Emergency departments children, care

Direct nonmedical costs are any costs for nonmedical services that are results of illness or disease but do not involve purchasing medical services. These costs are consumed to purchase services other than medical care and include resources spent by patients for transportation to and from health care facihties, extra trips to the emergency department, child or family care expenses, special diets, and various other out-of-pocket expenses. 

Many times, AD is not perceived as a major iUness and is frequently dismissed as a minor skin condition. However, studies have demonstrated considerable financial, emotional, and social impact on families of those with moderate or severe AD. An Australian study reported results of significantly more stress in taking care of a child with moderate or severe AD than that involved with care of a child with insulin-dependent diabetes. Disturbed or lack of sleep has also been reported. In the United States, AD accounts for 4% of emergency department visits. The health systems of all countries are burdened with the economic load of AD s direct and indirect costs of treatment and social morbidity. ... 

The 3-year-old child is admitted to the emergency department with an acute episode of laryngotracheobronchitis (LTB). The health-care provider has prescribed racemic epinephrine nebulized with oxygen. Which intervention should the nurse implement ... 

The nurse should teach the parent how to care for the child, not send the child to the emergency department. 

StremskI E, Hennes H Accidental Isopropanol Ingestion In ohildren. Pediatr Emerg Care 2000 16(4) 238-240. [PMID 10966340] (Retrospective review of 91 children who presented to an emergency department after Isopropyl alcohol Ingestion. Toxicity was noted In 26 children, and Included spontaneous emesis In 24, ataxia In 5, altered mental status In 3, and apnea In one child. Toxicity developed within 0.5-2 hours after Ihgestloh, ahd was more likely If more than 1 ounce was Ingested.)... 

---