ABSTRACT
Clinical pathways are for predictable, routine, high volume kinds of patients and procedures. Case management is a strategy that is for unpredictable, complex, high cost/high risk kinds of patients.
Subject(s)
Case Management/organization & administration , Critical Pathways/organization & administration , Orthopedic Nursing , Pediatric Nursing , Hospitals, Pediatric , HumansABSTRACT
In the current environment of constant and rapid change in health care, critical thinking is essential. Both personal ability to think critically and a willingness to do so are involved and are related to the individual and to the organization in which the individual works. Knowledge, experience, attitudes, thinking strategies, skills, and an organizational culture that values critical thinking are essential factors in the development and practice of those skills. There is no magic solution. There must be a commitment by all levels of the organization to develop and use the principles and skills of critical thinking.
Subject(s)
Clinical Competence , Judgment , Nursing Process , Thinking , Health Knowledge, Attitudes, Practice , Humans , Models, Nursing , Organizational CultureABSTRACT
Clubfoot is a birth defect that is marked primarily by a deformed talus (ie, ankle) and calcaneous (ie, heel) that give the foot a characteristic "club-like" appearance. In congenital idiopathic clubfoot (ie, talipes equinovarus), the infant's foot points downward (ie, equinus) and turns inward (ie, varus), while the forefoot curls toward the heel (ie, adduction). This congenital disorder has an incidence of 1 in 400 live births, with boys affected twice as often as girls. Unilateral clubfoot is somewhat more common than bilateral clubfoot and may occur as an isolated defect or in association with other disorders (eg, chromosomal aberrations, cerebral palsy, spina bifida, arthrogryposis). Infantile clubfoot deformity is painless and is correctable with early diagnosis and prompt treatment.
Subject(s)
Clubfoot/nursing , Operating Room Nursing/methods , Clubfoot/classification , Clubfoot/history , Clubfoot/surgery , History, 19th Century , History, 20th Century , Humans , Infant , Infant, Newborn , Patient Care Planning , Surgical InstrumentsABSTRACT
Although not life-threatening, clubfoot, a non-traumatic deviation of the foot, makes a strong impact on the infant, parents, and family. Serial casting with or without surgical intervention make up the medical plan. Nursing care needs to focus on emotional support of the family and education regarding the diagnosis, treatment plan, and daily care of an infant in a cast.
