By Karen Marcdante MD, Robert M. Kliegman MD
The source of selection for pediatric residencies, clerkships, and tests, Nelson necessities of Pediatrics keeps to supply a concentrated evaluation of the center knowledge in pediatrics. Succinct, unique coverage of standard youth development and improvement, in addition to the prognosis, administration, and prevention of universal pediatric ailments and problems, make this a fantastic scientific reference booklet for scholars, pediatric citizens, nurse practitioners, and general practitioner assistants.
- Get an efficient evaluate of pediatrics with aid from concise textual content, a full-color layout, high-yield tables, and diverse images.
- Take virtue of a wealth of images that catch the scientific manifestations and findings linked to Kawasaki disorder, lupus, lymphoma, stroke, and plenty of different problems visible in children.
- Efficiently evaluate crucial, concise pediatric content with this well known extension of the Nelson Textbook of Pediatrics (ISBN: 978-1-4377-0755-7).
- Focus at the center wisdom wanted on your pediatric clerkship or rotation with insurance that follows the COMSEP curriculum guidelines.
- Easily visualize advanced aspects with a full-color structure and pictures, in addition to a variety of tables during the text.
- Access the entire contents, now built-in with decide on decision-making algorithms from Pediatric Decision-Making Strategies by means of Pomeranz et al. (ISBN: 978-0-323-29854-4), on-line at Student Consult.
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Extra resources for Nelson Essentials of Pediatrics
Example text
Central to this approach is the willingness of clinicians to look beyond the traditional medical goals of curing disease and preserving life. They need to look toward enhancing the life of the child and working with family members and close friends when the child’s needs are no longer met by curative goals. High-quality palliative care is an expected standard at the end of life. Palliative care in pediatrics is not simply end-of-life care. There are conditions where death is not predictably imminent, and a child’s needs are best met by the palliative care approach.
Typically, the hospice program uses the adult Medicare model, requiring a prognosis of death within 6 months and the cessation of curative efforts for children to receive hospice services. Recently some states have developed alternative pediatric models where curative efforts may continue while the higher level of coordinated end-of-life services may be applied. BEREAVEMENT Bereavement refers to the process of psychological and spiritual accommodation to death on the part of the child and the child’s family.
In children ages 6 to 11 years of age (late preoperational to concrete operational), the finality of death gradually comes to be understood. Magical thinking gives way to a need for detailed information to gain a sense of control. Older children in this range have a strong need to control their emotions by compartmentalizing and intellectualizing. In adolescents (≥12 years of age) (formal operations), death is a reality and is seen as universal and irreversible. Adolescents handle death issues at the abstract or philosophical level and can be realistic.