When bodies need voices -- The body's problems with illness -- Illness as a call for stories -- The restitution narrative -- The chaos narrative -- The quest narrative -- Testimony -- The wound as half opening.
Barb provides an overview on how to approach the pediatric patient—from the newborn to a nineteen-year-old. What should you expect with vital signs? Why is a heart rate of 120 perfectly fine for a one-month-old and an ALARM sign in a 15-year-old with fever and dehydration? How do you assess a toddler with an average 300-word vocabulary consisting of one MAJOR word—"NO" ? Whatever you do, don't ask them if you can do something! How do you explain "the Teenage Brain"? The best neuro exam in a young child consists of observation—the majority of cranial nerves can be examined by watching facial expressions. What 3 individual clinical features are the most accurate for predicting 5% dehydration in kids? Barb explains the clinical findings in children that help to estimate the degree of dehydration—mild, moderate, and severe in kids. Why is weight such an important vital sign in kids? How do you determine fluid and drug doses? What are the new guidelines for determining tonsillectomies in children? What are the new guidelines for working up a child with febrile seizures? What is the current treatment for children with status epilepticus? What's so different about the respiratory system in children vs. adults? What are the causes of acidosis in kids? What are the treatment guidelines for diabetic ketoacidosis? What are some ALARM signs for child abuse? What are some early clues observed in young children with autism? What are the criteria for assessing the child with an acute asthma attack? (website)
Barb takes a "journey" through the brain—the Cerebral Cortex (all four lobes and their functions), and shows how to assess the 4 lobes as well as pathophysiology, including head injuries, brain tumors, and dementias; the basal ganglia and assessment, including the patient with a movement disorder—Parkinson's disease, Huntington's chorea, and athetosis; the brain stem—assessment and clinical correlations including cranial nerves; spinal cord and the reflex arc. It's a great lecture for neuro novices as well as seasoned neuro nurses—everyone learns some new tidbits as well as refreshing some old tidbits. (website)