Table Of ContentPediatric Primary Care
SIXTH EDITION
Editors
Catherine E. Burns, PhD, RN, CPNP-PC, FAAN
Professor Emeritus
Primary Health Care Nurse Practitioner Specialty School of Nursing
Oregon Health & Science University Portland, Oregon
Ardys M. Dunn, PhD, RN, PNP
Associate Professor Emeritus University of Portland School of Nursing Portland, Oregon;
Professor, Retired
School of Nursing
Samuel Merritt College
Oakland, California
Margaret A. Brady, PhD, RN, CPNP-PC
Professor
School of Nursing
California State University Long Beach Long Beach, California;
Co-Director, PNP Program
School of Nursing
Azusa Pacific University
Azusa, California
Nancy Barber Starr, MS, APRN-BC (PNP), CPNP-PC
Pediatric Nurse Practitioner Advanced Pediatric Associates Centennial, Colorado
Catherine G. Blosser, MPA:HA, RN, PNP
Pediatric Nurse Practitioner, Retired Oak Grove, Oregon
Dawn Lee Garzon, PhD, PNP-BC, CPNP-PC, PMHS, FAANP
Teaching Professor and PNP Emphasis Area Coordinator College of Nursing
University of Missouri–St. Louis St. Louis, Missouri
Associate Editor
Nan M. Gaylord, PhD, RN, CPNP-PC
Associate Professor
College of Nursing
University of Tennessee
Knoxville, Tennessee
Table of Contents
Cover image
Title Page
End Sheet Growth Charts
Copyright
Contributors
Reviewers
Preface
Special Features of the Sixth Edition
Organization of the Book
Acknowledgments
Contributors to the Fifth Edition
Our Thanks to Family and Friends
References
Unit 1 Pediatric Primary Care Foundations
1 Health Status of Children
Global Health Status of Children
Global Food Insecurity and Effect on Children's Health
United Nations Millennium Development Goals: Project Goals
Health Status of Children in the United States
Addressing Children's Health in the United States
Adverse Childhood Events and Impact on Child Health Outcomes
The Role of Advanced Practice Nurses for Improving Child Health
References
2 Child and Family Health Assessment
Foundations for Child and Family Assessment
The Environment for Data Collection
The Database
References
3 Cultural Considerations for Pediatric Primary Care
Culture
Best Practices for Developing Cultural Humility and Cultural Competence
Health Care for Immigrant and Refugee Populations
References
Additional Resources
Unit 2 Management of Development
4 Developmental Management in Pediatric Primary Care
Developmental Principles
Theories of Child Development
Theories of Family and Parenting Development
Cultural Influences on Development
Management Strategies in Child Development
Concerns about Delayed Development
References
Additional Resources
5 Developmental Management of Infants
Birth Rates and Infant Mortality
Development of Infants
Developmental Assessment of Infants
Anticipatory Guidance for Infants
Common Developmental Issues for Infants and Families
Red Flags for Infant Development
References
Additional Resources
6 Developmental Management of Early Childhood
Development of Early Childhood
Developmental Assessment of Early Childhood
Anticipatory Guidance for Early Childhood
Common Developmental Issues in Early Childhood
Early Childhood Developmental Red Flags
References
7 Developmental Management of School-Age Children
Development of School-Age Children
Developmental Assessment of School-Age Children
Anticipatory Guidance for School-Age Children
Common Developmental Issues for School-Age Children
References
Additional Resources
8 Developmental Management of Adolescents
Adolescent Development
Developmental Screening and Assessment
Anticipatory Guidance During Adolescence
Phases of Adolescence
Common Developmental Issues for Adolescents
References
Additional Resources
Unit 3 Approaches to Health Management in Pediatric Primary Care
9 Introduction to Functional Health Patterns and Health Promotion
Functional Health Patterns—The Behaviors of Health
Health Perception and Health Management Functional Health Pattern
References
Additional Resources
10 Nutrition
Standards for Preventive Care
Nutritional Requirements and Dietary Reference Intakes
Assessment of Nutritional Status
Management Strategies for Optimal Nutrition
Altered Patterns of Nutrition
References
Additional Resources
11 Breastfeeding
Breastfeeding Recommendations
Hospital-Based Support
Benefits of Breastfeeding
Contraindications to Breastfeeding
Characteristics of Human Milk
Anatomy and Physiology
Assessment of the Breastfeeding Dyad
Positions for Breastfeeding
Dynamics of Breastfeeding
Clinical Indications of Successful Breastfeeding
Maternal Nutritional Needs during Breastfeeding
Medications for Breastfeeding Mothers
Returning to Work
Common Breastfeeding Problems
References
Additional Resources
12 Elimination Patterns
Standards
Normal Patterns of Elimination: Bowel and Urinary
Assessment of Patterns
Management Strategies for Normal Patterns
Altered Patterns of Elimination: Bowel and Bladder Dysfunction
References
Additional Resources
13 Physical Activity and Sports for Children and Adolescents
Physical Activity: Overview
Promoting Physical Activity: Guidelines and Standards
Health Benefits of Physical Activity
Physical Activity and Children with Special Health Care Needs
Strategies to Support Physical Activity for Children and Adolescents
Basic Metabolic and Nutritional Needs and Abuses in Athletes
The Preparticipation Sports Physical Examination for Sports
Evaluation and Management of Sports Participation for Athletes with Specific Health Conditions
High-Risk Conditions for Sports Participation
Recreational Activities: Safety Issues
References
Additional Resources
14 Sleep and Rest
Normal Sleep Stages and Cycles
Assessment of Sleep
Physical Examination
Diagnostic Studies
Strategies for Prevention and Management of Sleep Problems
Sleep in Children with Developmental and Neurologic Conditions
Medications
Common Sleep Problems
References
Additional Resources
15 Sexuality
Standards
Normal Patterns of Sexuality
Assessment of Normal Patterns of Sexual Development
Management Strategies
Special Counseling Needs
References
Additional Resources
16 Values, Beliefs, and Spirituality
Standards of Practice
Normal Patterns of Behavior
Altered Patterns
References
Additional Resources
17 Role Relationships
Standards of Care
Family Functioning
Assessment of Family Relationships and Dynamics
Management for Health Promotion and Disease Prevention
Family Units
Families with Special Circumstances
Dynamics Affecting Family Life
Role-Relationship Problems
References
Additional Resources
18 Self-Perception Issues
Standards of Care
Normal Patterns of Self-Perception
Assessment of Self-Perception
Management Strategies for Developing Positive Self-Perception
Complications of Self-Perception
Specific Self-Perception Problems in Children
References
Additional Resources
19 Coping and Stress Tolerance
Mental Health Influences
Mental Health in Primary Care
Temperament Influences on Mental Health
Assessment and Management of Mental Health Disorders
Common Mental Health Problems
References
Additional Resources
20 Cognitive-Perceptual Disorders
Standards for Care
Cognitive-Perceptual Development
Elements of Learning
Assessment of Cognitive-Perceptual Development
Management Strategies for Cognitive-Perceptual Development
Cognitive-Perceptual Problems of Children
References
Additional Resources
