Stephen Jones – PESI – Complex Childhood Conditions: 101 Strategies for Healthcare Professionals

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Stephen Jones – PESI – Complex Childhood Conditions: 101 Strategies for Healthcare Professionals

• Differentiate between “WNL” and baseline
• Identify actual cause versus symptom
• Sleep deprivation’s multisystem effects
• Dehydration: The problem involves fluids AND electrolytes
• Those nasty skin issues… solved!
• Consequences of anaphylaxis and the apnea-reflux connection

I can’t breathe. My head aches. I feel hot. My inhaler is not working. I can’t sleep. I can’t stop coughing. This rash won’t go away. My stomach hurts. Isn’t that a good pulse oximeter number?

All the above sound familiar? These are just a few of the complaints we hear from children when they are “not well”. Children may present with acute illnesses, flare-ups of chronic conditions or life-threatening complications. As pediatric healthcare providers, it is essential that we grasp and understand the inter-relationship of both complex and common pediatric conditions. During this full-day, interactive program, you will learn evidence-based strategies for the recognition, prevention, and management of a number of pediatric conditions that cause children to “not feel so good”, along with the skills to differentiate between CAUSE and SYMPTOM. Stephen will provide you with the knowledge you need through discussion, case studies and “fun”, addressing pharmacological, technological and non-pharmacological management, including critical assessment clues and interventions. You will leave this educational event feeling confident to manage complex childhood conditions!

Speaker
Stephen Jones, MS, RN, PNP, ET, is a fulltime Pediatric Clinical Nurse Specialist/Nurse Practitioner and Enterostomal Therapist, practicing at The Children’s Hospital @ Albany Medical Center in Albany, NY. In this multidimensional role, Stephen covers all inpatient pediatric units, including the PICU, as well as the pediatric Pulmonary & Cystic Fibrosis clinic. As an Enterostomal Therapist specializing in infants and children, Steve serves as a resource and consultant around the country. He has published articles in numerous nursing journals, authored chapters in several pediatric textbooks, and presented posters at numerous national conferences. Steve was instrumental in establishing the original pediatric transport team, pediatric critical care courses and pediatric core curriculum at his hospital, and initiation of the pediatric PICC program. In addition to his active and busy clinical practice, he is also the founder and principal of Pediatric Concepts, a company dedicated to providing quality educational programs for healthcare professionals.

Stephen has focused his nursing career entirely in pediatrics, previously serving in various staff positions within the PICU and general pediatric units. He continues to be active in all arenas of pediatric nursing, as well as a member of his local state NP association. Stephen holds undergraduate degrees from Union College and Skidmore College, while his graduate degree is from the University of Rochester. He has been on and continues to participate via speakers bureaus for a variety of pharmaceutical companies and continues to lecture extensively to a diverse audience through North America, including healthcare professionals, as well as parents and families. Steve’s long-standing passion for optimal and evidence-based pediatric care will be evident throughout this presentation. You will find him to be practical, informative, entertaining and motivating.

Speaker Disclosures:
Financial: Stephen Jones is the founder of Pediatric Concepts and has a employment relationship with The Children’s Hospital – Albany Medical Center, Albany Medical College and Russell Sage College. He receives a speaker honorarium from Chiesi USA. He on the advisory board of Chiesi, Novartis, Genentech, Mylan. Stephen Jones receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-Financial: Stephen Jones is a member of The Nurse Practitioner Association of New York State.

Outline

Assessment

• Growth and developmental considerations
• Oxyhemoglobin dissociation curve
• Diagnostics considerations
  Pulmonary Function Testing (PFT)
  Airway clearance: Techniques & technologies
  What the chest x-ray is telling you
  Lab values: Normal vs. baseline
  Pulse oximetry: What does it really mean?
• The allergic cascade
  The concept of linked airways and airway inflammation
• Hygiene hypothesis
  Pulmonary non-pharmacological and technological management
  Oxygen therapy: Devices used for both low and high flow rates
  Mist/Humidification
  Medication delivery devices: MDI/spacer, nebulizers, dry powder inhalers

Sleep

• Patterns of “normal” sleep – influences of disruption
• Effective management: Nonpharmacological and pharmacological

Anaphylaxis

• Underlying physiology of how this occurs
• Effective management strategies: Preventive and acute

Respiratory Conditions

• Tips for quick identification
• Critical nonpharmacological and pharmacological interventions for:
  Apnea
  Childhood asthma: The “Step Management”
  Croup: “The Good, the Bad, the Ugly”
  The 2 Cousins: RSV & Human Metapneumovirus

The Art of Skin and Wound Care in Children

• Identify underlying causes for skin and wound issues
• Optimize the healing process
• Selecting the best product for children’s skin issues

Sports Related injuries

• Assessment and management of The un-“Magnificent 7”: Laceration/cuts, hematoma, contusions, strains, sprains, fractures, concussion

“Temperature” Issues

• Identifying and describing The Big 3:
• Hyperthermia, hypothermia and fever
• Evidence-based guidelines for The Big 3

Gastrointestinal Conditions

• GER
  Identifying and differentiating “GER” versus GERD
  The benefits of acid/base balance
  The 3 steps of appropriate symptom management – and prevention
• The “opposite” conditions: Constipation and diarrhea
  Underlying pathophysiology of both conditions
  Evidence-based guidelines for appropriate management

Objectives

1. Evaluate the key clinical findings required for an efficient and comprehensive multi-system pediatric assessment.
2. Interpret physical assessment findings and all the “numbers” to begin to understand the presenting pediatric problem.
3. Determine underlying pathophysiology for multi-system conditions in identifying cause versus symptom.
4. Discuss the interrelationship of the Immune/Respiratory/GI/Neuro systems and the significance of “linked” symptoms of fluids, mucous, allergies, infections, and reflux.
5. Describe appropriate management for sports-related injuries, including concussions.
6. Utilize evidence-based guidelines to successfully identify appropriate interventions for the child experiencing “temperature” issues and diarrhea/ dehydration.
7. Select the most appropriate strategies to manage childhood asthma, croup and apnea.

Target Audience
Nurses, Physician Assistants, and other Healthcare Professionals

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