Nursing Care Plan (NCP) for Enuresis / Bedwetting
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Outline
Lesson Objectives: Enuresis/Bedwetting
- Understanding Enuresis:
- Develop an understanding of enuresis, including its definition, potential causes, and prevalence in different age groups. Gain insights into the physiological and psychological factors contributing to bedwetting.
- Assessment Skills:
- Acquire assessment skills to identify the underlying causes of enuresis. Learn to differentiate between primary and secondary enuresis and recognize potential medical, psychological, or social factors contributing to the condition.
- Individualized Care Planning:
- Learn to formulate individualized care plans based on a thorough assessment. Consider the age of the individual, any associated symptoms, and the impact of enuresis on their quality of life. Tailor interventions to address the specific needs of each patient.
- Behavioral and Lifestyle Interventions:
- Explore behavioral and lifestyle interventions to manage enuresis, including strategies for fluid intake, toileting routines, and positive reinforcement. Understand the importance of involving caregivers and creating a supportive environment.
- Collaboration and Communication:
- Develop effective collaboration and communication skills with patients, caregivers, and other healthcare professionals involved in the care of individuals with enuresis. Foster a team-based approach to address the multifaceted aspects of this condition.
Pathophysiology of Enuresis/Bedwetting
- Developmental Factors:
- Enuresis often occurs during childhood and is associated with delayed maturation of the central nervous system controlling bladder function. Children may take longer to develop the ability to awaken in response to a full bladder.
- Genetic Predisposition:
- There is evidence of a genetic component in enuresis, suggesting a familial predisposition. Children with a family history of bedwetting are more likely to experience it themselves.
- Bladder Dysfunction:
- Some cases of enuresis result from an imbalance between the storage capacity of the bladder and the ability to awaken when the bladder is full. This can lead to involuntary nighttime voiding.
- Hormonal Factors:
- The release of antidiuretic hormone (ADH), which reduces urine production at night, may be insufficient in individuals with enuresis. Hormonal imbalances can contribute to increased nighttime urine production.
- Psychological and Emotional Factors:
- Stress, anxiety, and emotional factors can contribute to enuresis. Emotional stressors, such as major life changes or traumatic events, may exacerbate or trigger bedwetting episodes.
Etiology of Enuresis/Bedwetting
- Developmental Factors:
- Delayed maturation of the central nervous system controlling bladder function, which can affect the ability to awaken in response to a full bladder.
- Genetic Predisposition:
- Family history of bedwetting increases the likelihood of a child experiencing enuresis, suggesting a genetic component.
- Bladder Dysfunction:
- Imbalance between bladder storage capacity and the ability to awaken when the bladder is full, leading to involuntary nighttime voiding.
- Hormonal Factors:
- Insufficient release of antidiuretic hormone (ADH) at night, impacting the reduction of urine production during sleep.
- Psychological and Emotional Factors:
- Stress, anxiety, and emotional issues can contribute to enuresis. Major life changes or traumatic events may exacerbate or trigger bedwetting episodes.
Desired Outcome for Enuresis/Bedwetting
- Achievement of Dry Nights:
- The primary goal is for the individual to consistently stay dry throughout the night, indicating improved bladder control.
- Improved Self-Esteem:
- Enhancing the individual’s self-confidence and reducing feelings of embarrassment or shame associated with bedwetting.
- Normalization of Sleep Patterns:
- Establishment of regular sleep patterns without disruptions due to the need to wake up for urination, leading to improved overall sleep quality.
- Effective Coping Mechanisms:
- Acquisition of coping strategies and skills to manage stress or emotional factors contributing to bedwetting, fostering psychological well-being.
- Enhanced Quality of Life:
- Improvement in the overall quality of life for both the individual and their family, with decreased impact on daily activities and social interactions.
Enuresis / Bedwetting Nursing Care Plan
Subjective Data:
- Repeat bedwetting
- Wetting twice a week for 3 months or more
- Anxiety
- Pain with urination
- Abdominal pain
Objective Data:
- Small sized bladder
- Blood or mucus in urine
Nursing Assessment for Enuresis/Bedwetting
- Detailed Medical History:
- Gather information on the individual’s medical history, including any previous treatments, surgeries, or underlying medical conditions that may contribute to enuresis.
- Voiding Diary:
- Have the individual or their caregiver maintain a voiding diary to track patterns of fluid intake, frequency of urination, and instances of bedwetting. This helps identify potential triggers.
- Family History:
- Explore family history, as enuresis can sometimes have a genetic component. Understanding family dynamics and stressors is crucial.
- Psychosocial Assessment:
- Assess the individual’s emotional well-being, stress levels, and any recent life changes or events that may be impacting their mental health and contributing to enuresis.
- Sleep Patterns:
- Evaluate the individual’s sleep habits, including bedtime routines, duration of sleep, and any disturbances during the night. Poor sleep hygiene can be a contributing factor.
- Physical Examination:
- Perform a physical examination with a focus on the genitourinary system to identify any anatomical abnormalities or signs of infection that may contribute to bedwetting.
- Bladder Function Assessment:
- Assess bladder function, including capacity and signs of overactivity, to identify any underlying bladder dysfunction or neurogenic issues.
- Psychological Assessment:
- Collaborate with a mental health professional to assess any psychological factors contributing to enuresis, such as anxiety, trauma, or behavioral issues.
Implementation for Enuresis/Bedwetting
- Behavioral Interventions:
- Implement behavioral strategies, such as positive reinforcement for dry nights, reward systems, and maintaining a consistent bedtime routine. Encourage the individual to take an active role in managing their condition.
- Fluid Management:
- Educate the individual and their family about appropriate fluid intake, especially in the evening. Limiting caffeine and sugary drinks can help manage nighttime urination.
- Bladder Training:
- Develop a bladder training program to gradually increase the time between voids, helping the individual learn to hold urine for longer periods. Scheduled voiding before bedtime may be incorporated.
- Use of Bedwetting Alarms:
- Introduce bedwetting alarms as part of a conditioning program. These alarms are designed to wake the individual when moisture is detected, helping them make the connection between a full bladder and waking up.
- Medication Management:
- If indicated and after consultation with a healthcare provider, consider medications such as desmopressin or imipramine. These medications can help reduce nighttime urine production or improve bladder function.
Nursing Interventions and Rationales
- Perform physical assessment, noting signs of rash or irritation of the genital area
Skin irritation may cause a child to hold urine if there is pain with voiding. Observe for signs of sexual abuse.
- Obtain history from patient and parents/caregivers. Note any changes in home or social situation that may cause stress.
Help determine cause of symptoms: social or emotional stress and changes in family dynamics can cause children to have wetting accidents
- Assess abdomen
- Look for signs of distention
- Listen – auscultate for bowel sounds
- Feel- palpate for distended bladder or signs of constipation. Note presence of tenderness
Chronic constipation can be a factor in causing enuresis. A large mass of stool in the colon puts pressure on the bladder, which may lead to a diminished ability to control urine or a decreased capacity to hold urine.
- Collect sample and monitor results for urinalysis
To determine if a urinary tract infection is the cause of symptoms
- Administer medication as appropriate
- Antibiotics may be given if the cause of enuresis is determined to be urinary tract infection.
- The medication desmopressin may be given for low levels of vasopressin, a hormone that tells the kidneys to slow urine production.
- Imipramine may be given to help stimulate vasopressin secretion and decrease REM sleep so patient wakes with urge to void.
- Provide education and motivational interventions:
- Keep a calendar of wet and dry days
- Set a toileting schedule
- Avoid caffeine or high-sugar drinks
- Minimize fluid intake in the evening
- Consider enuresis alarms
- A calendar can help determine if there is a pattern to wetting and what may trigger the incidences.
- Help the child train their body to void at appropriate times.
- Sugar and caffeine can increase urgency and frequency of urination, especially at night.
- Encourage fluid intake in the daytime hours, but limit fluid in the evenings to prevent overload during the night.
- Alarms may be placed on the bed to alert or wake the child when they void.
- Provide education and resources for parents
- Encourage parents/caregivers to be patient with child.
- Remind parents/caregivers that the child is not at fault and discourage punishments which can cause stress and worsen the situation.
- Provide referrals as appropriate for behavioral health or urology specialists if necessary.
Evaluation for Enuresis (Bedwetting)
- Frequency of Bedwetting Episodes:
- Assess the reduction in the frequency of bedwetting episodes. Compare the current frequency with the baseline to determine the effectiveness of interventions.
- Impact on Quality of Life:
- Evaluate the child’s overall well-being and assess whether the interventions have positively impacted their quality of life. Consider factors such as self-esteem and emotional well-being.
- Compliance with Intervention Strategies:
- Determine the extent of the child’s and family’s compliance with the recommended intervention strategies. Evaluate whether behavioral modifications, bladder training, or other interventions are consistently implemented.
- Resolution of Contributing Factors:
- Review the resolution or improvement of contributing factors, such as emotional stress, constipation, or sleep disorders. Assess whether addressing these factors has positively influenced the management of bedwetting.
- Collaboration with Healthcare Providers:
- Evaluate the collaboration with healthcare providers, including pediatricians, urologists, or psychologists. Assess whether the interdisciplinary approach has contributed to a comprehensive and effective management plan.
References
- https://www.webmd.com/mental-health/enuresis#2-6
- https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=90&contentid=p03083
- https://emedicine.medscape.com/article/1014762-overview
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Transcript
This is the nursing care plan for enuresis or bedwetting. So urinary incontinence also known as any enuresis is normal for children under the age of three, but as they grow children gain more control of the bladder, nocturnal enuresis or bedwetting is the most common. And it occurs when the child who normally has bladder control has episodes of wetting during the night, nocturnal enuresis or daytime is when the child is having episodes of wetting during the day there’s primary enuresis that describes the child who is not yet fully potty trained. And there are secondary reasons when the child is toilet trained, but still has episodes of wetting after periods of dryness. So some nursing considerations. So we want to do a good skin assessment. We want to make sure that we’re checking for rash or break down. We want to collect a urine analysis. We want to do an abdominal assessment. We want to provide education and resources for parents and patients regarding enuresis. And we want to administer any medications as ordered. The desired outcome for this patient is that this patient is going to have an optimal voiding pattern. The patient is going to be free from infection. The patient is going to understand and act on the urge to void, and the patient is going to have a decreased number of incontinent episodes.
So when this patient comes in, there’s going to be a few things that are subjective, that the patient’s going to report to us, or the parent is going to report to us. So the first thing about any reason that we want to know is they are going to tell us that there is a repeat bedwetting. So that’s going to be the first thing there’s going to be a repeat bedwetting. The next thing that they are going to want to tell us is that they are wetting once or twice a week, for three months or more. Okay, there is going to be some anxiety. So the patient is going to have some anxiety. There may be some pain with urination. So pain. There may also be some abdominal pain. When we assess the patient, we’re going to cover some objective data. We may notice that there is a small bladder and we’ll do that by palpation or by imaging, or we may notice blood or mucus in the urine. This can give us some good information to indicate a few things. So the nursing interventions that we can do, the first thing is we want to assess, we’re going to assess, we’re going to do a physical assessment. We’re going to know any signs of rash or irritation to the genital area. Remember that skin irritation may cause a child to hold it in. And if there’s any pain while voiding, we want to observe also for signs of sexual abuse.
The next thing we want to do is we want to collect a sample. So we want to do a urinalysis. So UA, and the reason why we want to do that is sometimes patients tend to hold onto urine, or it’s difficult to urinate if there is a urinary tract infection. So they may not want to go when it’s time to go, because it’s just very painful. So this is for a U T I, the next thing we want to do is we want to assess the abdomen. So we want to assess the abdomen. The reason why we want to assess the abdomen is because we want to check to see if there’s any constipation. Remember chronic constipation can be a factor in causing enuresis. A large mass of stool in the colon puts a lot of pressure on the bladder and it makes it diminished to be able to control the urine or a decreased capacity to hold urine.
So that bladder space is decreased. We have decreased space in the bladder, maybe because of constipation. We want to provide some education and resources for the patients. So we want to encourage patients to be patient with the child, remind them that the child is not at fault and discourage punishments, which can cause stress and worse than that situation. Oftentimes parents may be angry or frustrated because the child is wetting the bed, but we want to assure them that it is not the child’s fault. Also, we want to make sure that we can provide any type of referrals as appropriate for any behavioral health issues. Or we may want to consult a urologist if necessary. So consult, urologist or psych.
Finally, we want to administer any medications as appropriate. So we want to give some medicine; some meds that may be ordered are antibiotics. If it is a UTI if we can; what else can we or we offer desmopressin that’s given for low levels of vasopressin and that’s the hormone that tells the kidneys to slow your production. We may also give a medication to stimulate vasopressin secretion. some pathophysiology here. So remember, any reason is normal for a child under the age of three, but as they grow children gain more control of the bladder, subjective data. Remember, repeat bedwetting twice a week, repeat bedwetting for twice a week. And that’s going to be over a course of three months. There’s going to be some anxiety, abdominal pain. We may observe a small bladder.
There may be blood or mucus in the urine. A skin assessment is the first thing we want to do. We want to do a good skin assessment because this patient is at risk for skin breakdown. And there may be some irritation that will cause the patient to not void on time. We want to do a urinalysis. Remember one cause of bedwetting is a urinary tract infection. We want to collect a sample and we want to send that sample to the lab because then we can intervene with any antibiotic therapy. We love you guys; go out and be your best self today. And, as always, happy nursing.
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Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for Newborn Reflexes
Nursing Case Study for Maternal Newborn
Nutrition Assessments
Nutrition in Pregnancy
Nutritional Requirements
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Course Introduction
OB Non-Stress Test Results Nursing Mnemonic (NNN)
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Obstetric Trauma for Certified Emergency Nursing (CEN)
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)
Oxytocin (Pitocin) Nursing Considerations
Pediatric Vital Signs (VS)
Physiological Changes
Phytonadione (Vitamin K)
Phytonadione (Vitamin K) for Newborn
Placenta Previa
Placenta Previa for Certified Emergency Nursing (CEN)
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Physiological Maternal Changes
Postpartum Thrombophlebitis
Precipitous Labor
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Preload and Afterload
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor for Certified Emergency Nursing (CEN)
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Process of Labor
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Process of Labor – Baby Nursing Mnemonic (ALPPPS)
Process of Labor – Live Tutoring Archive
Process of Labor 2 – Live Tutoring Archive
Prolapsed Umbilical Cord
Promethazine (Phenergan) Nursing Considerations
Prostaglandins
Prostaglandins in Pregnancy
Protein (PROT) Lab Values
Retinopathy of Prematurity (ROP)
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Signs of Pregnancy – Live Tutoring Archive
Signs of Pregnancy (Presumptive, Probable, Positive)
Spironolactone (Aldactone) Nursing Considerations
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Subinvolution
Terbutaline (Brethine) Nursing Considerations
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Tips & Advice for Newborns (Neonatal IV Insertion)
Tocolytics
Tocolytics
Top 5 Misunderstood OB Concepts – Live Tutoring Archive
Transient Tachypnea of Newborn
Umbilical Cord Vasculature Nursing Mnemonic (2A1V)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
What the Heck is Antepartum Testing? – Live Tutoring Archive
Abdomen (Abdominal) Assessment
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Acetaminophen (Tylenol) Nursing Considerations
Acute Bronchitis
Acute Otitis Media (AOM)
Airborne Precaution Diseases Nursing Mnemonic (MTV)
Albuterol (Ventolin) Nursing Considerations
Alveoli & Atelectasis
Amoxicillin (Amoxil) Nursing Considerations
Anti-Infective – Antivirals
Anti-Infective – Macrolides
Anti-Infective – Penicillins and Cephalosporins
Anti-Infective – Fluoroquinolones
Appendicitis
Appendicitis – Assessment Nursing Mnemonic (PAINS)
Appendicitis Case Study (Peds) (30 min)
Appendicitis for Certified Emergency Nursing (CEN)
Assessment of a Burn Nursing Mnemonic (SCALD)
Asthma
Asthma Concept Map
Asthma management Nursing Mnemonic (ASTHMA)
Attention Deficit Hyperactivity Disorder (ADHD)
Autism Spectrum Disorders
Base Excess & Deficit
Bisacodyl (Dulcolax) Nursing Considerations
Blood Brain Barrier (BBB)
Blood Type O Nursing Mnemonic (Universally Odd)
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Bronchodilators
Bupropion (Wellbutrin) Nursing Considerations
Burn Injuries
Burn Injury Case Study (60 min)
Burns for Certified Emergency Nursing (CEN)
Cardiac Glycosides
Care of the Pediatric Patient
Casting & Splinting
Cefaclor (Ceclor) Nursing Considerations
Celiac Disease
Cerebral Palsy (CP)
Cimetidine (Tagamet) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Cleft Lip and Palate
Cleft Lip Repair – Post Op Care Nursing Mnemonic (CLEFT LIP)
Clubfoot
Congenital Heart Defects (CHD)
Conjunctivitis
Constipation and Encopresis (Incontinence)
Corticosteroids
Coumarins
Cyanotic Defects Nursing Mnemonic (The 4 T’s)
Cystic Fibrosis (CF)
Day in the Life of a NICU Nurse
Day in the Life of a Peds (Pediatric) Nurse
Defects of Decreased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Dehydration
Diarrhea – Treatment Nursing Mnemonic (BRAT)
Digoxin (Lanoxin) Nursing Considerations
Diphenhydramine (Benadryl) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Eczema
EENT Assessment
Enuresis
Epiglottitis
Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)
Epispadias and Hypospadias
Famotidine (Pepcid) Nursing Considerations
Fever
Fever Case Study (Pediatric) (30 min)
Flu Symptoms Nursing Mnemonic (FACTS)
Fluid Compartments
Fluid Pressures
Fluid Shifts (Ascites) (Pleural Effusion)
Fluid Volume Deficit
Fluticasone (Flonase) Nursing Considerations
Gas Exchange
Gentamicin (Garamycin) Nursing Considerations
Glucose Lab Values
Gluten Free Diet Nursing Mnemonic (BROW)
Guaifenesin (Mucinex) Nursing Considerations
Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)
Hematocrit (Hct) Lab Values
Hemoglobin (Hbg) Lab Values
Hemophilia
Hierarchy of O2 Delivery
Hydrocephalus
Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)
Ibuprofen (Motrin) Nursing Considerations
Immunizations (Vaccinations)
Imperforate Anus
Impetigo
Indomethacin (Indocin) Nursing Considerations
Influenza – Flu
Integumentary (Skin) Assessment
Intussusception
Intussusception for Certified Emergency Nursing (CEN)
Iron Deficiency Anemia
Isolation Precaution Types (PPE)
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Lactulose (Generlac) Nursing Considerations
Leukemia
Levels of Consciousness (LOC)
Levetiracetam (Keppra) Nursing Considerations
Lung Sounds
Marfan Syndrome
Meningitis
Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)
Meningitis for Certified Emergency Nursing (CEN)
Methylphenidate (Concerta) Nursing Considerations
Mixed (Cardiac) Heart Defects
Mumps
Nephroblastoma
Nephrotic Syndrome
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro Assessment
NSAIDs
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Celiac Disease
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Constipation / Encopresis
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Eczema (Infantile or Childhood) / Atopic Dermatitis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Fluid Volume Deficit
Nursing Care Plan (NCP) for Hemophilia
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Phenylketonuria (PKU)
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Tonsillitis
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Case Study for Pediatric Asthma
Obstructive Heart (Cardiac) Defects
Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)
Omphalocele
Opioid Analgesics
Pancrelipase (Pancreaze) Nursing Considerations
Pediatric Bronchiolitis Labs
Pediatric Gastrointestinal Dysfunction – Diarrhea
Pediatric Oncology Basics
Pediatrics Course Introduction
Pediculosis Capitis
Pertussis – Whooping Cough
Phenylketonuria
Phenytoin (Dilantin) Nursing Considerations
Platelets (PLT) Lab Values
Pneumonia
Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)
Pulmonary Function Test
Red Blood Cell (RBC) Lab Values
Respiratory Acidosis (interpretation and nursing interventions)
Reye’s Syndrome
Reyes Syndrome Case Study (Peds) (45 min)
Rheumatic Fever
ROME – ABG (Arterial Blood Gas) Interpretation
Rubeola – Measles
Salmeterol (Serevent) Nursing Considerations
Scoliosis
Selegiline (Eldepyrl) Nursing Considerations
Sickle Cell Anemia
Spina Bifida – Neural Tube Defect (NTD)
Steroids – Side Effects Nursing Mnemonic (6 S’s)
Stoma Care (Colostomy bag)
Strabismus
Sudden Infant Death Syndrome (SIDS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Thorax and Lungs Assessment
Tonsillitis
Topical Medications
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)
Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)
Umbilical Hernia
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Varicella – Chickenpox
Varicella Case Study (Peds) (30 min)
Vitals (VS) and Assessment
Vomiting
White Blood Cell (WBC) Lab Values
X-Ray (Xray)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Emotions and Motivation
Growth & Development Theories
Maslow’s Hierarchy of Needs in Nursing
Psychological Disorders
State of Consciousness
Stress and Crisis