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Biomedical subjects

J A Jenista

Publications and source records attributed to J A Jenista.

22 records · Page 2Linked to original sources

Health care of the internationally adopted child part 1. Before and at arrival into the adoptive home.

International adoptees are frequently encountered in pediatric practice. Their health status in the country of origin is quite variable. Once in the United States, there is no mandated medical evaluation for these infants and children. Commonly missed or ignored conditions include vision or hearing loss, infectious diseases, incomplete immunizations, and various allergies and food intolerances. The prepared nurse practitioner can provide invaluable assistance in ensuring the efficient and appropriate evaluation of each internationally adopted child. Part 1 of this series discusses concerns before the child's arrival in the adoptive home and the medical issues most important soon after arrival Part 2 addresses long-term issues including the follow-up of initial assessments, management of chronic medical problems, and concerns about growth, development, and social adjustments.

Adoption↗

Health care of the internationally adopted child. Part 2: Chronic care long-term medical issues.

Internationally adopted children remain at risk throughout their lives for medical sequelae related to their birth and residence in a foreign country. In the early period after placement the most important problems are the management of chronic infectious diseases and malnutrition. Over time, however, many children will have issues related to growth, age determination, timing of puberty, dental care, development, and language acquisition. Chronic disease and ethnic health considerations pose some special problems for the adopted child without a personal or family history. Part 1 of this series addressed the initial evaluation for the newly arrived internationally adopted child, whereas part 2 discusses the long-term management problems. J Pediatr Health Care.

Adolescent↗

Fifth disease: role for nurses in pediatric practice.

Parvovirus B19 infection is a common childhood disease. Infection is usually mild but may have serious consequences in pregnant women. Nurses in pediatric practice may be the only health professionals in a position to recognize and intervene in this potentially serious condition in certain high risk individuals.

Abortion, Spontaneous↗