Leach S C
Crit Care Nurs Clin North Am. 1991 Jun;3(2):307-17.
The continuing care for a child survivor of a near-drowning accident presents a variety of challenges for the tertiary-care setting, community-based health care providers, and especially the family. The trauma the child receives from this type of neurologic insult coupled with the emotional issue of an accident such as a near drowning result in a long-term, usually lifetime situation of great stress and responsibilities for the family. Although long-term hospitalization is usually required for medical stabilization of the child, survivors of this type of injury will require some kind of continuing care outside of the hospital setting. In most instances, pediatric home care offers a reasonable alternative for the family. In the provision of skilled nursing support in the child's home environment, their medical needs can be met effectively. Additionally, home care offers a strong support to the families and can assist in fostering the long-term care environment parents must face if they are to successfully provide for their child at home. Planning for the child's discharge to home involves a comprehensive and coordinated approach to providing a community-based support network of care for the child and family. Additionally, parents must learn complicated, technical skills to meet the physical needs of their child. This process requires careful planning and implementation. During this time the hospital will assist the family in procuring the community-based services they will need. Once the child is discharged, the family focus is directed toward establishing positive work partnerships with the other service providers necessary to assist them in the care of their child. This process takes considerable planning and effort for all involved but, when successful, facilitates a positive, nurturing home care environment. The family remains the guiding force in this situation and ultimately determines if their child's care at home will be successful. In this context, success is not measured by recovery or cure but, instead, by the degree of enhancement the family receives in providing home-based care. The role of the home care nurse is an important one and is comprehensive in scope and responsibilities. The nurse not only delivers skilled care and treatment to the child but also offers support and assistance to the family. These home care nurses must be highly skilled and trained in the delivery of complex medical care and effectively provide the emotional and psychological support families of these children demand. An equally important function of the home care nurse is that of family advocate.(ABSTRACT TRUNCATED AT 400 WORDS)
对溺水事故幸存儿童的持续护理给三级医疗环境、社区医疗服务提供者，尤其是家庭带来了各种挑战。儿童遭受的这种神经损伤创伤，再加上诸如溺水事故等意外带来的情感问题，导致家庭长期处于巨大压力和责任之下，通常是终身如此。尽管为使儿童病情稳定通常需要长期住院，但这类受伤的幸存者在出院后仍需要某种形式的持续护理。在大多数情况下，儿科家庭护理为家庭提供了一个合理的选择。在儿童的家庭环境中提供专业护理支持，可以有效满足他们的医疗需求。此外，家庭护理为家庭提供了强有力的支持，有助于营造一种长期护理环境，而这是父母若要在家中成功照顾孩子就必须面对的。规划儿童出院回家需要采取全面且协调的方法，为儿童及其家庭提供一个基于社区的护理支持网络。此外，父母必须学习复杂的专业技能，以满足孩子的身体需求。这个过程需要精心规划和实施。在此期间，医院将协助家庭获得他们所需的社区服务。一旦孩子出院，家庭的重点就转向与其他必要的服务提供者建立积极的工作伙伴关系，以协助他们照顾孩子。这个过程需要所有相关方进行大量的规划和努力，但如果成功，将有助于营造一个积极、关爱的家庭护理环境。在这种情况下，家庭仍然是主导力量，最终决定孩子在家中的护理是否成功。在此背景下，成功并非以康复或治愈来衡量，而是以家庭在提供居家护理方面所获得的提升程度来衡量。家庭护理护士的角色至关重要，其职责范围广泛且全面。护士不仅要为儿童提供专业护理和治疗，还要为家庭提供支持和帮助。这些家庭护理护士必须具备高超的技能，并经过复杂医疗护理方面的培训，有效地提供这些孩子的家庭所需要的情感和心理支持。家庭护理护士同样重要的一项职责是充当家庭的倡导者。（摘要截选至400字）
