TY - BOOK TI - Pediatric Nursing SN - 0097-9805 PY - 2020/// CY - East Holly Avenue, Pitman PB - Jannetti Publications, Inc. KW - NURSING N1 - Includes bibliographical references; My Story as a Patient with Sickle Cell Disease -- The COVID-19 Pandemic and the Impact on Child Mental Health: A Socio-Ecological Perspective -- Navigating Through the Uncharted Territory of Multisystem Inflammatory Syndrome in Children (MIS-C): What the Pediatric Clinical Nurse Must Know -- Identifying Human Trafficking Victims in the Pediatric and School Nurse Practice Setting -- Gabapentin Premedication for Pediatric Anterior Cruciate Ligament Reconstruction: A Feasibility Study -- Supporting Health and Educational Outcomes Through School-Based Health Centers -- The Imagine ProjectΓäó: Using Expressive Writing to Help Children Overcome Stress and Trauma -- The Gold Standard -- Looking for Clues: Children and COVID-19 -- Mental Health Needs during COVID-19: Responses in Pediatric Health Care -- The Why and How to Write a Quality Improvement Manuscript N2 - [Article Title: My Story as a Patient with Sickle Cell Disease / Cyara Bond, p. 265] Abstract: What is sickle cell disease? By definition, sickle cell disease (SCD) is an inherited blood disorder characterized by chronic anemia and periodic episodes of pain. This disorder affects over 72,000 Americans and millions throughout the world, most of whom are of African descent. Approximately 1 in 13 African Americans carries the trait for SCD, and 1 of every 365 African American infants is born with the disorder (Centers for Disease Control and Prevention, 2020); the incidence of the disorder in Africa is 10 times higher than in the United States (Mulumba & Wilson, 2015). ;[Article Title: The COVID-19 Pandemic and the Impact on Child Mental Health: A Socio-Ecological Perspective / Marcus D. Henderson, Cynthia J. Schmus, Catherine C. McDonald, and Sharon Y. Irving, p. 267-272] Abstarct: The COVID-19 pandemic poses an increased threat to the mental and behavioral health of children. There is an increasing prevalence of mental health problems in children, coupled with the variability of access to mental health services and the impact of trauma and adverse childhood experiences (ACEs) on child health. The prolonged duration of the current pandemic put children at increased risk for an even higher rate of mental and behavioral health problems. Prior to the pandemic, the mental health workforce was ill equipped to care for the growing need and demand for child-specific services. As the pandemic continues to invade communities across the nation, it is vital for pediatric nurses to acknowledge COVID-19 as a major disruptor to the typical growth and development of children. The full impact of this COVID-19 pandemic on the mental health for children is uncertain. However, its impact on an already limited child-focused mental health workforce will indeed have a long-lasting impact on the health and well-being of children and their families. The socio-ecological impact of COVID-19 and its duration for those children with known mental health problems and those in whom such challenges will arise has implications for future models of care. Nurses are well-poised to both assess and intervene with mental health problems to reduce the long-term, potentially negative effect of COVID-19 on the health and well-being of children. ;[Article Title: Navigating Through the Uncharted Territory of Multisystem Inflammatory Syndrome in Children (MIS-C): What the Pediatric Clinical Nurse Must Know / Noelia MaGowan, Jennifer Darcy, Alexandra Mosiello, Christina Gomes, and Natassia Miller, p. 273-272] Abstarct: The New York City area and adjoining counties were one of the hardest hit areas in the nation with SARS-CoV-2, referred to as COVID-19. In the initial months, the impact seemed to spare those in the pediatric population; however, in March 2020, a new finding presented itself. The Centers for Disease Control and Prevention (CDC) (2020a) issued a health advisory regarding a multisystem inflammatory syndrome in children (MIS-C), formerly pediatric multisystem inflammatory syndrome, and its association with COVID-19. They noted that as of October 15, 2020, 44 states and Washington, DC, reported 1,097 cases and 20 deaths. Most pediatric cases are in children 1 to 14 years of age, and slightly more than half (56%) of reported cases were male. According to the New York State Department of Health (NYS DOH) (2020a), as of October 10, 2020, there have been 266 cases of MIS-C under investigation and two pediatric deaths, thereby making this area an epicenter of MIS-C. This article presents a broad view of the educational needs of the clinical nurse caring for the child with multisystem inflammatory syndrome.;[Article Title: Identifying Human Trafficking Victims in the Pediatric and School Nurse Practice Setting / Shannon Scott, p. 278-281] Abstract: Every year, thousands of people are labor- and sex-trafficked throughout the United States, generating billions of dollars. Many of these victims are children. They are included in the more than 80% of victims who seek some type of medical care during their captivity. In addition, more than 90% of the children exploited attend school daily. By seeking medical care and attending school, victims place health care personnel, especially pediatric and school nurses, in a unique position to help identify and assist them. Pediatric and school nurses both practice in settings that allow for familiarization with a child and the opportunity for private medical screenings. These opportunities allow for red flag indicators to be recognized and possible victims to be identified and/or disclose.;[Article Title: Gabapentin Premedication for Pediatric Anterior Cruciate Ligament Reconstruction: A Feasibility Study / Margaret Gettis, David Nusz, Jodi Roberts, Jane Chen, Allison Musick, Martha Wetzel, and Courtney McCracken, p. 282-290] Purpose: Anterior cruciate ligament (ACL) reconstruction surgery is common, with significant postoperative pain. Few studies have assessed gabapentin for pain in adolescent ACL populations. Design: A feasibility study measured efficacy of single preoperative gabapentin doses to reduce postoperative pain in adolescents aged 12 to 18 years undergoing ACL reconstruction versus placebo. Methods: Primary efficacy outcome was postoperative opioid use, with pain, safety, and pain management satisfaction secondary. Findings: Fifty-five patients enrolled. Gabapentin had an early effect in reducing mean narcotic use 24 hours postoperatively. No significant difference was demonstrated overall in the two groups. Over half of patients were still taking opioids at day 4/5; current guidelines recommend 3 days or less. Median satisfaction score, one point higher for gabapentin group versus placebo group, was not statistically significant. Conclusion: Results demonstrate gabapentin may be an effective medication to reduce acute postoperative pain. However, robust methodology is needed to more accurately assess and treat pain.;[Article Title: The Gold Standard / Jean Ivey, p. 291] Abstract: The Randomized control trial (RCT is the "gold standard" for quantitative research design. These designs require randomization of the participants and the treatment at very possible level. ;[Article Title: Supporting Health and Educational Outcomes Through School-Based Health Centers / Taylor Gardiner, p. 292-299] Abstract: Health and education are inextricably linked; academic achievement, cognitive development, and education are fundamental determinants of health. Similarly, poor health is often an underlying factor behind chronic absenteeism, which interrupts a child's development in key areas, such as reading, math, and social skills, significantly increasing their risk of dropping out of school prior to receiving a high school diploma. In the United States, minority racial and ethnic groups, as well as those in lower socioeconomic groups, are at increased risk for experiencing both below average academic outcomes and worse health outcomes. Supporting school attendance and performance by preventing chronic absenteeism is an important upstream intervention to promote health in the community. Primary medical care is one area in which factors affecting absenteeism can be addressed; however, many barriers to accessing primary care services make this challenging. This article reviews health and education disparities that exist in the United States, examines the complex relationship between health and education, and discusses how school-based health centers (SBHCs) can be used to support educational outcomes as a means to improve the overall health of a community. The literature demonstrates that SBHCs are an effective tool to improve education outcomes and reduce absenteeism by promoting healthy behaviors in and out of the classroom, leading to improved school attendance, graduation rates, and overall better community health across the lifespan. ;[Article Title: The Imagine ProjectΓäó: Using Expressive Writing to Help Children Overcome Stress and Trauma / Dianne I. Maroney, p. 300-302] Abstract: Pediatric nurses who work in hospitals, clinics, or schools often see children who are showing signs of stress, or their parents report their child is experiencing stress. Children may also show signs of trauma.; Stress and trauma can cause numerous short- and long-term mental and physical health issues, such as anxiety, depression, aggression, learning impairments, decreased immune function, and adult onset disease. It is imperative that medical professionals assess and support children who are experiencing stress and/or trauma - past or present. Once it is determined that a child is undergoing stress and/or has had a traumatic event in their life, tools should be made available for the family to mitigate the negative effects of stress and trauma. The Imagine ProjectΓäó, a simple and free expressive writing tool, can help families facing the difficult task of helping their child to cope with challenging life circumstances. Research on expressive writing has shown improved outcomes on immune function, physiologic changes, such as positive cortisol shifts and decreased anxiety and depression, and improved school norms, such as increased grade point averages and decreased dropout rates. Encouraging children to write about their emotions and difficult life experiences using this standardized, easily implemented tool can have profound positive effects on their short- and long-term physical and mental health.;[Article Title: Looking for Clues: Children and COVID-19 / Jean Ivey, p. 303] Abstract: Most want more information about the COVID19 virus. However, because it is such a recent problem, very little research has been published. One can find many opinions by experts, but data are slim. In this issue two articles are featured: 1) a review of articles available on COVID-19 in children, and 2) research on systemic inflammation and antibody response in multisystem inflammatory syndrome in children (MIS-C).;[Article Title: Mental Health Needs during COVID-19: Responses in Pediatric Health Care / Deborah Dokken, Elizabeth Ahmann, DeeJo Miller, and Jamila Weaver, p. 304-307] Abstract: According to a policy brief published by the United Nations Sustainable Development Group (2020) in April 2020: "Children are not the face of this pandemic. But they risk being among its biggest victims. While they have thankfully been largely spared from the direct health effects of COVID-19 - at least to date - the crisis is having a profound effect on their wellbeing" (para 1). The physical health effects of the pandemic on children have only recently become news. Still, the United Nations makes clear, children have been experiencing their share of pandemic stress: feeling unsettled with changes in daily routines resulting from the lockdown and school closures; loneliness due to separation from friends, and in some cases, not seeing relatives, such as grandparents, as often as usual; and further, more significant distress when economic stresses, job losses, or illness or deaths due to COVID, have impacted their families (United Nations Sustainable Development Group, 2020). ;[Article Title: The Why and How to Write a Quality Improvement Manuscript / Renee Roberts-Turner, p. 304-307] Abstract: As integral members of the health care team, nurses implement patient care and systems interventions that have measurable outcomes. Quality improvements approaches can be defined as deliberate methods to address and improve clinical problems, help nurses and others to understand outcomes of care, systems interventions ER -