Comprehensive approach to endoscopies in children and adolescents
<p>For children, endoscopies are very unpleasant and difficult to cope with. Endoscopies require a very good teamwork.</p><p>The objective of the endoscopic team is to perform endoscopic procedures skillfully, safely, quickly, and as painlessly for children as possible.</p>&l...
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| Format: | Article |
| Language: | English |
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Slovenian Medical Association
2013-10-01
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| Series: | Zdravniški Vestnik |
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| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/712 |
| Summary: | <p>For children, endoscopies are very unpleasant and difficult to cope with. Endoscopies require a very good teamwork.</p><p>The objective of the endoscopic team is to perform endoscopic procedures skillfully, safely, quickly, and as painlessly for children as possible.</p><p>To perform a good endoscopic procedure, good preparation of the child and parents is essential. They should all be actively involved in all phases of the procedure, including during the endoscopy. We have to provide children holistic care. We have to abide physiological, developmental, social and cultural aspects of the child.</p><p>Sedation of children during endoscopy minimizes bad experience for them, and allows better performance of the procedure or intervention. We perform gastroscopy under sedation in children younger than ten years of age, with rare exceptions. Colonoscopies are always performed under sedation.</p><p>Capsule endoscopy is a newer diagnostic method in gastroenterology that enables examination of the whole small bowel. In children, it is an important and safe diagnostic method that is being successfully used in young children as well.</p><p>A child scheduled for capsule endoscopy receives nursing care from admission onwards. The primary care nurse and graduate nurse work together in all phases of the diagnostic procedure: in the preparation of the child for the procedure, and in the introduction of capsule (with or without an endoscope). The nurse is responsible for the child’s safety during the procedure, for his correct timing of feeding, his well-being, regular defecation, and for monitoring the child for any side effects following the procedure. The child’s parents, when necessary, are included in all these activities.</p><p>The aim of nursing care is good preparation of the child for the procedure, inclusion of his parents and teamwork to provide a safe, child-friendly and well-performed procedure.</p> |
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| ISSN: | 1318-0347 1581-0224 |