An increasing number of infants and children suffer from respiratory and neuromuscular diseases that render them ventilator-dependent. These patients spend months in pediatric intensive care units (PICUs) until they are either extubated or are stable enough to tolerate home ventilation. The critical nature of the PICU and its emphasis on meeting short-term goals is not readily compatible with the long-term and dynamic needs of developing children. In order to prevent the delays in growth and development that often occur during prolonged hospitalizations, this article addresses the impediments to normal growth and development in the PICU and offers specific suggestions on how the environment and nursing care can be changed to support the development of ventilator-dependent children and their families
Weaning from Long-Term Mechanical Ventilation| August 01 1991
Psychosocial Concerns of the Ventilator-dependent Child in the Pediatric Intensive Care Unit
Joanie Warner, RN, MSN;
*From the University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Reprint requests to Joanie Warner, RN, MSN, Depart ment of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7220.
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AACN Adv Crit Care (1991) 2 (3): 432-445.
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Joanie Warner, Sarah Norwood; Psychosocial Concerns of the Ventilator-dependent Child in the Pediatric Intensive Care Unit. AACN Adv Crit Care 1 August 1991; 2 (3): 432–445. doi: https://doi.org/10.4037/15597768-1991-3008
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