RESUMO
Mild traumatic brain injury (MTBI) is frequently encountered in pediatrics and challenges healthcare practitioners to provide safe, consistent, cost-effective care. Clinical management of children who sustain MTBI poses dilemmas for healthcare practitioners. This article will provide an overview of pediatric MTBI including definition, issues impacting diagnosis and management, risk factors for intracranial injury, indications for diagnostic imaging, disposition, and return to sports/activity. Knowledge and understanding of MTBI in children aid healthcare practitioners to make informed competent recommendations for care. Clinicians must have a thorough understanding and working knowledge of pediatric MTBI to aid clinical decisions and optimize patient outcomes.
Assuntos
Concussão Encefálica/diagnóstico , Concussão Encefálica/terapia , Atividades Cotidianas , Adolescente , Assistência ao Convalescente , Algoritmos , Beisebol/lesões , Concussão Encefálica/complicações , Dano Encefálico Crônico/etiologia , Criança , Transtornos Cognitivos/etiologia , Árvores de Decisões , Feminino , Escala de Coma de Glasgow , Cefaleia/etiologia , Hospitais Pediátricos , Humanos , Ohio , Pais/educação , Educação de Pacientes como Assunto , Seleção de Pacientes , Guias de Prática Clínica como Assunto , Fatores de Risco , Esportes , Tomografia Computadorizada por Raios X , Traumatologia/organização & administraçãoRESUMO
PURPOSE: Our Level I Pediatric Trauma Center employs pediatric nurse practitioners (PNP) to manage inpatients. We hypothesized that the involvement of a PNP would lead to increased nursing staff satisfaction with patient care. METHODS: Children admitted to the trauma service were randomized to PNP or resident care groups. Nurses caring for these children were asked to fill out a satisfaction survey regarding the care that the child received. FINDINGS: Sixty-five nurses participated. Nurses scored the PNP group significantly higher in human qualities, information given about the tests, management of the child's pain, and response time to pages/questions. CONCLUSIONS: Involvement of the PNP leads to higher nursing satisfaction scores compared with residents while providing equivalent care for injured children.
