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Biomedical subjects

J H Gildea

Publications and source records attributed to J H Gildea.

6 recordsLinked to original sources

Assessing the pain experience in children.

A paucity of literature exists on the experience of children in pain: however, its study is most relevant to the pediatric nurse who must care for the child. It is necessary for the nurse to understand the influential factors that affect the perceptions and expressions of children who have pain before she can intervene in a comfort-producing and health-promoting manner.

Attitude↗

When fever becomes an enemy.

Today fever is being viewed more as a friend rather than an enemy. While this may be true in the normal pediatric setting, fever cannot be considered a friend in the pediatric critical care unit. It is here that fever becomes an enemy. The pediatric critical care nurse must understand the febrile response and recognize the potential detrimental effects of fever in the already compromised child. Fever will be more aggressively managed in the critically ill child.

Child↗

High and dry--low and wet: the key to DI and SIADH.

The pediatric critical care nurse is often faced with children who have underlying neurologic problems. Anticipating the occurrence of diabetes insipidus (DI) and syndrome of inappropriate secretion of antidiuretic hormone (SIADH) in these children is essential. There is much confusion, however, surrounding recognition and management of these distinctly different although related problems. The key to differentiating these clinical entities may be found in the simple statement, high and dry; low and wet.

Child↗

Human parvovirus B19--flushed in face though healthy (fifth disease and more).

Parvovirus B19 is an ubiquitous organism. Although for many years it had been "a virus in search of a disease," it is now known to be associated with several clinical entities ranging from the benign to severe. The most significant aspect of parvovirus B19 is its effect on the fetus. Research has demonstrated the risk, although minimal, of fetal loss to be between 1.5% to 2.5%. The effect from an emotional standpoint for the pregnant exposed or infected woman is more difficult to quantify. It is imperative that nurses who care for children be well informed about the virus and able to implement a comprehensive plan.

Erythema Infectiosum↗