Record keeping
9 Record keeping Record-keeping overview Record keeping or documentation is an integral component of communication in today’s healthcare climate. It is essential that good practice in record keeping is upheld…
History taking
2 History taking History taking overview History taking is a key component of a nursing patient assessment and an important part of prioritizing and planning care. Traditionally, a medical history…
Developmental considerations
5 Developmental considerations Developmental considerations overview The important developmental considerations are shown below. Age Gross motor Fine motor Language Social Birth ReflexiveFlexed postureComplete head lagHand fisted Recognizes parental voiceMakes throaty…
Communication
4 Communication Communication overview Communication is an essential skill in the assessment and care of children, young people and their families. There are four main types of communication, each with…
Family-centred care
8 Family-centred care Defining family-centred care There is a plethora of published literature which documents the evolution of family-centred care over seven decades. The term family-centred care is synonymous with…
Principles of systematic assessment
3 Principles of systematic assessment Systematic assessment overview Assessment of the child or young person and family is multi-faceted. The important components include subjective observation and history taking, as discussed…
Informed consent
6 Informed consent Informed consent overview Consent is the principle that a person must give permission before any treatment or examination can be instigated. Valid consent must be sought before…
Initial assessment: subjective
1 Initial assessment: subjective Assessment overview Assessment is an important component of nursing practice, necessary for the planning and delivery of patient and family-centred care. A comprehensive nursing assessment includes…
