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Advanced practice in the management of children with eczema
1Community Children's Nursing Service, NHS Islington, St Pancras Hospital, London.
Insights
Advanced nurse practitioners are increasingly diagnosing and treating childhood illnesses like eczema in community settings. This expanded role enhances care for children with chronic conditions through integrated nursing and prescribing.
Area of Science:
- Pediatric Nursing
- Clinical Practice
- Healthcare Roles
Background:
- Traditionally, physical assessment, diagnosis, and treatment were exclusive to medical practitioners.
- Nurse consultants and advanced nurse practitioners (ANPs) are expanding their roles in managing childhood illnesses.
- Nurse-led community services are a key setting for these evolving responsibilities.
Observation:
- A case study of a child with eczema illustrates the ANP's scope of practice.
- The case highlights a consultation model, physical assessment for diagnosis and treatment, and prescribing authority.
- Integration with nursing care emphasizes communication and concordance.
Findings:
- ANPs can effectively perform physical assessments, diagnose, and prescribe for childhood conditions like eczema.
- The ANP role in nurse-led services is crucial for managing chronic pediatric conditions.
- A holistic approach combining ANP expertise with nursing care improves patient outcomes.
Implications:
- The expanding scope of advanced practice nursing benefits children with chronic conditions.
- Nurse-led services can improve access to specialized care and enhance family support.
- This model demonstrates a valuable integration of medical and nursing functions in pediatric healthcare.
Abstract:
Undertaking a physical assessment, making a diagnosis and prescribing treatment are traditionally the domain of medical practitioners. For some childhood illnesses, these activities are now undertaken by nurse consultants and advanced nurse practitioners, particularly in nurse-led community services. A case example of a child with eczema is used to explore the scope of the advanced nurse practitioner role, including: an example of a consultation model; physical assessment to aid diagnosis and treatment of the eczema; and prescribing responsibilities. The integration of these roles with nursing care that promotes communication and concordance can benefit children with chronic conditions and their families.
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