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Circumstances under which children should be prescribed drugs for off-label use are when the medication they need is not available in a dosage distributed for children but has been shown to be used safely by children when given in the appropriate dosage level based on their body weight in the past. Care providers should be aware of what medications can be safely given to children in this way and what precedents have been established in the past. Just as in law, a court will examine prior cases to see how they have been judged before a decision is made on a current case, a nurse should reflect on what medications have been safely prescribed to children using off-label drugs and should only prescribe those that have been used safely before.
If the nurse feels compelled to prescribe a medication that has no precedent with use among children, the nurse should exercise restraint before embarking on this course because he or she does not want to be the one to set the precedent that such a drug is actually not safe for children to process because of the lack of development in their bodies so far. The safest course of action is to follow custom and tradition...
Since there are too few scientific studies that can help to verify all of what is needed for children’s health, professionals themselves have to keep tabs on what is used, what is effective, what has not been used, and so on.
In a worst case scenario, a nurse should consult with another professional to get a second opinion and should never attempt to make a judgment call alone, especially if there is uncertainty. As Gausvik, Lautar, Miller, Pallerla and Schlaudecker (2015) note, communication among nurses is vital to improving the quality of care of patients and interdisciplinary communication can be especially effective in helping nurses to make the right decision about what to prescribe for a child patient because someone else from another discipline, such as a physician, could give insight that the nurse does not have, and help to determine whether a drug would be safe to prescribe. A nurse should never be afraid to ask for assistance and for professional advice on such matters, especially as Gausvik et al. (2015) show that this type of behavior is laudable and…
References
Gausvik, C., Lautar, A., Miller, L., Pallerla, H., & Schlaudecker, J. (2015). Structured nursing communication on interdisciplinary acute care teams improves perceptions of safety, efficiency, understanding of care plan and teamwork as well as job satisfaction. Journal of Multidisciplinary Healthcare, 8, 33.
Mir, A. N., & Geer, M. I. (2016). Off-label use of medicines in children. Int J Pharm Sci Res, 7(5), 1820-28.
Neville, K. A., Frattarelli, D. A., Galinkin, J. L., Green, T. P., Johnson, T. D., Paul, I. M., & Van Den Anker, J. N. (2014). Off-label use of drugs in children. Pediatrics, 133(3), 563-567.
BIBLIOGRAPHY NLM (2012). Substance abuse treatment of women. Chapter 4. National Library of Medicine: National Institutes of Health. Retrieved on December 9, 2012 from http://www.ncbi.nlm.nih.gov/books/NBK83257 - Screening and assessment. http://www.ncbi.nlm.nih.gov/books.NBK83253 Brauser, D (2010), Sublingual buprenorphine relieves symptoms of neonatal opioid abstinence syndrome, Medscape: Medscape LLC. Retrieved on December 9, 2012 from http://www.medscape.com/viewarticle/730366 Fisher, P.A. et al. (2011). The combined effects of prenatal drug exposure and early adversity on neurobehavioral dis-inhibition in childhood and adolescence, Developmental Psychopathology.
Antidepressants and School Violence A persuasive essay, arguing link school shootings Columbine Virginia Tech, mass shootings, Aurora Theater shootings, Gabriel Giffords shooting, gunman/perpetrators psychotropic medications SSRI Antidepressants, Stimulant medications Ritalin, Adderall Concerta a, Atypical Antipsychotics, smoking cessation drugs Zyban Champix. Dylan Klebold and Eric Harris took an arsenal of guns and improvised on April 20, 1999 and went on a killing spree at Columbine High School near Littleton. The two students
Foster Children/Foster Care Issues of a Foster Child Child Abuse Families and Children Served through Foster Care The Policy Framework This thesis reviews foster care in the United States: the reasons why children fall into the category of children who need to be taken out of their families and placed in care, the numerous emotional and psychological responses of children in foster care, and the psychological and emotional care that is given to children that
After three weeks, crying was decreased in both groups, but the Lactobacillus reuteri infants demonstrated the greater reduction, from a mean of 370 minutes of crying per day at the beginning of the study to 35 minutes at the end. The placebo group's mean crying time went down from a mean of 300 minutes per day to 90 minutes per day. Stool examination also demonstrated a considerable decrease in
VIII. Preliminary Literature Review The work of Martin, Scahill, Klin and Volkmar (1999) entitled: "Higher-Functioning Pervasive Developmental Disorders: Rates and Patterns of Psychotropic Drugs Use" reports a study in which the frequency, characteristics and associated target symptoms of psychotropic drug use among individuals with developmental disorders and specifically those with "higher functioning pervasive developmental disorders. (HFPDDs) in a total of 109 children, adolescents and adults results show that 55% of these
It is easier to focus on ADHD statistics for children of school age (5-17 years old), because diagnosing ADHD in preschool aged children is difficult. Data from the NHIS indicate that: In 2001-2004, 7.7% of children ages 5-17 were reported to have been diagnosed with attention deficit hyperactivity disorder (ADHD). Nine percent of White non-Hispanic children, 8% of Black non-Hispanic children, 2% of Asian non-Hispanic children, and 4% of Hispanic children were