Developing your professional identity.
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Biomedical subjects
Publications and source records attributed to M E Muscari.
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Pediatric nurse practitioner survival strongly depends on the implementation of nursing research. As active clinicians, pediatric nurse practitioners are always seeking ways to enhance health promotion, which should include research and practice. Case study research as praxis provides a method that enhances both health promotion and scientific knowledge. This article provides an overview and an example of research as praxis to give pediatric nurse practitioners an exciting research methodology alternative.
Physiologic management of bulimia nervosa is targeted primarily toward restoration and maintenance of nutrition and prevention and treatment of complications. The intensity, frequency, and duration of care depend on the severity of the disorder. Some form of physiologic management is recommended while the client is in psychotherapy. The client should be monitored for the possibility of hospitalization. Consistent management will allow for better health care.
Psychological problems associated with bulimia nervosa affect both the client and the family. The nurse practitioner is often in a position to refer the client to a therapist who has experience in treating clients with eating disorders. The nurse practitioner and the therapist, along with the nutritionist, if available, need to work from the beginning as a team. Each team member must have a distinct role regarding management of specific aspects of client care in order to avoid confusion and attempted manipulation by the client.
The 'acting-out' adolescent presents both challenges and problems to the pediatric nurse who may not have the psychiatric skills necessary for managing negative behaviors that can interfere with both the adolescent's treatment and the overall functioning of the unit. Basic information is presented that will assist the pediatric nurse in the assessment and intervention of adolescents who present with problems manifested by behaviors related to anxiety, anger, hostility, and aggression.
Impaired coping is part of a circular pattern in anorexia nervosa and bulimia nervosa. The nurse can assist the eating disordered client to recognize the use of food and food behaviors as faulty coping mechanisms and to develop effective coping strategies.
One important aspect of intervention for clients with Anorexia Nervosa and Bulimia Nervosa is effective client teaching. By using a specific client-needs teaching plan the nurse helps the client understand and control the disorder.
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The possible causes of acute abdominal pain in the adolescent female are varied and numerous. Some problems are self-limiting, while others can be life threatening. Etiologies include, but are not limited to, gastrointestinal, urinary, gynecologic, and psychosocial problems. Assessment requires taking an accurate history quickly, and includes assessing the characteristics of the pain, any associated symptoms, and the overall physical and psychosocial health status of the adolescent. Physical assessment begins with observing how the adolescent presents herself. Although the abdomen is the focus of the examination, the general examination should not be ignored. Laboratory and radiologic testing logically follow, yet in the case of acute abdominal pain, greater reliance is placed in the symptoms and signs.