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Showing results for tags 'Children and Young People'.
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News ArticleA three-year-old child died after its desperate mother spent more than an hour on hold to the NHS 111 helpline. The ill child suffered a cardiac arrest at its home and died in hospital, according to details of critical incidents affecting children in London amid the coronavirus crisis. Another case saw a six-month-old die from sepsis and liver failure because the parents feared the child could catch Covid-19 in hospital, the Evening Standard reports. Doctors have raised concerns that parents are not seeking treatment for their children amid the outbreak. Read full story Source: 16 April 2020, Mail Online
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Content ArticlePaediatric cardiac arrest is unlikely to be caused by a cardiac problem and is more likely to be a respiratory one, making ventilations crucial to the child’s chances of survival. However, for those not trained in paediatric resuscitation, the most important thing is to act quickly to ensure the child gets the treatment they need in the critical situation. This page contains:an EPALS algorithm for paediatric COVID-19 patients.a flowchart on the resuscitation of paediatric COVID-19 patients in hospital.
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News Article
Children may be COVID-19 ‘collateral damage’
Patient Safety Learning posted a news article in News
Children may have died from non-coronavirus illnesses because they are not coming to hospital quickly enough, amid concerns NHS 111 may be giving flawed advice to stay away, according to senior paediatricians. HSJ understands the concern about 111 giving the wrong advice to parents who should travel to hospital had been “escalated” to national leaders. Several senior paediatric leaders in London raised serious concerns to HSJ. They said several children in the past week had been admitted to intensive care in London, and had been harmed — and, in some cases, died — because of the issue, though they did not want to identify particular hospitals or cases. The sources said it was a national problem. Read full story Source: HSJ, 3 April 2020 -
News ArticleHospitals should allow parents to be with children who are being treated for the coronavirus, NHS England has confirmed, after a 13-year-old boy died without any family members beside him. Under its national guidance to hospitals, parents are considered essential visitors, but hospitals do have discretion to suspend visitors if it is “considered appropriate”. Anyone who has symptoms of COVID-19 should not be allowed to visit a hospital. NHS England confirmed the position after 13-year-old Ismail Mohamed Abdulwahab died at King’s College Hospital in south London in the early hours of Monday without any family members present. A statement by his family suggested he was alone because of the risk of infection. On its website the hospital repeated the guidance sent to trusts by NHS England that states children are allowed one parent or carer as a visitor, but declined to explain why his family were not with him. The end-of-life charity Marie Curie has also called on doctors to allow families to be with their loved ones, describing it as an “important part of their duty of care”. Read full story Source: The Independent, 2 April 2020
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Content ArticleThis survey from Kopecky et al. assessed the in-hospital needs of patients diagnosed with autism spectrum disorders (ASDs).
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Content ArticleThe emergence in December 2019 of COVID-19, caused by a novel coronavirus, and its subsequent spread around the world, led the World Health Organisation to declare a pandemic on March 11, 2020: the first to be caused by a coronavirus . The virus appears to have originated in bats, with spread to humans likely mediated by an intermediate mammalian. This paper by Dr Nicole Le Saux, discusses the current epidemiology for COVID 19 in children.
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Content ArticleLots of our children are worried about the coronavirus (COVID-19) pandemic, so the Maltings Surgery put together a short explainer video to help lower the anxiety levels amongst our younger generation. Be kind to each other and yourselves.
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Content ArticleSam Cartwright-Hatton and Abby Dunn have put together this useful sheet with tips on how we should talk to our children about COVID-19. The Flourishing Families Clinic is a totally new innovation in the NHS, piloted by Sussex Partnership NHS Foundation Trust. It's a specialist clinic, based in adult mental health services, that supports parents seeking treatment for mild to moderate mental health difficulties.
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Content ArticleA growing number of studies have focused on 2019 novel coronavirus disease (COVID-19) since its outbreak, but few data are available on epidemiological features and transmission patterns of children with COVID-19. This study, published in Pediatrics journal, examined the epidemiological characteristics and transmission patterns of 2143 paediatric patients with COVID-19, using a retrospective analytical approach. The authors found that children at all ages were susceptible to COVID-19, but no significant gender difference was found. Clinical manifestations of paediatric patients were generally less severe than those of adults’ patients. However, young children, particularly infants, were vulnerable to 2019-nCoV infection.
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News Article
Infant mortality rate in Northern Ireland is the worst in the UK, report finds
Patient Safety Learning posted a news article in News
Northern Ireland's infant mortality rate remains the highest of any UK region although it has decreased, according to a new report. Infant mortality is a measure of deaths of children under one year of age. The report from the Royal College of Paediatrics and Child Health (RCPCH) shows the current rate is 4.2 deaths per 1,000 live births. In 2017, the figure stood at 4.8 deaths. Infant mortality rates decreased in Northern Ireland, Scotland and Wales but remained unchanged in England, which has the second highest rate of 3.9 deaths per 1,000. The report also highlights an increase in the suicide rate among young people aged 15–24 years. Responding to the figures, Health Minister Robin Swann said the physical and mental health of children and young people was a "priority" for the for the Northern Ireland Executive. "My department is already investing in a number of programmes and strategies which seek to address child health inequalities and improve the wellbeing of our children." Dr Ray Nethercott, RCPCH officer for Ireland acknowledged the current healthcare crisis as well as concerns about waiting lists and standard of care but added that "children's health and wellbeing should not be seen as being in competition with adult services or health provision". "Acting early to treat and prevent conditions, and reducing the impact of factors such as poverty, can really improve health outcomes. A healthier population of children and young people will reduce many of the pressures on adult services in the long term." Read full story Source: BBC News, 4 March 2020 -
News Article
Young people put at risk by delays for treatment
Patient Safety Learning posted a news article in News
More than 70 children and young people have been put at risk by long delays in treatment by mental health services in Kent and Medway, HSJ has learned. According to a response to a Freedom of Information request submitted by HSJ, 205 harm reviews have been carried out for patients waiting for treatment following a referral to the North East London Foundation Trust, which runs the child and adolescent mental health services in Kent and Medway. Of those, 76 patients, who had all waited longer than the 18 week target time for treatment, were found to be at risk of harm. One patient had to be seen immediately as they were judged to be at “severe” risk. Seven were found to be at “moderate” risk and 68 at “low” risk. The trust said “risk” meant a risk of harm to themselves or others. But it said none of the 76 patients had come to actual harm. Read full story (paywalled) Source: HSJ, 25 February 2020 -
News Article
Fall in school nurses prompts fears that children’s lives are ‘at risk’
Patient Safety Learning posted a news article in News
The number of nurses in schools has fallen in recent years, prompting fears that pupils’ lives are being put “at risk”. Teaching assistants are being asked to carry out medical interventions, such as injections, without adequate training or support, the GMB union, which represents school staff, has said. Data, obtained by the GMB union through a Freedom of Information request, shows the number of school nurses has fallen by 11 per cent in four years – from 472 in 2015 to 420 in 2018. Karen Leonard, National Schools Officer at the GMB union, said: “The uncomfortable truth is that in too many schools children are not getting the medical support they need.” Ms Leonard added: “School staff should not administer medicine unless they feel fully confident in their training and lines of accountability, but often they are placed in uncomfortable situations." “This is a highly stressful state of affairs for children, parents, and staff, who fear they will be blamed if something goes wrong. It is not alarmist to say that lives are at risk.” Read full story Source: The Independent, 23 February 2020 -
Content Article
Visiting the Intensive Care Unit: activity book for children
Claire Cox posted an article in Patient-centred care
'Visiting the Intensive Care Unit' is an activity book for children who are visiting a relative in an intensive care unit (ICU). This resource is free to NHS hospitals. -
News Article
Children with arthritis 'facing delays to diagnosis'
Patient Safety Learning posted a news article in News
Delays diagnosing and treating children with arthritis are leaving them in pain and at a higher risk of lifelong damage, a national charity has warned. Arthritis is commonly thought to affect only older people, but 15,000 children have the condition in the UK. Versus Arthritis says many children are not getting help soon enough. The NHS said: "Arthritis in young people is rare and diagnosing it can be difficult because symptoms are often vague and no specific test exists." Zoe Chivers, Head of Services at Versus Arthritis, said: "We know that young people often face significant delays getting to diagnosis simply because even their GPs don't recognise that it's a condition that can affect people as young as two. It's often considered that they're just going through growing pains or they've just got a bit of a viral infection and that's not the case." Read full story Source: BBC News, 12 February 2020 -
News Article
Doctors in row with HSE over claims children's transgender care is 'unsafe'
Patient Safety Learning posted a news article in News
A number of doctors have claimed a service under which adolescents with gender dysphoria can be given puberty-suppressing hormone blockers is "unsafe" and must be immediately stopped, but their concerns were suppressed. The service is provided in Ireland by flying in two clinicians from an NHS trust in London to run clinics at Crumlin Children's Hospital. But the Irish Independent has learned at least three doctors working in the gender area expressed grave concerns over the service provided by the Tavistock and Portman NHS Foundation Trust at Crumlin. The concerns over standards of clinical care and governance were raised at a meeting of doctors and hospital officials in Crumlin last March. These included that children had been started on hormone treatment when they did not appear to be suitable. However, the issues raised and calls by the doctors for the service to be "terminated with immediate effect" were omitted from draft minutes of the meeting. News of their concerns comes days after it emerged a lawsuit was being taken by a former nurse, a parent, and a former patient against the trust in the London High Court. The action is challenging the clinic's practice of prescribing hormone blockers and cross-sex hormones to children under the age of 18. The trust has also been hit by a series of resignations by psychologists amid disquiet about the alleged "over-diagnosis" of gender dysphoria. Read full story Source: Irish Independent, 3 February 2020 -
Content ArticleA communication passport is a way of supporting a vulnerable person with communication difficulties when they have to transition through different events, such as changing schools, or their first job. Ryan’s family made a specific communication passport for his medical file so that all the medical professionals could learn a little about Ryan before they met him and therefore be better prepared and able to interact with him. Here, his mum shares their example to illustrate how it can be used to improve quality of care.
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Content Article
Children with Cancer: A day in the life Laraib
Claire Cox posted an article in By patients and public
Children with Cancer UK is a charity whose mission is to improve survival rates and the quality of survival in young cancer patients, and to find ways to prevent cancer in the future. They fund groundbreaking research to help children with cancer. They,raise awareness to inspire others to help, and they support families with our welfare projects. In these videos, follow Laraib, an inspiring child diagnosed with acute lymphoblastic leukaemia (ALL), through a 24-hour window into her life. Understand what it means to be a child living with cancer and learn about the vast support network that’s needed to care for those affected by the disease. -
Content ArticleIn this chapter, Wilkinson and Savulescu describe the background to the Charlie Gard case and how it played out over the first half of 2017. They will look at how decisions about medical treatment are normally made and the role of the court in decisions. They outline some of the important ethical questions raised by the Gard case.
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Content ArticleOn 8 June 2017, the Supreme Court in the United Kingdom rejected a legal appeal in the high-profile case of Charlie Gard, a British infant with a severe genetic disorder whose parents had disagreed with medical professionals and were requesting treatment that the doctors believed was futile. The case was the latest in a series of UK legal cases where courts have authorised withdrawal of treatment against the wishes of parents. In such disputes, British judges have, with rare exception, sided with health professionals. In contrast, in North America when disputes have reached the court, the courts have invariably sided in favour of life-sustaining medical treatment requested by a loving family. Paris et al. discuss the case of Charlie Gard.
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Content ArticleThis guidance wriiten by the Royal College of Nursing, is for health care professionals, service providers and those involved with planning and commissioning services. It sets out the RCN’s perspective on contemporary and future children and young people’s nursing services in the home and community setting. It also underlines the increasingly crucial role played by community children’s nurses as they provide integrated care closer to home. It explores the legislative and policy agenda, defines the role of the CCN, sets out the core principles of providing care, considers variations in how the needs of families are assessed across the four countries of the UK and outlines examples of current models of care and service delivery.
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Content ArticleMatt Darling was worried when his 15-month-old daughter, Jem Darling, began to show signs of brain cancer. When his worst fears were confirmed, Matt took on the role of an advocate for his daughter. While in the hospital, Matt witnessed firsthand the harm that is caused by a fragmented information environment in hospitals, spurring his development of the world's first safety critical clinical workflow engine. In this short film, produced by The Patient Safety Movement (Australian based), Matt tells his story.
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Content Article
In praise of NHS domestics: a blog by Adam's mum
Claire Cox posted an article in By patients and public
This blog written by Adams mum gives praise to the domestic staff that work with in our hospitals. She explains how the domestic staff were a source of support and company for Adam and the family when he was admitted. Adams mum is a mother an academic, lawyer and lay advisor. -
News ArticleA quarter of children referred for specialist mental health care because of self-harm, eating disorders and other conditions are being rejected for treatment, a new report has found. The study by the Education Policy Institute warns that young patients are waiting an average of two months for help, and frequently turned away. It follows research showing that one in three mental health trusts are only accepting cases classed as the most severe. GPs have warned that children were being forced to wait until their condition deteriorated - in some cases resulting in a suicide attempt - in order to get to see a specialist. Read full story Source: The Telegraph, 10 January 2020
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News Article
NHS use of puberty blockers legal challenge begins
Patient Safety Learning posted a news article in News
Legal action is being launched against the NHS over the prescribing of drugs to delay puberty. Papers have been lodged at the High Court by a mother and a nurse against the Tavistock and Portman NHS Trust, which runs the UK's only gender-identity development service (Gids). Lawyers will argue it is illegal to prescribe the drugs, as children cannot give informed consent to the treatment. The Tavistock said it had a "cautious and considered" approach to treatment. The nurse, Sue Evans, left the Gids more than a decade ago after becoming increasingly concerned teenagers who wanted to transition to a different gender were being given the puberty blockers without adequate assessments and psychological work. Ms Evans said: "I used to feel concerned it was being given to 16-year-olds. But now, the age limit has been lowered and children as young as perhaps 9 or 10 are being asked to give informed consent to a completely experimental treatment for which the long-term consequences are not known." Read full story Source: BBC News, 8 January 2020 -
Content ArticleHealthy eating and fitness mobile apps are designed to promote healthier living. However, for young people, body dissatisfaction is commonplace, and these types of apps can become a source of maladaptive eating and exercise behaviours. Furthermore, such apps are designed to promote continuous engagement, potentially fostering compulsive behaviours. This study, published by JMIR Publications, highlights the necessity for careful considerations around the design of apps that promote weight loss or body modification through fitness training, especially when they are used by young people who are vulnerable to the development of poor body image and maladaptive eating and exercise behaviours.
