Fever in Children PICOT Question
Fever in Children PICOT Question
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While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project. Fever in Children PICOT Question
A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:
- Title page
- Introduction section
- A comparison of research questions
- A comparison of sample populations
- A comparison of the limitations of the study
- A conclusion section, incorporating recommendations for further research
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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Pediatric PICOT
Jonathan Garcia
Grand Canyon University
06/21/20
Pediatric PICOT
Problem Statement
The healthcare system has outlined strategies and medical procedures that are deemed useful in the treatment and prevention of fever in children. Fever is a medical condition that affects a child’s health by increasing their temperatures above 39°C. High fever is considered risky when children have other health conditions such as lung, heart, and chronic disorders. Parents and guardians have a belief that acetaminophen and Ibuprofen are useful in the treatment of high fevers (Harrison, 2017). Both are useful but require medical professional’s prescriptions and instructions. However, Ibuprofen has immediate impacts on the treatment of fever when compared to acetaminophen. Therefore, the research identifies the PICOT question in determining the effectiveness of Ibuprofen when compared to acetaminophen. “Do pediatric patients respond to Ibuprofen easily when compared to acetaminophen in the treatment of high fever?”
Evidence-Based Solution
High fevers in children are deemed frequent and regular. The condition is linked to changes in weather and diet. Many parents choose over-the-counter medication as the proposed medicines for treating and reducing high fevers are available in many pharmaceuticals. For instance, Ibuprofen and acetaminophen are readily available as they are believed to help in lowering the temperature in children (Chiappini et al., 2017). High fever is linked to coughs, colds, earaches, teething, and discomfort. Evidence-based practice has outlined the implications of over-the-counter medications, but Ibuprofen is considered adequate when compared to acetaminophen. For instance, the medical research indicates that acetaminophen are useful in the treatment of mild fever and pains while Ibuprofen is useful as it helps in reducing fever, pain, inflammation, and it is a non-steroidal anti-inflammatory (Harrison, 2017). The aspect helps in declaring the effectiveness of Ibuprofen when compared to acetaminophen.
Nursing Intervention
Nursing professionals have the mandate of protecting children and reducing the risk of children with high fevers. Nurses should incorporate the diagnosis of the causes of fever before administering medicine prescriptions (Chiappini et al., 2017). For instance, recording the temperature of children with fever should be prioritized as a way of understanding the cause of high fevers. Nurses also participate in assessing the history of a child’s medication as it helps in evaluating the medicines that had been used before the clinical visit. The use of acetaminophen and Ibuprofen can have different results, and the nurse has the role of evaluating the magnitude of the fever of a patient. For instance, if fever is linked with pain, then Ibuprofen should be prescribed.
Patient Care
The healthcare system describes interventions that are vital in reducing fever in children. Some of the intervention strategies involve the use of home remedies for lowering the temperature. For instance, apart from using acetaminophen and Ibuprofen medications, pediatric professionals recommend parents to dress the children lightly as a way of avoiding the risks of high temperatures. Also, pediatrics encourages parents to offer plenty of drinks such as water to the children, the use of the lukewarm bath and placing cold washcloths over the body of a child (El-Radhi, 2018). Pediatrics also recommends the use of Ibuprofen in cases of high fever and mild pains for children. Parents are advised to measure the temperature of children and seek further medication in case the fever does not slow after the medication.
Health Care Agencies
The healthcare system has guidelines and regulations for the use of over-the-counter medications. Proper prescription is required when dealing with children’s medication. Fever is a medical condition that constitutes more than 30% of primary care and pediatric emergency department visits (El-Radhi, 2018). Fever has become a concern for the healthcare system, and the recommendations of using over-the-counter medication such as Ibuprofen has helped in reducing medical visits. Also, healthcare agencies collaborate with nurses, physicians, parents, and pharmacists in delivering advice and pediatric services in fever treatment.
Nursing Practice
Nurses recommend for medical attention for different categories of fever. Regular high fevers in children are a sign of other health conditions or infections. Nurses help in admitting children with fever based on the evaluation of temperature changes, monitoring of other symptoms, and the effectiveness of the medication. Pediatric professionals also consider the use of antipyretics, such as Ibuprofen and acetaminophen (Trippella et al., 2019). These medications are useful in the reduction of fever and the treatment of mild pains. However, Ibuprofen is considered more effective due to its aspect of non-steroidal anti-inflammatory. Therefore, Ibuprofen has more benefits in the treatment of fever in children when compared to acetaminophen.
References
Chiappini, E., Venturini, E., Remaschi, G., Principi, N., Longhi, R., Tovo, P. A., … & Galli, L. (2017). 2016 update of the Italian pediatric society guidelines for Management of Fever in children. The Journal of pediatrics, 180, 177-183.
El-Radhi, A. S. (2018). Management of Fever (Antipyretics). In Clinical Manual of Fever in Children (pp. 225-251). Springer, Cham.
Harrison, M. R. (2017). 15 Nurses’ management of fever in children: rituals or evidence-based practice?. Evidence-based Child Health Care: Challenges for Practice, 262.
Trippella, G., Ciarcià, M., de Martino, M., & Chiappini, E. (2019). Prescribing controversies: an updated review and meta-analysis on combined/alternating use of ibuprofen and acetaminophen in febrile children. Frontiers in pediatrics, 7, 217.
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