Type 1 Diabetes Management and Health Care Experiences Across Rural Nebraska
Type 1 diabetes mellitus (T1DM) is a life-threatening auto-immune disease affecting more than 1.6 million Americans, and cases are expected to triple by 2050 (Centers for Disease Control and Prevention, 2020). Though T1DM affects people of all ages, childhood diagnoses are increasing globally. These trends extend to Americans who spend approximately 16 billion dollars annually on health care costs and lost wages, costing a person with T1DM $500,000 over a lifetime. This chronic disease has an unpredictable onset and requires immediate intervention to prevent further medical complications. (Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - September 2, 2022 Category: Pediatrics Authors: Vanessa D. Jewell, Amanda C. Wise, Emily L. Knezevich, Amy A. Abbott, Benjamin Feiten, Kameran Dostal Tags: Article Source Type: research
Quality of Life in Adolescents and Young Adults With a Chronic Medical Condition: The Role of Perceived Maturity and Transition Readiness
Adolescents and young adults (AYA) with a chronic medical condition (CMC) attending college must learn to manage their own healthcare (i.e., transition readiness). Maturity has been linked to positive outcomes in AYAs. Research has established a positive relationship between transition readiness and quality of life. The current study aimed to examine a model of perceived maturity àtransition readinessàmental and physical quality of life. (Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - September 2, 2022 Category: Pediatrics Authors: Taylor M. Dattilo, Rachel S. Fisher, Caroline M. Roberts, Christina M. Sharkey, Ashley Clawson, John M. Chaney, Larry L. Mullins Tags: Article Source Type: research
Necrotizing Enterocolitis in a Term Newborn: A Case Report
This case report describes a 5-day-old term infant with necrotizing enterocolitis (NEC). The clinical presentation, diagnostic reasoning, current literature, hospital course, and follow-up are discussed. Necrotizing enterocolitis is a gastrointestinal emergency characterized by severe inflammation and ischemic necrosis of the intestinal mucosa. Usually a condition of prematurity, NEC primarily occurs in very low birth weight premature infants. Necrotizing enterocolitis can be managed medically or surgically, depending on the severity. (Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - September 1, 2022 Category: Pediatrics Authors: Mary Jean Ohns Tags: Case Report Source Type: research
Treatment-Refractory Dravet Syndrome: Considerations for Novel Medications
Before 2018, there were no U.S. Food and Drug Administration-approved medications for managing seizures in Dravet syndrome (DS). Common agents used in the antiepileptic drug regimens of patients with DS included clobazam, valproic acid, topiramate, and levetiracetam, among others; however, these agents alone rarely provide adequate seizure control. Management of seizures in DS changed in recent years with the approval of cannabidiol and stiripentol in 2018 and fenfluramine in 2020. This continuing education article summarizes available efficacy and safety data involving cannabidiol, stiripentol, and fenfluramine and provid...
Source: Journal of Pediatric Health Care - August 18, 2022 Category: Pediatrics Authors: Juan Carlos Lopez, Jasmine R. Pare, Allison B. Blackmer, Lucas E. Orth Tags: Pharmacology Continuing Education Source Type: research
Genital Examination of the Prepubertal Female: Essentials for Pediatric Nurse Practitioners
The gynecologic assessment in prepubertal children is an essential element of a thorough physical examination. It is not unusual for pediatric health care providers, including pediatric nurse practitioners (PNPs), to feel challenged by assessing for gynecologic signs and symptoms and performing a physical examination of the external genitalia in prepubertal girls (Bhoopatkar, Wearn,& Vnuk, 2017; Dabson, Magin, Heading,& Pond, 2014; McBain, Pullon, Garrett,& Hoare, 2016). The benefits of routine genital examinations have been discussed in the literature, including increasing patient and caregiver comfort with an exami...
Source: Journal of Pediatric Health Care - August 18, 2022 Category: Pediatrics Authors: Gail Hornor Tags: Continuing Education Source Type: research
Rediscovering Our Why
(Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - August 18, 2022 Category: Pediatrics Source Type: research
Table of Contents
(Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - August 18, 2022 Category: Pediatrics Source Type: research
Editorial Board Page
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Source: Journal of Pediatric Health Care - August 18, 2022 Category: Pediatrics Source Type: research
Society Page
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Source: Journal of Pediatric Health Care - August 18, 2022 Category: Pediatrics Source Type: research
Information for Readers
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Source: Journal of Pediatric Health Care - August 18, 2022 Category: Pediatrics Source Type: research
Delayed Management of Insulin-Dependent Diabetes Mellitus in Children
Diabetes is one of the most common chronic illnesses in pediatrics with an increasing incidence in recent years, exacerbated during the COVID-19 pandemic (Chao, Vidmar,& Georgia, 2021; Klingensmith et al., 2016; Lawrence et al., 2021; Nagl et al., 2022; Zylke& DeAngelis, 2007). An accurate and timely diagnosis is imperative to prevent acute complications such as diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS). DKA at disease onset is estimated to be present in 15% to 67% of patients with type 1 diabetes (T1D) and 4% to 25% of patients with type 2 diabetes (T2D; Dabelea et al., 2014; Wolfsdorf et al.,...
Source: Journal of Pediatric Health Care - August 14, 2022 Category: Pediatrics Authors: Emir Tas, Katrin Wooley, Vildan Tas, Yu-Chi Annie Wang Tags: Article Source Type: research
What Do Adolescents and Their Parents Need From Mental Health Integration in Primary Care? A Qualitative Exploration of Design Insights
The design of integrated adolescent mental health care design should address needs and preferences of patients and parents/guardians. (Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - August 8, 2022 Category: Pediatrics Authors: Andrea J. Hoopes, Susan D. Brandzel, Casey Luce, Dawn M. Ferguson, Lisa Shulman, Blanca Chavez, Paula Lozano, Gwen T. Lapham Tags: Article Source Type: research
Improving Interprofessional Collaboration Between Behavioral Mental Health and Pediatric Primary Care Providers Through Standardized Communication
Pediatric mental health crisis increases demand for integrated behavioral health and pediatric primary care providers (PPCP). Communication is key to successful integrated pediatric behavioral-mental health, but studies demonstrate gaps between existing and desired communication practices. Project aims to improve PPCP factors and patient outcomes by implementing standardized communication tool in the Electronic Health Record (EHR). (Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - August 6, 2022 Category: Pediatrics Authors: Kari Overstreet, Anne Derouin Tags: Article Source Type: research
From Human Papillomavirus to COVID-19: Adolescent Autonomy and Minor Consent for Vaccines
Adolescent minors in every state can give their own consent for some health care. Although parent consent is generally required for vaccination, there are exceptions in some states. Completion rates are low for recommended adolescent vaccines; allowing adolescents to consent may improve coverage, although more study is needed on barriers to vaccine completion and the feasibility of changes in consent laws. The COVID-19 pandemic highlights the importance of vaccines and related challenges. This policy brief reviews laws governing adolescent consent for health care, including vaccines, and recommends advocacy to support incr...
Source: Journal of Pediatric Health Care - August 5, 2022 Category: Pediatrics Authors: Lisa Klee Mihaly, Naomi A. Schapiro, Abigail English Tags: Health Policy Source Type: research
A Clinical Educational Intervention to Increase HPV Vaccination Rates Among Pediatric Patients Through Enhanced Recommendations
The human papillomavirus (HPV) causes largely preventable cancers by completing a vaccination series. However, pediatric HPV vaccination rates remain low. Current evidence indicates that integrating five factors creates a high-quality recommendation associated with higher HPV vaccination rates. This quality improvement project aimed to evaluate the impact of an educational intervention to improve the quality of providers ’ recommendations and subsequent vaccination rates. (Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - August 3, 2022 Category: Pediatrics Authors: Kelley R. Davis, Sharon L. Norman, Bradley G. Olson, Shaban Demirel, Asma A. Taha Tags: Article Source Type: research
