Disorders and General Intervention Consideration for PEDS #3
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| Burns | 1st degree: damage tissue, heal w/out scarring. 2nd degree: involve epidermis/parts of dermis, may scar. 3rd/4th degree: involves muscles, deep tissue damage. | Positioning & Splinting | Splint in functional position to initially aid in healing/later splint to increase function.
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| Burns | 1st degree: damage tissue, heal w/out scarring. 2nd degree: involve epidermis/parts of dermis, may scar. 3rd/4th degree: involves muscles, deep tissue damage. | ROM | PROM and AROM techs are used to promote full ROM.
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| Burns | 1st degree: damage tissue, heal w/out scarring. 2nd degree: involve epidermis/parts of dermis, may scar. 3rd/4th degree: involves muscles, deep tissue damage. | Engagement in occupations | Provides remediation, adaptation, and modification so child may participate in occupations.
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| Burns | 1st degree: damage tissue, heal w/out scarring. 2nd degree: involve epidermis/parts of dermis, may scar. 3rd/4th degree: involves muscles, deep tissue damage. | Social participation | Helps child return to social situations.
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| Burns | 1st degree: damage tissue, heal w/out scarring. 2nd degree: involve epidermis/parts of dermis, may scar. 3rd/4th degree: involves muscles, deep tissue damage. | Scar tissue management | Spinting, desensitization techs, and pressure garments are used to decrease scarring.
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| Burns | 1st degree: damage tissue, heal w/out scarring. 2nd degree: involve epidermis/parts of dermis, may scar. 3rd/4th degree: involves muscles, deep tissue damage. | Edema management | Retrograde massage, gentle ranging, and elevation may help manage edema
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| Burns | 1st degree: damage tissue, heal w/out scarring. 2nd degree: involve epidermis/parts of dermis, may scar. 3rd/4th degree: involves muscles, deep tissue damage. | Self-concept | Participation in occupations enables child to develop positive self-concept
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| Burns | 1st degree: damage tissue, heal w/out scarring. 2nd degree: involve epidermis/parts of dermis, may scar. 3rd/4th degree: involves muscles, deep tissue damage. | Psychological/emotional issues | Provide a range of activities to help child work through emotional issues associated w/burns. Children who have burns may experience difficulty w/body image.
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| Childhood Obesity and Associated Juvenile Diabetes | Frequent urination, profuse sweating, weight gain or loss. excessive or uncontrolled eating, Recurrent infections, excessive sugar in blood or urine, shortness of breath, poor endurance, painful hips/knee joints | Education | Consult with dietician or nutritionist and parents/caregivers to identify current diet. Reinforce proper diet/exercise through education of child/family.
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| Childhood Obesity and Associated Juvenile Diabetes | Frequent urination, profuse sweating, weight gain or loss. excessive or uncontrolled eating, Recurrent infections, excessive sugar in blood or urine, shortness of breath, poor endurance, painful hips/knee joints | Physical Activity | Participation in activities such as biking, walking, dancing, swimming
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| Childhood Obesity and Associated Juvenile Diabetes | Frequent urination, profuse sweating, weight gain or loss. excessive or uncontrolled eating, Recurrent infections, excessive sugar in blood or urine, shortness of breath, poor endurance, painful hips/knee joints | Self-control | Strategies to help child gain control of behaviors. May include decreasing tv/video time and increasing active physical activity time.
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| Childhood Obesity and Associated Juvenile Diabetes | Frequent urination, profuse sweating, weight gain or loss. excessive or uncontrolled eating, Recurrent infections, excessive sugar in blood or urine, shortness of breath, poor endurance, painful hips/knee joints | Self-esteem (obese child tend to experience low self esteem) | Help child develop positive self-esteem through successful participation in activities.
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| Childhood Obesity and Associated Juvenile Diabetes | Frequent urination, profuse sweating, weight gain or loss. excessive or uncontrolled eating, Recurrent infections, excessive sugar in blood or urine, shortness of breath, poor endurance, painful hips/knee joints | Emotional/psychological issues | Consult w/ other health care team professionals to best meet emotional/psychological needs of child. Help child feel sucessful through engagement in activities.
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| Childhood Obesity and Associated Juvenile Diabetes | Frequent urination, profuse sweating, weight gain or loss. excessive or uncontrolled eating, Recurrent infections, excessive sugar in blood or urine, shortness of breath, poor endurance, painful hips/knee joints | Behavior management (Identifies behaviors, develops a plan, w/positive reinforcers/follow-ups) | Centered on increasing physical activity and controlling diet.
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