Transcript: Candace, Kira, Krystal A Child Who is Palliative What is Palliative Care? "Palliative care for children begins when an illness is identified and analyzed, and continues during the entire illness trajectory, aiming to alleviate physical, psychological, and social suffering" (Melin-Johansson, Axelsson, Jonson Grundberg & Hallqvist, 2014, p.61). What is Palliative Care? Similarities: Palliative care can be initiated at the beginning of an illness along with treatments aimed to cure Aims to improve quality of life Caregiving teams aid in decision making and establishing care goals Palliative care invloves many different disciplines Pediatric .VS. Adult Palliative Care Pediatric .VS. Adult Palliative Care Differences: Serious illness is not a "normal" condition for most children Medical decisions for young children are often made by their caregivers Pediatric palliative care can include play therapy, child life therapists and child behaviour specialists getpalliativecare.org Benefits of Palliative Care Benefits of Palliative Care Support Communication Comfort -Focuses on the whole child, while understanding how varying forms of treatment can affect the family as a whole -Support every step of the way, not only just a means of controling the childs symptoms, but also helping families understand treatment goals and options -Palliative care also ensures that children are provided with support through the maintinence of symptoms - Palliative care provides family with an overall extra layer of support, during such a difficult time , it is a resource in itself for families -Bereavement support is also an aspect of palliative care after the child has died getpalliativecare.org Childrens ideas regarding Death, What does it mean for them? Childrens ideas regarding Death, What does it mean for them? Varies depening on: Age Developmental Level Age and Developmental Differences in Response ... Children in this stage have limited understanding regarding accidental events, future and past time, not able to make discrepancies between living and nonliving - Outlook is that life is continuous with death, considered alternate states much like sleep and awake Age and Developmental Differences in Response to Death 1-3 Years 3-5 Years Concepts during this stage are crude and irreversible, unable to distinguish between reality and fantasy - Notion that death is reversible, because of child's egocentricity they are often convinced that they caused the death. Often death can be viewed as a personified entity (Bogeyman) 5-10 Years Thinking begins to become organized and logical, leading to some problem solving but child still lacks abstract reasoning - Child can percieve death as permanent and real. Sometimes may be unaccepting that death can happen to them or any of the people they care about, even though they are starting to know that people will die 10-13 Years Formal logic is starting to be incporated into thinking as well as abstract thoughts - Death viewed as real, final and universal. During this stage children may become more interested in the details such as the funeral, special care must be given to this age group as they will need to be provided with reassurance that they are cared for and loved Thinking is more refined and abstract, allowing this age group to vent emotions is very important - Mature and adult concept of death, may start to view death as an enemy at which they plan on fighting against or dealth can be percieved as failing and may present in this age group as giving up. 14-18 Years Hurwitz, C. A., Duncan, J. & Wolfe, J. (2004). Caring for the child with cancer at the close of life: "There are people who make it, and I'm hoping I'm one of them". Journal of the American Medical Association, 292(17), 2141-2149. Children's Subjective Experiences and Daily Struggles Children's Subjective Experiences and Daily Struggles Therapeutic Communication Emotional Support Physical Comfort Diversional Therapy Therapeutic Play Maintain Self Esteem (Adolescents) What Nurses can do for Children? What Nurses can do for Children? Familie's Subjective Experiences and Daily Struggles Familie's Subjective Experiences and Daily Struggles Financial Strain Emotional Strain (Frustration, Guilt) Breakdowns in Family Structure (Siblings, Spousal Roles) Lack of Self Care Loss of Caregiver Role Communication Empowering Normalization Support Encourage Self Care Encourage Respite Support (Resources) What Nurses can do for the Family? What Nurses can do for the Family? Resources Resources Courageous Parents Network Courageous Parents Network Normalize the Grief (Facilitate Positive Coping) Therapeutic Communication Create Memories Cultural and Spirtual Needs Bereavement Support Bereavement Support Gottlieb's 8 Core Values Gottlieb's 8 Core Values
Transcript: How long it takes To become a pediatrican you need 4 years of college. Followed by 4 years of medical school. Then 3 to 5 years of residency. Pediatric School Curriculums I. Conduct a Patient/Parent Interview II. Perform a physical exam III. Written and verbal communication skills IV. Physical Findings/Laboratory Findings Top 5 Schools in the Country University of Minnesota Michigan State University University of Wisconsin University of Michiagn University of Washington Aprrox. Salary Pediatric Project (cc) photo by Franco Folini on Flickr (cc) photo by Metro Centric on Flickr Specialty Median Pediatric Allergy $195,973 Pediatric Cardiology $244,944 Pediatric Endocrinology $185,901 Pediatric Gastroenterology $236,700 Pediatric Hematology/Oncology $205,999 Pediatric Infectious Disease $199,165 It's that easy! The defintion of pediatrics- The medical branch of medicine that deals with the medical care of infants, children, and adolescents. Training The word "pediactrics and it's cognates mean "healer of children", They come from two Greek words: 'pais = child' and 'iatros = doctor or healer. Specialty Median Pediatric Intensive Care $265,913 Pediatric Nephrology $217,767 Pediatric Neurology $209,955 Pediatric Orthopedic Surgery $424,367 Pediatric Pulmonology $176,974 Pediatric Surgery $400,591 Pediatrics & Adolescent Medicine $202,832 By Jessica Hernandez and Auberth Bercy There are different types of pediatricians which gross different salaries. Listed below are a group of specialties and the salaries that go with them. (cc) photo by Metro Centric on Flickr The average age limit ranges from birth to 18 years of age. (cc) photo by jimmyharris on Flickr Pediatrics
Transcript: Name: Sebastien Augustin Subject: Pediatrics Question: What is the importance of Pediatricians in daily life? Objective: To help inform others of the importance and relevance of pediatrics. What is Pediatrics? Pediatrics is the branch of medicine that deals with the medical care of infants, children, and adolescents. A medical practitioner who specializes in this area is known as a pediatrician. Why did I choose Pediatrics 1.) I am choosing Pediatrics because I work really well with children, and prefer working with kids, over adults. 2.) Pediatrics is much more than just colds and ear infections and you will see and care for a wide variety of interesting and challenging illnesses, such as depression, asthma, anemia and whatever else you feel comfortable with. 3.) Pediatricians are not the best paid doctors, but their average salary of $135,000 a year will put you into the top 5th percentile of salaries in the United States. So while you likely won't become a millionaire in Pediatrics, you will make a nice living. 4.)You get to see your patients grow up... walking, their first day at school, playing sports, graduating, etc. Different Types of Pediatrics Behavioral Pediatrics-Pediatric specialists focusing on behavioral issues will have considerable knowledge of developmental disabilities, learning disabilities. General Outlook According to the U.S. Bureau of Labor Statistics (BLS), physicians and surgeons, the occupational category that pediatricians are grouped in, could see a 22% increase in jobs from 2008-2018. Qualifications Prospective pediatricians need to meet extensive educational requirements, often beginning with a bachelor's degree in a science-related area, such as biology or chemistry. After finishing their undergraduate programs, they must complete medical school and a pediatric residency before seeking licenses and specialty certification. Conclusion In conclusion, a pediatrician is a child doctor. The profession itself is a general field of medicine that can branch of into categories based on age groups. To become a pediatrician you need 1 bachelor's in a science related area and must go to medi- cal school. The pay ranges from $88,000 - $160,000 a year dep- ending on where you work. Thanks for Listening Pediatrics Child Abuse- A very challenging specialty, pediatric specialists who choose child abuse as their focus must be truly dedicated to helping children at risk. Preferred Field of Study Anesthesia-In cases where surgery on a child is necessary, having skilled pediatric specialists on hand who are trained in sedating children is crucial. Oncology-One of the most challenging specialties, pediatric oncology is the diagnosis and treatment of cancer as well as benign (non-cancerous) tumors.
Transcript: Career Presentation: Pediatrics What is a pediatrician? What are the common work tasks for a pediatrician? Education, Training and Experience: How to get a certificate and license for your career: How much can you earn? Some important tips: I hope you had a nice time watching! A pediatrician is physician who specializes in the care of minors- anywhere from infants to teenagers. Care for health of infants to teenagers Treat day to day illness like minor injuries, infectious diseases, and immunization Examine infants and children regularly to assess their growth and development Prescribe or administer treatment therapy, medication, vaccination, and other specialized medical care to treat or prevent illness disease, or injury in infants and children Advise patients, parents, or guardians, and community members concerning diet activity hygiene and disease prevention Treat children who have minor illnesses, acute and chronic health problems, and growth and development concerns Plan and execute medical care programs to aid in the mental and physical growth and development of children and adolescent To be licensed a physician must graduate from an accredited medical school, pass a licensing examination and complete 3 to 7 years of graduate medical education (internship, residency, and/or fellowship) Graduates of foreign medical schools generally can qualify for licensure after passing an examination and completing a U.S. residency The median annual salary for a pediatrician is $140,000 The top ten percent earn more than $145,000 and the lowest ten percent earn less than $67,000 People who wish to become physicians must have a desire to serve patients, be self-motivated, and be able to survive the pressures and long hours of medical education and practice Physicians must also have a good bedside manner, emotional stability, and the ability to make decisions in emergencies As you would have to with any career, you must decide if you would enjoy the day to day duties of a pediatrician, this includes working in the hospital and/or working in the clinic, taking care of sick and healthy children, and counseling parents about raising happy and healthy children Don’t like babies or toddlers? Then pediatrics is probably not for you, although you could work with older children and teen Don’t like learning? Then pediatrics is not for you Although you learn a lot in medical school and residency, one of the greatest challenges of being a doctor is to continue learning new things as technology advances and new medicines are discovered Personally I love being a pediatrician and it almost doesn’t seem like ‘work’ when I go to the office each day Another great thing about pediatrics is that you can work part time like me Although pediatrics can be a challenging career, in the end, it is a very rewarding one To become a pediatrician after high school, you have to go to a college for 4 years, or 2 years at a community college and then 2 years at a university Then you have to take the MCAT You MUST pass the MCAT medical exam in order to be accepted to a medical school You will then have to attend 4 years at a medical school (but a few medical schools offer combined undergraduate and medical school programs for 7 years instead of the customary 8 years) After finishing medical school you have to do 1 year internship and 2 years residency for hands on experience Now you can become a general pediatrician, but if you want to do specialization like pediatric surgery, pediatric neurology, etc. then you have to do 2 to 3 more years of training/fellowship
Transcript: Pediatrics: What's it all about? Nurses who specialize in pediatrics: Associates/ Bachelors degree Pharmacists: Doctor of Pharmacy Medical laboratory technicians: Associates degree Physical and speech therapists: Graduate and Masters degree Social workers Palliative care providers: (serious, chronic illnesses) Masters degree Scope of Practice: A day in the life of a pediatrician Thank You! Occupation Presentation: Pediatrics Kendra Burrow The Road to Pediatrics Teamwork Georgia Regents University~Johns Hopkins University~ Army Licensure & Certification: In order to become a pediatrician, I must pass the national exam, and be licensed by the state. Residency: I must complete 3 years of residency after I earn my degree. I will be doing an additional 3 years to gain my sub specialty in special needs. 1. Bachelors in Biology 2. Doctor of Medicine 3. Complete residency (clinical rotations 4. Medical License (state licensing) 5. Board Certification (optional) The following are the primary duties I will be responsible for when I become a pediatrician. I will have to be capable of preforming physical examinations in a prompt and respectful manner Maintaining strong communication skills with patients and coworkers is vital in the role of a pediatrician I should be able to successfully develop and explain a plan of care for patients when needed. Documentation is one of the most important steps in inpatient care in a pediatricians office. Without the "team" it's just work.(Who wants that?) Pediatricians specialize in health and wellness from birth to age 18. Pediatricians provide preventive measures for children and are responsible for treating those who are ill. These physicians are also play a key part in reducing child and infant mortality rate, control diseases, and provide comfort to chronically ill children. 62 ECG bpm
Transcript: Fahad Qureshi Pediatrics Presentation Date 1 Posterior Urethral Valves (PUV) Foundation - The urethra collects urine produced by the kidneys and drains it outside of the body - Potentially obstructive leaflets of tissue may narrow the patency of the vessel - These valves may impair proper drainage and cause obstructive complications Visualization Timeline Demographics/Cause Causes - Thought to develop during growth of baby boys in the uterus - 1 in 8,000 boys are affected - Initially thought to be random, but recent studies have shown some genetic links Symptoms - Dysuria - Abdominal/bladder fullness - Weak stream - Urinating often - Growth issues Workup - Abdominal ultrasound - Voiding Cystourethrogram (VCUG) - Endoscopy - Blood test Treatment Treatment - Supportive Care - Antibiotics - IV Fluids - Cather - Endoscopic Ablation - Vesicostomy Complications - 1 in 3 boys with this condition will end up with long-term kidney complications - Early diagnosis and treatment has been proved to decreased the rates of these complications Long-term - Boys with this conditions are monitored throughout their lives - Many are able to achieve normalcy - May develop normal urologic and reproductive function, and normal quality and quantity of life Works Cited Bibliography EL-GHONEIMI, A. L. A. A., et al. "Outcome of posterior urethral valves: to what extent is it improved by prenatal diagnosis?." The Journal of urology 162.3 Part 1 (1999): 849-853. Hodges, Steve J., et al. "Posterior urethral valves." TheScientificWorldJOURNAL 9 (2009): 1119-1126. Krishnan, Anand, et al. "The anatomy and embryology of posterior urethral valves." The Journal of urology 175.4 (2006): 1214-1220. PARKHOUSE, HELEN FITZMAURICE, et al. "Long‐term outcome of boys with posterior urethral valves." British journal of urology 62.1 (1988): 59-62. Peters, Craig A., et al. "The urodynamic consequences of posterior urethral valves." The Journal of urology 144.1 (1990): 122-126. Rittenberg, Michael H., et al. "Protective factors in posterior urethral valves." The Journal of urology 140.5 Part 1 (1988): 993-996. “Stanford Children's Health.” Stanford Children's Health - Lucile Packard Children's Hospital Stanford, https://www.stanfordchildrens.org/en/topic/default?id=posterior-urethral-valves--90-P03110. Yohannes, Paulos, and Moneer Hanna. "Current trends in the management of posterior urethral valves in the pediatric population." Urology 60.6 (2002): 947-953.
Transcript: Work at hospitals or private practices. Examine patients, obtain medical histories, and, order and perform diagnostic tests Background Information The typical work week is 50 hours a week; but it is common for a pediatrician to work overtime or to be on call. Bachelors degree: 4 years + Medical School: 4 years + Residency: 3-8 years ___________________________________ pediatrician! -Writing in research is commonly used in pediatrics. - Academic professional discourse is used to write on patient charts or when prescribing medication. -The pediatrician will use simplified language when speaking with both the parent and child. Type of writing and language used between $100,000- $160,000 A doctor specializing in the well being of children from birth through 21 Sources: -Career: Pediatricians. (n.d.). Big Future . Retrieved April 9, 2013, from https://bigfuture.collegeboard.org/careers/health-diagnosis- treatment-pediatricians -Ianelli, V. (n.d.). Being a Pediatrician. About Pediatrics - Pediatric Parenting and Medical Advice. Retrieved April 19, 2013, from http://pediatrics.about.com/cs/pediatriccareers/a/pedi_interview_ 2.htm -Lee, M. P. (1982). A Future In Pediatrics: Medical and non-medical careers in non medical careers. New York, New York: Simon and Schuester. - "Occupational outlook handbook". 2010-2011 Edition (pp. 381-385). (2010). Pediatrician. Maryland, Massachusents:Bernam 4501 Forbes Blvd, In -The Pediatrician. (n.d.). The Ohio State University Wexner Medical Center. Retrieved April 9, 2013, from http://medicalcenter.osu.edu/patientcare/healthcare Treating day to day illnesses that are common to children. Background Information: Pediatrician Can also specialize in serious medical conditions, pediatric surgery, treating autoimmune disorders, or serious chronic ailments.
Transcript: A Day in The Life: By: Andrew Leslie, Fabio Soares, Hannah Bernard, Sancia Ackie & Shian Henry PEDIATRICS They require care from a Pediatric Nurse with specializ... Children are “our most defenseless and vulnerable population….,” Feeg, V. (1999) according to Jacqueline Gonzalez, in an issue of Nursing Spectrum They require care from a Pediatric Nurse with specialized knowledge, skills and abilities, to ensure efficiency and advocacy for the child True Or False?: 'I love working with children so I'm most definitely capable of pursuing said career specialty!' False! Skills & Abilities Skills & Abilities Lifestyle & Impact " [Health care providers] have the enormous privilege of touching and changing lives” (Rubin, 2013) so it's important to know how your own life is about to change. They work 45-60 hrs/wk Work in a variety of settings (hospitals, clinics, academic) 36% of pediatricians asked in a survey conducted by MedScape Lifestyle said they were very happy with their job Finding balance is very very hard, but not impossible! Lifestyle & Impact TRENDS & OUTLOOKS *No governing body specific to pediatrics in Ontario TRENDS & OUTLOOKS •24 current job openings currently in Toronto which is higher than anywhere else in Ontario. (Job Bank, 2017) • The current outlook looks to be fairly average, as it is expected that the field will neither increase or decrease in demand. (Ontario Labour Market, 2017) • Although the projected job openings seem to be coming mostly from retirements instead of new jobs being created. (Ontario Labour Market, 2017) This is likely because people tend to be more comfortab... As expected, the gender ratio in this field is about 59% female to 41% male and the number of females has only been increasing in the last 10 years. This is likely because people tend to be more comfortable bringing their child to a female practitioner (CMA Masterfile, 2016) An interesting trend in the recent world of pediatricians ... An interesting trend in the recent world of pediatricians is dealing with kids and “screen time”. This is how much time a child spends in front of screens. Apart from psychological health impacts, there is strong association between screen time and body mass index. As well as sleep problems for children. Education, Certificates/License Education, Certificates/License 1 YR 4 YRS 4 YRS 4 YRS Pre Health Science Medical School Undergraduate Residency *Potential fellowship opportunity EMPLOYMENT & SALARY INFO EMPLOYMENT & SALARY INFO Employment Organizations: Canadian Pediatric Society Medical Council of Canada Ontario Medical Association 46% of Employment opportunities for specialist physicians are in Toronto 44% of specialist physicians are self employed Unemployment rate is 1.6% Salary: Entry: $132,000 Average: $188,071 Experienced: $263,000 Works Cited Interactive, E. (n.d.). Pediatricians - SchoolFinder.com! Retrieved July 29, 2017, from http://www.schoolfinder.com/Careers/Requirements/3111ped/Pediatricians Network, W. N. (n.d.). Job details. Retrieved July 29, 2017, from http://niche.workopolis.com/frontoffice/seekerViewJobDetailAction.do?sitecode=pl517&jobId=1513742&page=search&cid=N%7CC%7CDRCAREERS%7CWIDGET&country=CA&language=en Pediatrician - Toronto, ON - Job posting. (2017, June 28). Retrieved July 29, 2017, from https://www.jobbank.gc.ca/jobsearch/jobposting/23945959 Specialist physicians. (n.d.). Retrieved July 29, 2017, from https://www.app.tcu.gov.on.ca/eng/labourmarket/ojf/profile.asp?NOC_CD=3111#Wages Pre-Health Sciences Pathway to Advanced D iplomas and Degrees - Durham College - Oshawa, Ontario, Canada. (n.d.). Retrieved July 29, 2017, from http://www.durhamcollege.ca/programs/pre-health-sciences-pathway-to-advanced-diplomas-and-degrees (n.d.). Retrieved July 29, 2017, from https://www2-careercruising-com.gbcprx01.georgebrown.ca/careers/education/321 Government of Canada. (n.d.). Retrieved July 26, 2017, from https://www.jobbank.gc.ca/jobsearch/jobsearch?sort=M&searchstring=pediatrician&button.submit=Search Specialist physicians. (n.d.). Retrieved July 26, 2017, from https://www.app.tcu.gov.on.ca/eng/labourmarket/ojf/profile.asp?NOC_CD=3111#Wages 3111 Specialty Physicians . (n.d.). Retrieved July 26, 2017, from http://noc.esdc.gc.ca/English/noc/ProfileQuickSearch.aspx?val=3&val1=3111&ver=16&val65=specialist%20physician Society, C. P. (n.d.). Canadian Paediatric Society / Société canadienne de pédiatrie. Retrieved July 26, 2017, from http://www.cps.ca/en/ Works Cited Society, C. P. (n.d.). Canadian Paediatric Society / Société canadienne de pédiatrie. Retrieved July 26, 2017, from http://www.cps.ca/en/ Medical Council of Canada. (n.d.). Retrieved July 26, 2017, from http://mcc.ca/home/ Welcome to MD Financial Management. (n.d.). Retrieved July 29, 2017, from https://mdm.ca/md-wealth-management?gclid=CjwKEAjw5PDLBRD0rICj35CtqS4SJACH7bsyg9G8JAgt_nHS_GfbBXtlQZBRb-oig703XUlIUYeGSBoC-q3w_wcB Pediatrician salary in Canada. (n.d.). Retrieved July 29, 2017, from
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