Paroxysmal Sympathetic Hyperactivity in Children: An Exploratory Evaluation of Nursing Interventions
| Autor: | Lisa Letzkus, Christine Kennedy, Jessica Keim-Malpass, Joel G. Anderson |
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| Rok vydání: | 2017 |
| Předmět: |
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medicine.medical_specialty Adolescent Databases Factual Psychological intervention Hyperkinesis Nurse's Role Risk Assessment Pediatrics Cohort Studies Disability Evaluation 03 medical and health sciences 0302 clinical medicine medicine Nursing Interventions Classification Humans Nursing documentation Child Paroxysmal sympathetic hyperactivity Nursing Assessment Retrospective Studies business.industry Symptom management Evidenced based Infant 030208 emergency & critical care medicine Medication administration Prognosis medicine.disease Autonomic Nervous System Diseases Brain Injuries Child Preschool Physical therapy Female business 030217 neurology & neurosurgery Clinical nursing |
| Zdroj: | Journal of Pediatric Nursing. 34:e17-e21 |
| ISSN: | 0882-5963 |
| DOI: | 10.1016/j.pedn.2017.02.034 |
| Popis: | Background Paroxysmal sympathetic hyperactivity (PSH) produces symptoms of autonomic instability and muscle over-activity; however, the majority of nursing interventions used in clinical practice are anecdotal and not evidenced based. Objective The primary objective was to report nursing documentation of PSH events, and to describe the clinical nursing interventions and care provided to children who have suffered a severe brain injury and are exhibiting PSH. The secondary objective was to demonstrate how the Symptom Management Theory (SMT) can serve as a framework for research related to brain injury and PSH. Methodology The study consisted of a retrospective chart review of nursing progress notes using direct content analysis. The nested sample of ten randomly selected charts was chosen from a larger quantitative study of 83 children who had suffered severe brain injuries with and without PSH. Textual analysis of verbatim nursing progress notes was used to describe nursing interventions that were used and documented for this patient population. Results The priority nursing interventions to manage these symptoms included medication administration, facilitation of family presence, and strategies to target auditory, tactile, and visual stimuli. The sample received different individual interventions for PSH. Additionally, individual subjects demonstrated different patterns of interventions. Implications While tactile interventions were documented most frequently, there was not a uniform approach to interventions. The SMT can be useful to provide a framework that organizes and tests clinical care and management of PSH strategies. |
| Databáze: | OpenAIRE |
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