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This book addresses the holistic impacts of COVID-19 on child health and gives a supportive framework for interprofessional pediatric teams serving children across the care continuum.
The COVID-19 pandemic radically altered fundamental norms of pediatric care delivery across the service continuum. While the public rapidly adopted an echoing narrative that children were not severely impacted by physical disease burden, growing concern emerged regarding long-term holistic health impacts with diagnoses like myocarditis, COVID-toes, long-COVID, and other unique pediatric manifestations. Sequelae arising from detrimental health impacts rapidly escalated. Inequity dominated analysis of the alarming disparities in child morbidity and mortality. Loss of social safety nets increased concerns for abuse, neglect, food insecurity, and lack of connection to critical support services. Instant social isolation drove billions of children worldwide to seek online connections as families struggled with imminent health threats facing frontline workers, economic distress associated with loss of income, or transitioning to new work and school norms in the home. A disinfodemic erupted in the wake of wary health consumers facing an avalanche of misinformation. Universal vaccination rates plummeted in the first months of the pandemic, with full recovery to pre-pandemic coverage rates projected to be years in the future. Prominent professional organizations in conjunction with the American Academy of Pediatrics declared a national emergency in child and adolescent mental health.
This book explores a spectrum of care settings impacted: primary care, acute care, specialty care, telehealth, and institutional settings. It considers holistic health impacts with contributions analyzing elements such as developmental and behavioral health, social media, vaccine-preventable disease, abuse and neglect, children with special health needs, social risks to health, and more. It is authored by highly regarded pediatric experts who each contribute to a comprehensive practical guide for interprofessional pediatric stakeholders with lessons learned and calls to action to effectively respond to health impacts on children arising from the COVID-19 pandemic.
Dr. Jessica Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN is a Clinical Professor at the Baylor University Louise Herrington School of Nursing (LHSON). She holds active national credentials as a Pediatric Nurse Practitioner, Nurse Educator, and Clinical Nurse Leader. She also holds the dual credentials of Fellow in both the American Association of Nurse Practitioners and the American Academy of nursing, among the highest honors in the nursing profession. Dr. Peck has been teaching pediatrics in higher education for nearly two decades, achieving the rank of Full Professor with tenure and the Will Dean Bivens Singleton Professorship of Pediatric Nursing at the University of Texas Medical Branch. Her clinical experience includes: pediatric outpatient primary care, pediatric emergent and inpatient care at a community regional hospital, care of newborns in the hospital setting, camp nursing, and community home visits.
Dr. Peck is highly accomplished in her field, serving in elected leadership positions in many professional organizations. Revered as a nurse leader, in 2019 Dr. Peck was honored as the Texas Nurse Practitioner of the Year. Throughout her career she has received many awards and recognitions such as: Loretta C. Ford Distinguished Nurse Practitioner (2023), Advocate of the Year for the American Nurses Association (2022), Lillian Wald Humanitarian Award (2021), and Leadership Excellence from the International Council of Nurses (2021), among others. Dr. Peck is designated as Distinguished Alumnus for both the University of Texas Medical Branch (2022) and the University of Alabama (2020). She is a two-time International Academy of Nurse Editors Hall of Fame inductee for Outstanding Article of the Year (2021). Dr. Peck has made numerous author contributions for various textbooks and review books and has published more than 60 clinical articles in peer-reviewed journals.
Introduction.- Chapter 1. Acute Care Implications: Principles of Inpatient Management.- chapter 2. Primary Care Implications: Principles of Outpatient Management.- Chapter 3. Telehealth: Principles of Remote Pediatric Management.- Chapter 4. Institutional Care Settings: Principles of Systems-Based Support.- Chapter 5. Non-Pharmacologic Interventions: Developmental Considerations for Pandemic Preparedness.- Chapter 6. Nutrition, Exercise, and Sleep: Impacts on Health Promotion and Illness Prevention.- Chapter 7. Mental Health: Assessment of Risk, Clinical Manifestations, and Access to Care.- Chapter 8. Vaccine Preventable Diseases: COVID-19and Global Impacts on Routine Immunization.- Chapter 9. Pharmacotherapy: Traditional Medication and Complementary Alternative Therapies.- Chapter 10. Long COVID: Identification, Management, and Holistic Support.- Chapter 11. Abuse and Neglect: Risk Management, Early Identification, and Evaluation.- Chapter 12. Children with Special Care Needs: Principles of Management for Complex Patients.- Chapter 13. Poverty and Food Insecurity: Assessment of Impacts of Children and Families .- Chapter 14. Access to Care: Assessment of Financial, Structural, Political, and Social Barriers.- Chapter 15. Race: Assessment of Impacts on Holistic Health.- Chapter 16. Social Media: Assessment of Risk, Clinical Manifestations, and Prevention.- Chapter 17. Disinfodemic: Responding to Rising Misinformation.- Chapter 18. Implications for Health Systems Leaders: Organizational Policies Impacting Care Delivery.- . Conclusion.
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