Pediatric Treatment in Acute Care: From Early Mobilization to Discharge Decisions – Molly Rejent

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Your work with children in the acute care setting is so critical and, at times, incredibly complex.

The challenges you face are vast, as it’s an overwhelming environment from equipment and lines to finding the most appropriate treatment approach with significant differences in patient ages and diagnoses.

While the risks can be high, the reward is even higher.

Overcome those hurdles you face every day and watch more and more of your patients transfer out to a step-down unit in the hospital or home by applying what you experience in this dynamic seminar.

With Molly Rejent as your guide, an experienced occupational therapist who has worked with kids in acute care for many years, your confidence will increase by familiarizing yourself with the latest assessments and treatments within this complex and specialized area.

Develop skills to initiate evidence-based interventions such as early mobilization from the beginning of the hospital admission process or age-appropriate strategies for a myriad scenarios. Refine your ability to create a discharge plan after your first encounter. Confidently navigate tricky ethical issues you will face by examining case studies of real-life situations encountered in the care of critically ill children.

Designed for all practice levels, from the new grad to the veteran acute care practitioner, this recording will provide you with the tools to make assured, knowledgeable decisions within the PICU and acute care environments.

Enhance your work within the acute care setting so you can bring the highest quality of care to those medically complex patients!

1. Classify the team’s role within acute care, as well as common and unique medical equipment, lines and precautions.
2. Define the important differences between adult and pediatric ICUs and how that impacts treatment.
3. Select appropriate assessments and treatment strategies depending on age, diagnosis, and level of acuity.
4. Create dynamic functional goals for patients at all levels of their acute care stay.
5. Identify ethical issues of therapy in the PICU and how to avoid making mistakes.
6. Discuss case studies of acute pediatric patients from assessment to treatment to set your patients up for success in the continuum of therapy upon discharge.

EMERGING TOPICS WITHIN PEDIATRIC ACUTE CARE
How treatment is impacted by not treating pediatric patients as “little adults”

• Examine the similarities and differences of ICUs
• What diagnoses you might encounter
• What age range will you see?
• Treatment decisions that might negatively affect the outcome of your patient depending on your approach

WHAT’S YOUR ROLE?
Define who does what in the PICU & Acute Care

• Delineation of roles – who makes what decisions?
• Navigate acute care culture successfully – how it is unique and how it can vary from hospital to hospital
• How to build a solid team

IMPROVE YOUR CARE IN CRITICAL SITUATIONS
Effective techniques you can use immediately when facing:

• Lines and equipment
  • Figuring out their purpose
  • What can cause grave danger if dislodged or pulled
  • How to work around it
  • What do you need to watch out for?
• Medications
  • What you might find
  • How does it affect treatment?
• Social situations and caregiver engagement
  • How it can affect your care toward the patient
  • Tips on improving trust and assurance
• Case Studies

DESIGN ROBUST YET FLUID TREATMENT PLANS FOR ANY PATIENT
Treatment frequency and goals

• How to determine intervention per level of acuity
• When to change your treatment plan
• Navigate when therapeutic roles overlap – determine who does what
• How do you know when to adjust your treatment for the changing levels of acuity?
• Trying not to “overthink” the patient
• Case Studies

ETHICAL TREATMENT SCENARIOS
Comprehensive strategies to navigate patient and caregivers

• Ethical concerns with caregivers and patient level of acuity
• Responding to concerns and reality of the caregiver
• Overcome compassion fatigue – knowing when to take a break
• Case Studies

INTERACTIVE CASE STUDY
Putting it all together

• Evaluation and treatment strategies for real-life scenarios and patients
• Taking a patient from chart review to assessment and treatment planning