Children with disorders of the brain can have fulfilling lives along with risk for problems that impact health and quality of life. This book offers guidance when navigating complex and emotionally hard circumstances, with an emphasis on improving a child's outcome when possible and achieving improved symptom treatment always.
Children with disorders of the brain can have fulfilling lives along with risk for problems that impact health and quality of life. This book offers guidance when navigating complex and emotionally hard circumstances, with an emphasis on improving a child's outcome when possible and achieving improved symptom treatment always.Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Julie Hauer is faculty at Boston Children's Hospital. She has 27+ years of expertise in the care of children with severe neurological impairment, focused on those who have co-morbidities that impact health and quality of life, resulting in complex medical care and decision-making. Her work is focused on the intersection between complex care and palliative care, including development of assessment tools and communication strategies with parents. Innovative work includes chronic neuro-pain screening that guides mechanism specific treatment, care plans that distinguish Acute, Bridge, Chronic, and Direction phases of care, and differentiating features between feeding intolerance versus intestinal failure at end-of-life.
Inhaltsangabe
* Preface * 1: Introduction: challenges and complex considerations * 2: Decision-making when there is uncertainty * 3: Chronic and acute pain and irritability/agitation * 4: Gastrointestinal problems: recurrent retching vomiting abdominal pain and feeding intolerance * 5: Problems of the central nervous system: spasticity dystonia dysautonomia seizures delirium dementia altered sleep/arousal and disorders of conciousness * 6: Respiratory problems: recurrent pneumonia excessive secretions respiratory distress and acute and chronic respiratory failure * 7: Altered baseline (temperature heart rate blood pressure growth puberty sodium regulation): what can happen when not to worry and how to rethink "normal" * 8: Comfort as the primary care goal and end-of-life considerations for children with severe neurological impairment
* Preface * 1: Introduction: challenges and complex considerations * 2: Decision-making when there is uncertainty * 3: Chronic and acute pain and irritability/agitation * 4: Gastrointestinal problems: recurrent retching vomiting abdominal pain and feeding intolerance * 5: Problems of the central nervous system: spasticity dystonia dysautonomia seizures delirium dementia altered sleep/arousal and disorders of conciousness * 6: Respiratory problems: recurrent pneumonia excessive secretions respiratory distress and acute and chronic respiratory failure * 7: Altered baseline (temperature heart rate blood pressure growth puberty sodium regulation): what can happen when not to worry and how to rethink "normal" * 8: Comfort as the primary care goal and end-of-life considerations for children with severe neurological impairment
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