Evidence and Practice

Clinical

National Children’s Hospitals Bereavement Network standards for supporting families following the death of a child

Bereavement support standards for families following the death of a child

Introduction to the National Children’s Hospitals Bereavement Network’s support standards

Planning surgery for young people with learning disabilities

Planning surgery for young people with learning disabilities

Why you should read this article: • To be aware of the challenges of hospital admission for a young person with learning disabilities • To recognise the importance of comprehensive multidisciplinary planning, communication and teamwork to ensure a successful outcome • To identify the need for input from dedicated learning disability liaison nurses in acute children’s services Surgery for spinal deformity is complex and preparation involves a wide multidisciplinary team. For young people with learning disabilities, especially those who have behaviour that challenges, there are further considerations to ensure that their hospital stay is a positive experience and all their additional needs are met. Staff and carers need to be well informed and there must be effective communication. Evaluation of one patient’s journey through pre-assessment, surgery and rehabilitation has identified the need for more input from learning disability liaison nurses in acute children’s services.

Improving practice in accessing haemodialysis central venous catheters

Improving practice in accessing haemodialysis central venous catheters

Why you should read this article: • To enhance your awareness of the variation in practice between children’s haemodialysis units in relation to accessing haemodialysis central venous catheters (CVCs) • To learn about the changes to practice in haemodialysis CVC access and blood sampling technique made by one unit to improve patient safety • To recognise how reviewing one area of practice may lead to changes in other areas In children, haemodialysis is used as a form of renal replacement therapy and is typically delivered via a central venous catheter (CVC). It is necessary to access the CVC for dialysis and blood sampling regularly, and safe line practice is essential to minimise complications associated with CVCs, including infection. The authors had concerns about the rate of CVC infection in their children’s haemodialysis unit, which prompted a practice review. A questionnaire was emailed to all other children’s haemodialysis units in the UK, which identified variations in practice and training. The authors subsequently modified their unit’s CVC access guidelines and blood sampling technique, and developed a new competency-based ‘haemodialysis CVC access only’ training programme for nursing staff. A willingness to review practice in the unit, supported by comparison and communication with other units, assisted in implementing this change in practice.

Paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS): providing resuscitative care

Paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (...

Resuscitative care for a child with suspected PIMS-TS associated with SARS-CoV-2

Maternal experiences of domestic abuse and their effect on the mother’s approach to parenting

Maternal experiences of domestic abuse and effects on the mother’s approach to parenting

Maternal experiences of domestic abuse can have detrimental effects on mothers’ parenting

Use of subcutaneous fluids in palliative care with children: a case study

Use of subcutaneous fluids in palliative care with children: a case study

A discussion of subcutaneous fluid therapy in the children’s palliative care setting

CPD articles

Biological basis of child health 6: development of the skeletal system and orthopaedic conditions

Biological basis of child health 6: skeletal system and orthopaedic conditions

An overview of the development of the skeletal system before and after birth

Biological basis of child health 5: development of the respiratory system and elements of respiratory assessment

Biological basis of child health 5: development of the respiratory system and elements...

Development of the respiratory system and conditions that can occur in infants and children

Basic life support for children and young people with a learning or physical disability and an altered body shape

BLS for children with a learning or physical disability and an altered body shape

Nurses need to undertake basic life support effectively while complying with guidelines

Equipping children’s nurses to de-escalate conflict and communicate challenging information

Equipping nurses to de-escalate conflict and communicate challenging information

This article considers some of the challenging situations children’s nurses may encounter

Biological basis of child health 4: an overview of the central nervous system and principles of neurological assessment

Biological basis of child health 4: an overview of the central nervous system and...

This article is the fourth in a series on the biological basis of child health

Biological basis of child health 3: development of the cardiovascular system and congenital heart defects

Biological basis of child health 3: development of the cardiovascular system and...

Cardiovascular system development during gestation and how congenital heart defects arise

Practice question

Image of a child in a hospital bed with an oxygen mask

Debunking myths: can you over-oxygenate a child?

There are often inconsistencies about what the levels of oxygen for children should be

A to Z of syndromes

Mother and baby

A-Z syndromes: Congenital Zika syndrome

First identified in 2015, there is no vaccine for this virus

Webbed_fingers

A-Z syndromes: Yunis-Varon syndrome

An insight into this rare genetic disorder in which both parents are recessive gene carriers

A-Z of syndromes: X-linked ichthyosis

An insight into this genetic disorder occurring in 1 in 6,000 infant males

Stef Sanjati

A-Z of syndromes: Waardenburg syndrome

Waardenburg syndrome is a genetic disorder that gives people a distinctive appearance

A-Z of syndromes: Usher syndrome

Understanding Usher syndrome which is found in approximately 10,000 people in the UK

Tay-sachs disease

A-Z Syndromes: Tay-Sachs disease

An insight into this genetic disorder which carries a poor prognosis and is often fatal

Jobs