Evidence and Practice

Clinical

Exploring the implementation of family-witnessed resuscitation in children and young people

The implementation of family-witnessed resuscitation in children and young people

Exploring the evidence for and against the practice of family-witnessed resuscitation

A position statement about predictive genetic testing among children

A position statement about predictive genetic testing among children

Genetic testing of children to predict the future risk of illness remains controversial

Development and validation of the Children’s Competence in Decision-Making Scale

Development and validation of the Children’s Competence in Decision-Making Scale

Developing a tool to measure competence in the decision-making process in children aged 8-12

Withdrawal of treatment from critically ill children: legal and ethical issues

Withdrawal of treatment from critically ill children: legal and ethical issues

The complex issues involved in the care of children who receive life-sustaining treatment

Approaches to community-based palliative care provision by children’s hospices in the UK

Approaches to community-based palliative care provision by children’s hospices in the UK

Meeting the needs of children with palliative conditions and those of their families

Adolescent safeguarding

Adolescent safeguarding: a review of the literature

Key themes are identified: adolescent life course, risk and vulnerability, and safeguarding

CPD articles

Care and management of children with a totally implanted central venous access device: portacath

Care and management of children with a totally implanted central venous access device:...

Research and advances in technology have enabled children and young people with life-limiting conditions to live longer. To maintain their well-being and quality of life many of these children usually require some form of intravenous access for treatment. Children’s nurses should have the skills and training to ensure they are competent to practise using totally implanted central venous access devices such as portacaths (ports). This article addresses the care and management of these ports in children and the wide variation in practice that exists in the UK, and makes recommendations for practice.

The Me first communication model

The Me first communication model

This article explores communication and decision-making with children and young people in healthcare. Children and young people report that healthcare professionals are good at explaining and helping them to understand what will happen to them, but that they do not feel involved in decision-making about their care or treatment. To improve communication with children and young people, they need to be involved in decision-making about their care and treatment. In partnership with children, young people and healthcare professionals Common Room Consulting, Great Ormond Street Hospital for Children NHS Foundation Trust and Health Education England have co-produced a communication model, Me first, to support decision-making with children and young people in healthcare. This article introduces the Me first model and explores how it can be applied in clinical practice.

Migraine

Diagnosing and managing migraine in children and young people

This article gives an overview of migraine in children. It outlines the epidemiology of the condition and describes presentation with headache and other symptoms and linked conditions. It aims to raise awareness of the diagnosis of migraine and its impact on children and young people, their families and school life. The author also describes methods of diagnosis and management, and the importance of recognising and of avoiding medication overuse.

Complementary feeding

An update on complementary feeding

Complementary feeding is an important developmental milestone in children and occurs at a formative time for the development of healthy eating habits that can continue into later childhood and beyond. The timing of weaning has been a controversial subject and recommendations in the UK differ from those in Europe. In the UK and New Zealand, baby-led weaning is becoming increasingly popular. The importance of responsive feeding is highlighted to make parents aware of a baby’s cues indicating hunger or fullness. There have also been advances in the science of immunology that deem the early introduction of allergens to be a preventive strategy for food allergies. This article discusses the nutritional requirements for infants and reviews the foods that should be introduced and avoided. Guidelines are changing all the time, so nurses must keep up to date with current research to be able to offer advice to parents of infants.

Assessment and treatment of nocturnal enuresis in children and young people

Assessment and treatment of nocturnal enuresis in children and young people

Nocturnal enuresis – or bed-wetting – is one of the most common chronic conditions of childhood. It has a significant effect on the quality of life of affected children and their families and is associated with several comorbidities, some of which resolve on successful treatment. The causes of this troublesome condition are explored and the principles of assessment and treatment are discussed with reference to National Institute for Health and Care Excellence guidance as well as research. Response to treatment resistance is considered and appropriate onward referral discussed.

Suctioning

Principles of suctioning in infants, children and young people

Suctioning to clear airway secretions is an important part of the nursing care for children with respiratory conditions. While the principles of safe suctioning are known widely, they are not closely adhered to. The adverse effects of suctioning can easily be overlooked to the detriment of the patient. Careful risk assessment and patient observation are needed to ensure that suctioning is performed only when necessary and the risks to the patient are minimised.

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