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.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.
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
Mental Illness and Child Abuse The physical abuse of children was 'rediscovered' by physicians over fifty years ago. Since then, some observers have expressed concern at the continuing 'medicalisation' of what they consider to be essentially a social problem (Parton, 1985). A widely-held view emerged from the ensuing debate that child physical abuse and neglect occurred through an interaction between parents, children and their social environment. The model described parents with
, 1998). Cognitive functioning, particularly memory performance has been found to be impaired in patients with childhood onset of growth hormone deficiency and HGH replacement therapies have been found to offset this memory impairment (Arwert et al., 2005). Studies have identified a link between improved attention and increases in memory performance in children with growth hormone deficiency (Arwert et al., 2005; Arwert et al., 2006). This is due to the
Medication Errors Since the research materials are provided to you by human beings, and may be based Medication errors pose a significant threat to patients. The results of medication errors vary from mild to deadly. No facility is immune from the possibility to drug errors, either through a fault of their own, or from suppliers or pharmacists that supply them. All medication errors must be reported to the Food and Drug Administration.
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