Neonatal and Pediatric Respiratory Care PDF: A Patient Case Method
|Author||Julianne Perretta MSEd RRT-NPS CHSE|
|File size||11.97 MB|
|Category||Free Medical Books,Respiratory Medicine|
I knew from the moment I started my respiratory training at the Indiana University of Pennsylvania School of Respiratory Care that I wanted to focus on childhood cardiopulmonary management. I actively sought out extra clinical rotations in neonatal and pediatric units and spent all of my low-acuity clinical time interrogating neonatal and pediatric RTs about the clinical units, the equipment, and the role of the RT in interdisciplinary patient management. I was thrilled to secure a position upon graduation at the Johns Hopkins Neonatal Intensive Care Unit because it was one of the few places I knew that would hire a new RT into a pediatric specialty area. My story is not a unique one. It is challenging for RT students who may want to specialize in caring for children, because neonatal and pediatric clinical rotations are inconsistent. Some students may not see a large portion of the patients, disease processes, or therapeutic modalities discussed in class, which means they graduate without first-hand experience. Nationally, the neonatal and pediatric exposure is different for graduates from different programs, and even classmates may have very different clinical experiences. In this text I hope to assist in giving students a cognitive understanding of pediatric and neonatal diseases, as well as a foundation of patient experiences that will help build a thorough understanding of how to translate that knowledge to the bedside. The clinical cases woven throughout this text provide readers with a context to understand the clinical information presented, as well as an opportunity to develop critical-thinking skills. Running Case Studies Each chapter begins with the introduction of a patient who is revisited at intervals throughout the chapter. This patient’s story will reinforce key concepts such as laboratory values, clinical observations, and treatment modalities. At the end of the chapter, the patient is revisited to summarize his or her plan of care and outcomes, as well as to present some additional critical-thinking questions. Consistent Format Each disease chapter is presented in the same way and in the same order, including sections discussing background, pathophysiology, clinical manifestations, management and treatment, and course and prognosis. Background information in each chapter seeks to answer questions such as: What is the frequency of the condition (how common is it)? What patient population does it most commonly affect (e.g., neonates, young children, males versus females)? Is it congenital? Is it an infectious disease? General causes and related descriptions are included.
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