Wong's Care - Cavite State University

This edition is for sale

in

the Philipines only

Wong's ^{Nursing Care of}

Infants and Children

Vol ^{Vol 1}

2 Philippine edition

Hockenberry ^{I Wilson I} Rodgers

Restricted Edition

This edition is licensed for sale inPhillipines only.Thiseditionisnot authorized for export outside thisterritory. Circulation ofthis edition Outside thistemilory isunauthorized and_illegal

ELSEVIER

1

VOLUME

WONG' _S

Nursing Care ^of

Intants and Children

2nd _{PHILIPPINE EDITIONN}

MARILYN J. HOCKENBERRY, PhD, RN, PPCNP-BC, FAAN

Bessie Baker_Professor of Nursing and Professor ofPediatrics Associate Dean of ResearchAffairs, School ofNursing

Chair,

Duke

Institutional ReviewBoard

Duke

University

Durham, North Carolina

DAVID WILSON, MS, RNC-NIC _(deceased)

Staff Children's

Hospital at Saint Francis Tulsa, Oklahoma

CHERYL C. RODGERS, PhD, RN, CPNP, CPON _(deceased

Associate Professor

Chair,

Duke

Institutional Review Board

Duke

University School of

Nursing

Durham,

North Carolina

FOREVALUATION

CARE

NOT ^{FOR SALS} PUBLISHING

INE

ELSEVIER

RuS R3

215

ELSEVIER

Elsevier (Singapore) ^Pte. Ltd.

3, Killiney Road, Winsland House ^1, Singapore 239519

VOl

Wong's Nursing Care of Infants andChildren, ^1le,by Marilyn ^J. Hockenberry, David Wilson (deceased) and Cheryl

C

_Rodgers(deccased)

Copyright 2019,Elsevier Inc. All^{rights reserved.}

Previous editions copyrighted 2015, 2011, 2007, 2003, 1999, 1995, 1991, 1987,1983, 1979.

ISBN: 978-0-323-54939-4

This adaptedreprint of Wong's Nursing Care of Infants and Children, 11e, by Marilyn ^J. Hockenberry, David Wilson (deceased) and Cheryl C.Rodgers (deceased) wasundertaken by Elsevier (Singapore) Pte. Ltd.

andispublished byarrangement with Elsevier Inc.

Wong's Nursing Care of Infants and Children, 2nd Philippine edition,

by Marilyn ^J. Hockenberry, David Wilson (deceased) andCheryl C.Rodgers (deceased) Copyright 2019 by^Elsevier (Singapore) ^{Pte. Ltd.}

Adapted reprint ISBN:

Vol 1:978-981-4666-97-8 Vol 2: 978-981-4666-98-5

SetISBN: 978-981-4666-95-4

00077 ⁹⁴

¹

All rightsreserved.Nopartof_this

publicationmay bereproduced or

transmitted ⁱⁿany form or byany means, clectronic ormechanical,including photocopying. recording. orany information storageand

retrievalsystem,without

permission in writingfrom ^thepublisher.Details

onhowto

seek permission, further information aboutthePublisher's

permissions policies and our arrangements with organizations such as theCopyright ClearanceCenter and the Copyright Licensing Agency, canbefound atourwebsite:

www.elsevier.com/permissions.

This book andthe individualcontributionscontained init areprotectedunder copyright bythe Publisher (other than asmay^{benoted herein).}

Notice

Practitioners andresearchers must^always relyontheir own

experience and knowledge inevaluating and usingany information, methods, compounds or experiments described herein. Because of rapid advances in

the medical sciences, in

particular, independent verification of

diagnoses and drug dosages should be made. To^thefullest extent of thelaw,

noresponsibility is

assumed by^Elsevier, authors, editors or contributors inrelation tothe

adaptation or^foranyinjuryand/or damageto

personsor

property as a materofproductsliability,negligence or otherwise,orfrom any use oroperation ofany methods,

products,instructions, or_{ideas contained in}the material herein

Thisadapted reprint is licensed forsale inthePhilippines only Circulationof^thisversion outside_{this territoryy} isunauthorizedand_illegal.

Working ^together to grow

^{libraries in}

Book

^Aid

developing count

Printedinthe

Philippines ELSEVIER

www.elsevier.com

www.bookaid.org

We

dedicate theeleventh edition ofthisbook _to.David Wilson,

who

passed away

on

^March

7,2015,aftera longbattle withcancer. David had been coauthor ofthe

Wong

nursing textbooks forover15

years.

He

^was

known

^asanexpert ^clinical nurse and nurseeducator.

Hislast clinical position wasatSt. Francis HealthServices in Tulsa, Oklahoma, where

he

worked in theChildren's Day _Hospital as thecoordinatorfor Pediatric Advanced Life

Support (PALS). Students and_faculty have_{recognized David's} contributions to the

Wong

textbooks for

many

years.

He

was

known

asan

outstanding educator and supporter of

nursing students; his attention to_{clinical excellence} was evident in all his work. Those

who

contributed to the books and had_the

opportunity^to work with David _realize theimportant

role heplayed^{asa leader in} nursing educationfor students and_faculty. Hisclinical expertise provided a^critical foundationforensuring^that relevant and evidence-based content was usedin allthe

Wong

^{textbooks. David led} by exampleⁱⁿ exemplifying

excellence in clinical nursingpractice.

Those

who knew

David well will misshis humor,_loyalty to friends and

colleagues, andhis never-ending support.

He

^ismissedgreatly bythose

who

worked

closely with

him

on the

Wong

^{textbookover the}years.

Most

important,

we

misshis

friendship;

he

_was

always there to support and ^to encourage.

We

havelost anamazing nurse

who

^worked effortlessly over the years ^to improve thecareofchildren andfamilies in need. David _will not

be

forgotten.

CONTENTS

vOLUME1

Social Class,

32

Poverty,

32

Land of Origin and Immigration ^Status,

33

Religion/Spiritual Identity,

34

Cultural Humility and Health Care Providers' Contribution,

37

SECTIONI

_Children,

_Their

_Families,

and the

Nurse

1 Perspectivesof Pediatric Nursing.¹

Marilyn J.Hockenberry

Health CareforChildren,¹ Health Promotion, 1

Childhood Health Problems,

3

The Art of_Pediatric

Nursing,

7

Philosophy _ofCare,7 Role ofthePediatric Nurse,

8

Research and Evidence-Based_Practice, 10

Clinical Reasoning and the Process of Providing Nursing CaretoChildren and

Families, 11 Clinical Reasoning,¹¹ NursingProcess, 11

Quality

Outcome

_Measures,12

2

Social, Cultural, Religious, and Family^Influences on_Child

Health Promotion,15 Quinn _Franklin and KimMooney-Doyle

General Concepts, 15

Definition of

Family,15 Family Theories,15

Family Structureand Function, 17 FamilyStructure, 17

Family Strengthsand

FunctioningStyle, 19 Family Roles andRelationships, 19

Parental Roles, 19 RoleLearning,

20

Parenting

20

ParentingStyles,

20

Limit

Setting

and

Discipline, 21 Special ParentingSituations,

23

Parenting the Adopted Child,

23

Parentingand Divorce,24

Single Parenting,

27

ParentingⁱⁿReconstitutedFamilies,

27

ParentingⁱⁿDual-Earner _Families,

27

Foster Parenting,

28

Sociocultural Influences on Children and

Families,

28

Infuencesⁱⁿthe Surrounding Environment,

29

School Communities: School Health and School Connectedness,

29

Schools,

29

Peer Cultures,

30

Community,

30

BroaderInfluences on Child Health,

30

Social Media and Mass Media,

30

Race and

Ethnicity, 31

3

Hereditary Infuenceson Health PromotionoftheChild and_Family, 41

Cynthia A. Prows

Genetic/Genomic Nursing Competencies,41 Geneticsand Genomics, 41

Congenital Anomalies, 44 Genetic Disorders,45 Single-Gene Disorders,

50

VariablePatterns of Gene Expression and

Inheritance,

59

Mitochondrial Disorders,

60

Hereditary Cancer Predisposition Genes,

60

Multifactorial (Complex) Disorders,⁶¹ Disorders oftheIntrauterine Environment, 61 Inborn Errors of Metabolism,

62

Phenylketonuria,

63

Galactosemia,

65

Cytogenetic Diagnostic Techniques,

66

MolecularDiagnostic Techniques,

66

Predisposition Genetic

Testing,

67

Therapeutic

Management

of Genetic Disease,

67

Impact of Hereditary Disorders on the Family,

68

Genetic_Testing,

68

Prenatal_Testing,

70

Genetic Evaluation and Counseling,71 Role of Nurses,

72

SECTIONII

^Childhood

and Family Assessment

4

Communication,_Physical, and

Developmental Assessment oftheChild and_Family,

80

JanM.Foote

GuidelinesforCommunication

and

Interviewing,

80

Establishing a_Setting forCommunication,

80 Computer

Privacy and Applicationsin Nursing,

80

Telephone_Triage andCounseling,⁸¹ Communicating

With

_Families, 81 Communicating

With

_Parents,81 Communicating

With

_Children,

83

Communication

Techniques,

85

History Taking,

87

Performing a Health History,

87

Nutritional Assessment,

93

DietaryIntake, 93

Clinical Examination of_Nutrition, 95.

Evaluation of NutritionalAssessment,

98

General

Approaches Toward Examining ^theChild,

9s

xxi

CONTENTS

Enterobiasis (Pinworms), 193 Bedbugs, ^I193

Sequence^{of the}Examinntion,⁹⁸ Preparation^{of the}Child,98

Physicnl Exatminntion, 98

Growth Mensurements, 98

SECTION I Family-Centered Care

^of

Physiologic Mensturerments, 105 General Appenrunce,¹¹¹

skin,

111

Lymph

^Nodes,111 Hend and Neck, 112

the

Newborn

7

^{Health Promotionofthe}

Newborn

^and _Family, 196 Barbara J.WMheeler

Adjustment ^to ExtrauterineLife,196 Immediate Adjustments, 196

Physiologic Status of Other Systems, 197 NursingCare of the

Newborn

^and

Family,199 Assessment,199

Maintain ^aPatent Airway,

217

Maintain ^aStable

Body

Temperature,

217

Protect From ^Infection and _Injury,

218

Provide

Optimum

^Nutrition,

222

Promote Parent-InfantBonding (Attachment),

230

Prepare^forDischargeand

Home

Care, 233

8

Health Problems oftheNewborn, 238

KimberleyFisherandKristina D. Wilson Birth Injuries,

238

SoftTissueInjury,

238

Head _Injury,

238

Fractures, 240 Nerve_Injuries, 241 Cranial Deformities,

242

Microcephaly,

242

Craniostenosis, 243

Craniofacial Abnormalities, 244

Pierre Robin Sequence, 244

Cleft Lip and ^{Cleft Palate,}

245

Dermatologic Problems ⁱⁿthe Newborn, ²⁴⁹⁹ Erythema Toxicum Neonatorum,

249

Candidiasis,

249

OralCandidiasis,

249

Herpes Simplex Virus,

250

Bullous Impetigo,²⁵⁰⁰ Birthmarks, 251

Problems Related^to Physiologic^{Factors, 252} Hyperbilirubinemia,

252

Hemolytic Disease of the

Newborn, 259

Hypoglycemia,

263

Hyperglycemia (Transient), 264 Hypocalcemia, 264

Hemorrhagic Disease oftheNewborn, 265 Problems Caused by^Perinatal Environmental

Factors, 266 Chemical Agents, 266 Radiation,266

9 The

High-Risk

Newborn

^andFamily, 270

Kimberly Fisher

General

Management

of High-Risk Newborns,

2

⁷⁰

ldentification of High-Risk Newborns, ²⁷⁰

Intensive CareFacilities, 271

Nursing Care of High-Risk Newborns, 273 Assessment,

273

Monitoring Physiologic Data,

273

Eyes, 112 Ears, 115 Nose, 119

Mouth and Throat,

120

Chest, 121

Lungs,122 Heart,124

Abdomen, 126

Genitalia, 128 Anus,130

Back andExtremities, 130 Neurologic Assessment,131

Developmental Assessment,132

5

Pain Assessment and Management ⁱⁿ

Children, 137

Shirley D.Matin, Magoie Maxtin, Katherine Smalling.

andSuePark

What isPain and

How

^{Does It}Occur?, 137

What

Does ^Pain

Do

^Besides Hurt?, 138

Common

^{AcutePain Conditions}in Children, 138 Needlestick Pain,140

Postoperative Pain, 140

Common

^{ChronicPain Conditions}in Children, 140 Headaches, 141

Abdominal Pain,141 Musculoskeletal Pain, 141

NeuropathicPain

Syndromes,¹⁴¹

Common

Mixed-Pain ConditionsⁱⁿChildren,141 Burn_Pain, 141

Cancer_Pain, 142 SicdeCell Pain, 143

Measuring PainⁱⁿChildren,143 ObservationalPain Measures, 143

Special Populations, 144

Self-Report Pain Rating^Scales,145

ChronicandRecurrent^Pain Assessment,147 MultidimensionalMeasures, 147

Prevention andTreatment of Painin Children, 148

Biobehavioral interventions, 149 Pharmacologic Management ofPain, 150

6

_Chidhood Communicable andInfectious

Diseases,169 CherylC.Aodgers

Infection Control, 169 Immunizations, 170 Communicable _Diseases, 179 Nursing Care Management, ¹⁷⁹

Conjunctivitis, 188 Stomatitis, 189

Zika Virus, 190

Jntestinal Parasitic Diseases, 190

General Nursing Care Management, 190

Giardiasis, 190

CONTENTS

^Kxii

Food Sensitivity, 376

Failure to Thrive,

380

Special Health Problems,

382

Colic (Paroxysmal Abdominal Pain),

382

Sudden Infant Death

Syndrome, 384

Positional Plagiocephaly,

387

Apparent Life-ThreateningEvent,

389

High-Risk Conditions Relatedto

Dysmaturity, 295 Preterm Infants, 295 Postterm _Infants, 296

High RiskRelated toDisturbed

Respiratory Function,296

Apnea of Prematurity,296

RespiratoryDistress Syndrome,

299

Meconium

Aspiration Syndrome, 306 AirLeak

Syndromes,

307

Persistent Pulmonary HypertensionoftheNewborn,

308

Bronchopulmonary Dysplasia,

309

High Risk Relatedto Infectious

Processes, 311 Sepsis, 311

NecrotizingEnterocolitis,

313

High Risk RelatedtoCardiovascular and Hematologic Complications, 314

Patent Ductus Arteriosus, 314 Anemia,

315

Polycythemia,

315

Retinopathy of Prematurity,

315

High Risk Related to Neurologic Disturbance,316

Perinatal

Hypoxic-Ischemic BrainInjury, 316

Intraventricular

Hemorrhage,

317

Intracranial

Hemorrhage,

319

Neonatal/Perinatal Stroke,

319

Neonatal_Seizures, 319

High Risk Related to Maternal Conditions,321 Infants of Diabetic Mothers, 321

Drug-Exposed ^Infants, 322 Maternal Infections,

327

SECTIONV

Family-Centered

Care

^of

the Toddler

and

Preschooler

12

Health PromotionoftheToddler and_Family, 393

Elizabeth A.Duffy

Promoting

Optimum

^{Growth and}Development,

393

Biologic Development, 393 CognitiveDevelopment, 396 Moral

Development: Preconventional

or

Premoral

Level,

398

Spiritual Development,

398

Development of Body Image,

399

Development of Gender

Identity,

399

Social Development,

399

Temperament, 402

Coping With Concerns Related to

Normal

Growth and Development, 402

Toilet Training,402

Sibling Rivalry, 405

Temper

Tantrums, 406 Negativism, 407

Stress, 407 Regression,407

Promoting

Optimum

^HealthDuring Toddlerhood, 407

Nutrition,

407

Vegetarian^Diets, 409

Complementary andAlternative Medicine, 410

Sleep and

Activity, 411 Dental

Health,411

Safety Promotion andInjury Prevention,414 AnticipatoryGuidance-Care of_Families, 420

SECTION ^IV

Family-Centered

Care

^of

^the

^Infant

10

Health Promotionofthe_Infant and _Family, 338

Mysti Kidd and Cheryl C. Rodgers

Promoting

Optimum

^{Growth and}Development, 338 Biologic Development,

338

Psychosocial Development, 344 Cognitive Development, 345 Development of

Body

Image,

347

Development of Gender _Identity,

347

Social

Development,

348

Temperament,

350

Coping With Concerns RelatedtoNormal

Growth

and Development,

352

Promoting

Optimum

^HealthDuring Infancy,

360

Nutrition,

360

Sleep andActivity,

363

Dental Health,364

Safety Promotion and

Injury Prevention,364 Anticipatory

Guidance-Care

of_Families, 368

13

Health Promotionofthe

Preschooler andFamily, 423

Rebecca A.Monroe

Promoting

Optimum ^Growth

^andDevelopment, 423 Biologic Development, 423

Psychosocial Development, 424 CognitiveDevelopment, 425 Moral

Development (Kohlberg),426

Spiritual Development, 426 Development of

Body Image, 426 Development of

Sexuality, 426

Social Development, 426 Temperament, 430

Coping With Concerns Relatedto Normal Growth andDevelopment, 431

Promoting

Optimum

^HealthDuring the Preschool

Years, 436 Nutrition,436 Sleep and_Activity, 437 Dental Health,437 Injury Prevention,437

Anticipatory Guidance

Care

^{ofFamilies, 437}

11 Health Problems ofthe_Infant, 372

Lisa

M.

Cleveland

Nutritional Imbalances,

372

Vitamin Imbalances,

372

Mineral Imbalances, 373

Health Problems Relatedto Nutrition, 374 Severe Acute Malnutrition

(Protein-EnergY Malnutrition),374

Xxiv CONTENTS

Functional Abdominal Pain,

515

Conversion Reaction,516 Childhood Depression,516 Childhood Schizophrenia,

517

AnxietyDisorders,

518

Conduct Disorders,

518

SECTION

^VII Family-Centered

Care

^of

14 Heath Problems ofEarly Childhood,⁴⁴⁰

Brigit

M.

^Carter

Sleep Problems,440

Ingestion of_Injurious Agents,440

Principles of Emergency Treatment,⁴⁴¹ Heavy MetalPoisoning, 445

Lead Poisoning,446

Child Maltreatment, 450 the

Adolescent

Child_Neglect, 450

Physical Abuse, 451 Sexual Abuse, 452

Nursing Care of theMaltreated Child, 453

17 ^Health PromotionoftheAdolescent and

Family, 523 AnneDerouin

Promoting

Optimum

^Growth and Development

t,523- Biologic Development, 524

Cognitive Development,

530

Development of

Value Autonomy, ⁵³¹

Psychosocial Development, 531

Social Environments, 534

Promoting

Optimum

Health During Adolescence,

537

SECTION

VI Family-Centered

Care

of the

School-Age

^Child

15 Health Promotion^oftheSchool-Age^Child and_Family, 460 Cheryl

C

_Rodgers

Promoting

Optimum

Growth and Development,460 Biologic Development,

460

Cognitive Development (Piaget), 463 Moral Development (Kohlberg),465

Spiritual Development, 465 Language Development, 465

Social Development, 466

Play, 468

Development ofSelf-Concept, 470 Development of_Sexuality, 472

Coping With Concerns ^{Related to} Normal Growth and Development, 473

School Experience,473

Discipline, 475

Coping With ^Stress, 476

Promoting

Optimum

Health During the SchoolYears, 478

Health Behaviors,478 Nutrition,479

Sleep and Rest, 481 PhysicalActivity, 482 Dental Health, 484 School Health,485 Injury Prevention,487

Anticipatory Guidance

Care

^{ofFamilies, 492}

Adolescents' Perspectives on Health,537 FactorsThat Promote Adolescent Health and

Well-Being,

538

Health Concerns of Adolescence,

540

Health Promotion

Among

Special Groups^of

Adolescents, 546

Nursing Care Management, 548 18 Health Problems ^oftheAdolescent,⁵⁵¹

Cheryl C. Rodgers

Health Conditions of the

Male

Reproductive System,⁵⁵¹

Penile Conditions, 551

Varicocele, 551 Epididymitis,

552

Testicular Torsion,

552

Gynecomastia,

552

Health Conditions of^theFemaleReproductive

System,

552

Gynecologic Examination, 552 Menstrual Disorders,

553

Nursing Care

Management, 553

Endometriosis,

555

Premenstrual

Syndrome, 556

Abnormal Uterine Bleeding, 556

Vaginal Infections,

558

Sexually Transmitted Infections,

559

Sexually Transmitted Protozoa Infections, 560

Sexually Transmitted ^Bacterial Infections,

5o

Sexually Transmitted ^Viral Infections, 563 HealthConditions Relatedto Reproduction,

0

Adolescent Pregnancy,

565

Adglescent Abortion,

568

Contraception,

569

Sexual Assault (Rape),

572

Health Conditions

With

^aBehavioral

Component, 573

Anorexia Nervosa and Bulimia Nervosa, 573 Substance Abuse,⁵⁷⁸⁸

Motivation,

579

Typesof Drugs Abused,

579

Tobacco,

579

Alcohol,

580

Cocaine, 581 16 Health Problems oftheSchool-Age ^{Child, 495}

Katherine SossPrihodaandCherylC.Rodgers

Obesity:Complications,Treatment,andPrevention, 495 Obesity,495

Dental Disorders,

502

DentalCaries,

502

PeriodontalDisease, 504 Maloclusion, 504 Trauma, 504

DisordersofContinence,

505

Enuresis,

505

Encopresis,

507

Disorders With Behavioral Components,

508

Learning Disability, 511

Tic Disorders,

512

Gilles

De

La Tourette Syndrome,512 Posttraumatic^Stress isorder, 513 School Phobia, 514

CONTENTS _XXV

Narcotics, 581

Central Nervous System Depressants,581 Central Nervous System Stimulants,581 Mind-Altering Drugs, 581

Nursing Care Management, 581 Self-Harm, 583

Etiology,

583

Diagnostic Evaluation,

583

Therapeutic Management,

583

Suicide,

583

Etiology, 584 Methods,

584

Nursing Care Management,

585

Awareness of

Dying ⁱⁿChildren With

Life-Threatening Illness,

608

Children's

Understanding of and Reactions

to Dying,

610

Deliveryof

Palliative CareServices,

613

Nursing Care of the Child and

Family^atthe

End

of_Life,614

Management

of Pain and_Sufferíng, 614

Parents' and_Siblings' Need forEducation and Support Through the Caregiving

Process, 615

Careatthe

Time

_{of Death,}

618

Postmortem Care,619

Care of the Family Experiencing Unexpected Childhood Death,

620

Special Decisionsatthe

Time

of Dying and Death,

621

Rightto DieandDo-Not-Attempt-Resuscitation Orders,621

SECTION

^Vill Family-Centered

Care

^of

^the

^Child

With SpecialNeeds

19 Impact^of Chronic_Ilness, Disability, orEnd-of-Life Care

fortheChild and_Family, 589

Sharon LDocherty, Debra Brandon, Alexandra Kathleen Superdock and HaymondC. Barfield

Perspectives onthe Care ofChildren and Families Living With

or

_Dying

From

Chronic or Complex

Diseases,

589

Scope of the Problem,

589

Trends in Care,

590

The

Family of the Child With a Chronic

or

_Complex

Conditioni, 591

Impact of theChild's Chronic1llness,

592

Coping With

Ongoing ^Stress and Periodic

Crises, 594

Assisting Family

Members

ⁱⁿ_Managing Their

Feelings, 594

Establishing aSupport System, 595

The

Child With aChronic or Complex

Condition,

596

Developmental Aspects,

596

Coping Mechanisms,

598

Nursing Care of the Family and Child With a Chronic

or

_{Complex Condition,}

599

Assessment, 599

Viewing of the Body, 621

Organ or Tissue Donation

and

Autopsy,621

Siblings' Attendance_atFuneralServices,

622

Care of the Grieving Family,622

Grief,

623

Mourning,

625

Bereavement Programs,

626 The

Nurseand theChild With

Life-Threatening

Illness, 626

Nurses'Reactions^toCaring^forChildren With Life-Threatening^Illnesses, 626

Coping With ^Stress,

627

20

Impact^of_Cognitive orSensory Impairment on^theChild andFamily, 632

RosalindBryant

Cognitive Impairment,

632

General Concepts,

632

Nursing Care of Children With Impaired Cognitive Function,

633

Educate Child and Family,

633 Down

_Symdrome,

637

Fragile

X

_Syndrome,

639

Sensory Impairment,

640

Hearing Impairment,

640

Visual Impairment,

645

Hearing-Visual Impairment,

650

Communication

Impairment,

650

Autism Spectrum Disorders,650 Provide Support atthe

Time

of Diagnosis,

599

Support theFamily's Coping Methods,

600

Educate About the Disorder and General

Health Care,

602

Promote Normal Development,

603

Establish Realistic Future Goals,

605

Palliative Carein Childhood Terminal

Illness,

605

Scope ofthe

Problem,

605

Principles ofPalliative Care, 606 Goals of Care,606

This edition

is

for salein the Philippines only

Wong's

Nursing Care ^{of Infants} and Children

Vol 1

2 ^Philippine

^edition

HockenberryI Wilson

^I

Rodgers

The_leading text inpediatric nursing, Wong's Nursing Careof Intants and_Children, isnow available asthe second_Philippine edition.

Prepare ^togive pediatric patients thespecialized care_they deservewith the_leading text inpediatric nursing.

Written bypediatricexperts, Wong's Nursing Care^{of Infants} andChildren, 2ndPhilippine edition takes a

unique, easy-to-follow developmental approach^{to describe the careof children at}each age andstage ^of development. This longtime bestseller provides an evidence-based, clinicalperspective that

shows how

the quality of nursing carecanimpactquality patientoutcomes.

Childho od^diseases anddisorders are_organized by age groups and body systems andexplained throughthe nursing process framework.^{Thisedition features}

completely updated andreorganized chapters that present contentin a clear, easy-to-understand way.

New

Quality Indicator boxes_{painta bigger picture}ofhospitals and how _they look at_quality and_safety.

New

^to

This

^Edition

Updatedimmunization recommendations fromthePhilippines.

NEW!

_Quality Indicator boxes_present abigger picture of hospitals and

how

_they look atquality and_safety, or

PediatricClinicalQuality Measures.

EXPANDEDI Added emphasis onthe impact^ofgenetics and genomics onpediatric nursing care.

NEW

and UPDATED!

New

information onZika virusandRotavinus keeps you^intheknow.

NEWI New section onChiari malformation addedtoneurologic dysfunction chapter.

NEW!

_{Self-harm, GLBT, and}e-cigarette content addedto adolescent problemschapter.

UPDATED! Oxygen and carbon^dioxide exchangeinformation isnowincluded throughoutthe_tex

t.

EXPANDED! Updatedaccidental poisoning section nowincludes cleaning solutions and_liquidfrome-cigaret tes.

UPDATED!

New

impact^of Chronic llness, Disability, or End of Life Caretorthe Chilid and _{Family chapter}

thoroughly combines twoprevious chapters.

UPDATED! Integumentary dysfunction content

now

_appears as_{chapter 32.}

UPDATED!

Reorganized ^chapter on

pain provides specific guidelines for pediatric pain assessment and management and focuses on

common

^acute andchronic pain conditions and

how

tomanage them.

UPDATED!

Human

Papillomavirus contentsignificantly updated.

EXPANDED and UPDATED! Disorders with behavioral componentssection significantly ex panded.

UPDATED! Updatedinfiluenza,RSV, andacute lung injury section inrespiratory chapter.

UPDATED!

^{Childhood cancer}survivor section hassignificant updates.

Dstribed Vol. 1:978-981-4666-97-8

SetISBN:978-981-4666-95-4

C&E

Towards Academie

Publishing,

and ProfesslonalExcellence

Inc.

639 EDSA South

Triangle, QuezonCity, Philppines

Restricted Editlon

TeNo.632)9294068E-mall: info@cebookshop.com

Thisedition is licensed for saleinPhillipines only.Thisedition is not authorized forexport outside thisterritory. Circulation ofthis edition outside thisterritory is unauthorized and_illegal.

www.cebookshop.com

ELSEVIER

www.elsevierhealth.com