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Creating a medical home for the child with recurrent respiratory papillomatosis
1National Recurrent Respiratory Papillomatosis Task Force, USA.
Insights
Juvenile onset recurrent respiratory papillomatosis (JORRP) is a chronic pediatric airway disease caused by human papillomavirus. This paper details JORRP
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Public Health
Background:
- Juvenile onset recurrent respiratory papillomatosis (JORRP) is a chronic airway disease in children.
- It is caused by the human papillomavirus (HPV).
- JORRP significantly impacts a child's quality of life and requires long-term management.
Purpose of the Study:
- To provide a comprehensive overview of JORRP in pediatric patients.
- To discuss the etiology, epidemiology, clinical presentation, diagnosis, and treatment options for JORRP.
- To highlight the role of the pediatric nurse practitioner in managing JORRP within the medical home model.
Main Methods:
- Literature review and synthesis of existing research on JORRP.
- Discussion of diagnostic criteria and current therapeutic strategies.
- Exploration of primary care principles applied to chronic pediatric conditions.
Main Results:
- HPV is the causative agent of JORRP.
- JORRP presents with varied symptomatology including hoarseness and respiratory distress.
- Effective management involves a multidisciplinary approach and coordinated care.
Conclusions:
- JORRP is a complex pediatric condition requiring specialized care.
- The medical home model provides a framework for comprehensive, coordinated management of JORRP.
- Pediatric nurse practitioners play a crucial role in delivering primary care for children with JORRP.
Abstract:
Juvenile onset recurrent respiratory papillomatosis is a chronic disease of the pediatric airway caused by human papillomavirus. This paper discusses the etiology, epidemiology, symptomatology, diagnosis, and treatment of this disease. The role of the pediatric nurse practitioner is described in applying the medical home model. Comprehensive primary care is described for children with recurrent respiratory papillomatosis, including well child care, episodic illness management, and care coordination.
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