Continuity of care is dependent on effective patterns of communication. Currently useful patterns of communications are nonexistent between the nursing staffs of tertiary medical centers and community hospitals. Nurses in community hospitals have difficulty obtaining discharge data regarding a child's admission to the tertiary center. In order to promote continuity of care between health agencies, Continued Help in Lending Direction (C.H.I.L.D.) has been proposed to assure a statewide telecommunication system between nurses at tertiary centers and community hospitals. Through the use of the hot-line, nurses in outlying hospitals will immediately be able to obtain information from the pediatric tertiary center if a child is later seen in the emergency room or admitted to the community hospital.This article proposes a communication network that would allow nurses working in hospitals throughout a state or region to have direct contact with a pediatric medical center through the simple process of dialing the telephone. The name of the proposed communication network is C.H.I.L.D. which stands for Continued Help in Lending Direction. The service would be available 24 hours a day. Information communicated through the system would allow nurses in community hospitals access to information which is needed to plan care for children with complex needs in the community. Information currently available on written referrals that have been sent to other health professionals would no longer be lost or unavailable to nursing staff. The results of the initiation of this type of service include improved child care and a better informed nursing staff. While the continuity of care will be improved, it is hoped, the satisfaction of the family and the child with the health care delivery system will increase also. In addition, it should decrease unnecessary admissions and prevent complications related to planning which is based on inadequate data. Job satisfaction of nurses may increase as well.
Abstract This paper presents a public outreach program developed by the Department of Classics at the University of Florida to introduce school-age children to Classics. The main goal is to emphasise the value of Classics and the practical skills it teaches by engaging students with hands-on exercises and materialising connections between the past and the present. The paper focuses on the importance of Classics and the humanities in the development of engaged citizens, the types of programs and their content, and ways to ensure the sustainability of such initiatives through the involvement of graduate students, faculty, and administrators.
The purpose of the study was to obtain the carer rating of the psychosocial impact of their child’s food allergy on a range of relationships and social activities, given the carer’s unremitting responsibility to manage their child’s risk of allergic reactions and chronic food allergy associated morbidity. A 6-month single centre prospective study was conducted, surveying all carers attending for their child’s first food allergen challenge admission for the period 1 July 2015 to 31 December 2015. The questionnaire captured data regarding carer and child characteristics. A Likert-type 5-point scale obtained a carer rating of impacts on relationships and social activities. 85 carers completed questionnaires. Children were aged on average 4 (range 0–15) years. 16 (19%) were allergic to 4 or more foods. Allergies included egg 56 (66%), peanut 41 (48%) and cow’s milk protein 38 (45%). 13 (15%) reported negative impact on their relationship with their food allergic child which was high for 1 (1%). Of 28 (33%) carers reporting negative relationship impacts with their spouse, none rated this as high. Negative relationship impacts were reported in relation to extended family by 35 (41%) and friends by 31 (36%) of carers, for both the impact was high in 5 (6%). The child’s food allergy limited attending restaurants for 78 (92%) and to a high degree for 36 (43%) carers. The allergies limited attending events catered by others for 75 (88%), and to a high degree for 30 (35%) carers. High adverse relationship impacts were uncommon within the carer’s immediate family. Negative relationship impacts were more frequently seen with extended family and friends and social activities were significantly impacted.
While Christianity in American history remains a vibrant subfield, the subject of Christian nationalism in the United States remains understudied.The best survey on the topic, Robert T.
Consider the rare side effects of allergy/anaphylaxis when prescribing sumatriptan or any other triptan. Although the full extent of cross-reactivity between triptan drugs is not known, caution should be exercised with other triptans when a patient has had a reaction to a triptan.
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