NURS 6541: Week 11: Evaluation and Management of Hematological and Metabolic Disorders
NURS 6541: Week 11: Evaluation and Management of Hematological and Metabolic Disorders
Hematologic and metabolic disorders often require long-term treatment and management plans. In your role as an advanced practice nurse, you support patients, their families, and other members of the care team throughout this process as adherence to some plans can be difficult. Consider Charlie Rider. At age 4, Charlie was diagnosed with acute lymphoblastic leukemia and underwent care for 4 years. When he was finally strong enough to return home from the hospital, there were many restrictions placed on him because his body was vulnerable to infection. He could not go to indoor gatherings, eat in restaurants, or have friends visit. These restrictions were part of the management plan set up for Charlie (Dana-Farber/Children’s Hospital Cancer Center, 2013). As an advanced practice nurse, you work with pediatric patients like Charlie and their care teams to help develop and facilitate management plans for various hematologic and metabolic disorders. It is important to consider factors that impact these plans, as each patient has unique needs and circumstances.
This week you explore hematologic and metabolic disorders in pediatric patients. You also examine differential diagnoses for these disorders, as well as the impact of patient culture on treatment, management, and education.
Learning Objectives
By the end of this week, students will:
- Assess pediatric patients for hematologic and metabolic disorders
- Evaluate differential diagnoses for pediatric hematologic and metabolic disorders
- Analyze treatment and management plans for pediatric patients with hematologic and metabolic disorders
- Analyze strategies for educating patients and families on the treatment and management of hematologic and metabolic disorders
- Evaluate the impact of culture on the treatment and management of hematologic and metabolic disorders
- Understand and apply key terms, principles, and concepts related to hematologic and metabolic disorders in pediatric patients
- Assess pediatric patients with signs of hematologic and metabolic disorder
Learning Resources
Required Readings
Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., Blosser, C. G., & Garzon, D. L. (Eds.). (2017). Pediatric primary care (6th ed.). St. Louis, Missouri: Elsevier.
- Chapter 26, “Endocrine and Metabolic Disorders” (pp. 596-625)This chapter examines components of the endocrine system and metabolic function. It also explores the pathophysiology, assessment, and management of endocrine and metabolic disorders in children.
- Chapter 27, “Hematologic Disorders” (pp. 626-659)This chapter explores the formation of blood including its cellular and fluid components: erythrocytes, leukocytes, and plasma. It also examines assessment and management strategies for treating hematologic disorders resulting from erythrocyte, platelet and coagulation, and leukocyte abnormalities.
Hyperbilirubinemia: current guidelines and emerging therapies by Schwartz,H.P., Haberman, B.E., & Ruddy, R.M. in Pediatric Emergency Care, 27(9), 884-889.
Copyright 2011 by Llippincott Williams & Wilkins – Journals. Reprinted by permission of Llippincott Williams & Wilkins – Journals via the Copyright Clearance Center.
