying “Riddle me this! – as pediatric providers we tend to enjoy playing and many of us enjoy the challenges of active engagement in online learning that is also informative.
Screening is critical to identify behavioral and mental health problemsSeptember 20th 2018
Mental health is a critical component of pediatric overall health. Early recognition of subtle signs and symptoms of mental health problems followed by immediate treatment is an equally critical element to ensure the establishment of normal mental health throughout development.
Student athletes at risk: Concussion essentialsAugust 28th 2018
Drs. Bass and Valasek’s article in the August 2018 issue of Contemporary Pediatrics titled “Sports-related concussion: When it’s OK to return to play” provides a comprehensive review of sports-related concussions (SRC).
Improving oral health in children is everyone’s responsibilityJune 26th 2018
I recommend reviewing and strongly considering the implementation of the pilot project of Drs Dickson and Fontana including the six-step approach for oral health care in pediatric practices.