The combination of children and adults in the same unit increases the complexity and can make it difficult for practitioners to maintain required competencies for practice. This article reviews the issues and strategies to consider when these 2 patient populations intersect. The following are 3 scenarios in which adult patients are cared for in a pediatric intensive care unit PICU : adult patients who have chronic pediatric conditions, such as cystic fibrosis or spina bifida; adult patients who require specialty care, such as extracorporeal membrane oxygenation therapy, which is provided only in the PICU; and adult patients who overflow to the PICU as a result of hospital resource constraints, generally limited bed availability.
The relative contribution of each of these populations to the number of adult patients cared for in PICUs is not known, but clearly the number of transitional ages 18—21 years and adult older than 21 years patients with chronic conditions that originated in childhood is growing. Balancing age-appropriate care with subspecialty care can be difficult.
Providing Adult and Pediatric Care in the Same Unit: Multiple Considerations
Potential barriers to the highest-quality medical and nursing care of adults in a PICU include deficiencies in medical knowledge of the staff, psychosocial challenges of caregivers who are accustomed to caring for children, and resource or logistical …. User Name Password Sign In. Ibsen , MD and Pamela M.
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This period is one marked for growth faltering, micronutrient deficiencies, and common childhood illnesses, such as diarrhea and acute respiratory infections ARI. Malnutrition in adults results in reduced productivity, an increased susceptibility to infections, retarded recovery from illness, and for women, heightened risks of adverse pregnancy outcomes. Moreover, a woman who has poor nutritional status as indicated by a low Body Mass Index BMI , short stature, anemia, or other micronutrient deficiency has a greater risk of obstructed labor, of having a baby with a low birth weight, of producing lower quality breast milk, of mortality due to postpartum hemorrhage, and of morbidity of both herself and her baby.
Micronutrient deficiencies are a result of inadequate intake of micronutrient-rich foods and the inadequate utilization of available micronutrients in the diet due to infections, parasitic infestations, and other dietary factors.
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