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A.SWAROOPA
MSC
PEDIATRICS NURSING
The term pediatrics is derived from
the “greek” word pedia (means
child or pertaining to child) Iatrike
(means treatment), Ics
( branch of science).
 Pediatric nursing is “the practice of
nursing with children, youth, and their
families across the health continuum,
including health promotion, illness
management, and health restoration”.
“BENKELE”
 It is “ the art and science of giving
nursing care to children from birth
through adolescent with emphasis on
the physical growth, mental,
emotional and psycho-social
development “.
GOOGLE.COM
 Study of pediatrics began in the last of
1800s under the influence of Prussian born
physician, Abraham Jacobi (1830-1919)
referred as “the father of pediatrics”.
 The end of the 19th century is often regarded
as “the dark ages of pediatrics”.
 The first half of the 20th century is regarded
as “the dawn of improved health care for
children”.
HISTORICAL
BACKGROUND AND
DEVELOPMENT OF
PEDIATRIC NURSINGCHILDREN IN PRIMITIVE SOCIETY
DURING ANCIENT CIVILIZATION
IMPACT OF CHRISTIANITY ON CHILD CARE
THE CHILD IN THE UNITED STATES
MODERN CONCEPTS OF PEDIATRICS
Early primitive people were nomads, where
they were moving constantly to search for
food and safety from wild animals.
The society ruled that malformed & sick
children would drain the resources of the
group.
The sick child was killed or left behind.

CHILDRENINPRIMITIVESOCIETY
Some times infants were killed simply
because they were females, who could
not contribute as much productive
labor to the group as males could. This
practice is termed as female infanticide.
Some primitive person was believed that
the birth of a defective infant was also
Punishment for previous transgressions of
the parents.
Child physical care & receiving love &
affection used to depend on the cultural
group and tribe of the mother.
The childin ANCIENTCIVILIZATIONs
The concept of the importance of child to
society gradually improved instead of liability
the child slowly became an asset to society.
IN EGYPT:
1500 BC, children received treatment, which
differed from that given to adults with good care .
Egyptian children were cared for by dressing
infants in loose clothes and breast-feeding was
encouraged.
They encouraged children to learn as well as to
participate in out door activities.
GREECE & ROME:
PHYSICAL BEAUTY WAS CONSIDERED IMPORTANT
BY THE EARLY INHABITANTS OF GREECE; THUS
CHILDREN WERE RARED SO THAT THEY WOULD HAVE
WELL FORMED BODIES.
THE IMPORTANCE OF THE FAMILY WAS STRESSED IN
ROME BECAUSE ITS FUNCTION WAS TO RAISE
STRONG SONS TO BECOME WARRIORS WHO COULD
SERVE THE STATE.
ISRAEL:
AMONG THE ANCIENT JEWS THE HYGIENIC
MEASURES WERE IMPROVED IN
MATERNAL & CHILD CARE.
HEBRIEW:
PEOPLE RECOGNISED THE IMPORTANCE OF
CLEANESS & NUTRITION.
THEY ALSO RECOGNISED THE COMMUNICABLE
DISEASES AND MADE EFFORTS TO CONTROL
THEM.
THEY BELIEVED THAT THE RELIGIOUS CEREMONY
OF CIRCUMCISSION PRACTICED ON MALE INFANTS
SERVED AS A HEALTH MEASURE AS WELL.
PARENTHOOD WAS HONOURED AMONG THE
HEBRIEWS, A LARGE FAMILY WAS CONSIDERED A
SIGN OF “GODS BLESSING” UPON THE PARENTS.
IMPACTOF CHRISTIANITYON CHILDCARE:
CHRISTIANITY TAUGHT THE VALUE OF THE CHILD
AS AN INDIVIDUAL .
SINCE CHRISTIANITY ALSO TAUGHE THE
PROTECTION OF THE WEAK BY THE STRONG &
CARE OF THE ILL BY THE WELL, THE CHRISTIAN
CHURCHES STARTED TAKING CARE OF SICK &
ORPHAN CHILDREN FOR THE FIRST TIME IN THE
HISTORY.
THE CHILD IN EUROPE:
BEFORE THE 19TH CENTURY LIFE EPECTENCY IN
EUROPE WAS SHORT.
MANY PARENTS DID NOT LIVE LONG ENOUGH TO
REAR THEIR CHILDREN DUE TO CONTAGEOUS
DISEASES .
YOUNG MEN DIED IN THE WAR OR FROM INJURIES
.
WOMEN MARRIED EARLY AND HAD LARGE
FAMILIES.
THE MATERNAL DEATH RATE WAS HIGH.
THESE CONDITIONS RESULTED IN MANY ORPHENED
CHILDREN.
ASYLUMS INITIALLY FOUNDED FOR THE CARE OF
DEPENDENT CHILDREN IN 787 AD.
THOUGH THE NUMBER OF ASYLUMS WERE
INCREASED THE CHILDREN USED TO DIE DUE TO THEIR
POOR HYGENIC CONDITIONS, OVER CROWDING,
LACK OF NUTRITION, LACK OF SANITATION, POOR
QUALITY OF CARE AND LACK OF ASEPTIC
TECHNIQUES.
THE DARKEST PERIOD IN CHILD CARE IN GREAT
BRITAIN & WESTERN EUROPE WAS BEGINNING OF
THE INDUSTRIAL REVOLUTION DURING THE 1800’s.
CHILDREN OF 6-12 YEARS USED TO WORK IN
COTTON MILLS FOR 10 OR MORE HOURA A DAY.
THEY OFTEN FELL ASLEEP AT THEIR WORK AND
ACCIDENTS WERE MORE COMMON & THEIR WAGES
WERE SO LOW, MILL OWNERS EMPLOYED THEM IN
LARGE NUMBERS.
THE CHILD IN THE UNITEDSTATES:
BY THE MIDDLE OF 19 TH CENTUARYLARGE
SLUMS WERE GROWN IN NEWYORK MORBIDITY
& MORTALITY RATES OF INFANTS & CHILDREN
WERE HIGH DUE TO OVER CROWDING &
UNSANITARY CONDITIONS.
DURING THIS PERIOD CONTAMINATED MILK
LEAD TO SERIOUS INTESTINAL DISODERS
AMONG THE INFANTS & CHILDREN.
MILK FROM TUBERCULOUS COWS CAUSED
MANY CASES OF TUBERCULOSIS AMONG
MANY CHILDREN.
THE CONDITION OF NEGLECTED,
ABANDONED AND SICK CHILDREN
AROUSED PUBLIC AND PROFESSIONAL
SYMPATHY.
THE CHILDIN DEVELOPING COUNTRIES:
The emphasis of pediatric nursing, fifty
years ago, was on the care of the ill children
in either the hospital or physician’s office.
Today, dramatic changes in the care of
children occurred, where the emphasis has
broadened to include prevention of illness
and accidents; the holistic health care; and
the nursing care of children within their family
constellation.
1771- New York Hospital one of the 1st
teaching hospitals in USA provided
classroom presentations designed for
nurses caring children..
1790-first orphanage was established.
1851- The Hospitals for sick children
was founded in London.
 1855- one of the earliest known pediatric
text book “How to Nurse Sick Children” was
published.
 1855- The Children’s Hospital of
Philadelphia, USA was founded.
 1860-Dr.Jacobi in New york established first
children's clinic.
 1867-1940 , Lillian Wald – The Founder of Public
Health or Community Nursing.
 1880- pediatric section of American medical
association was organized.
 Children Hospital training school in San Francisco
offered formal classes to educate nurses in the
care of ill children.
 During this period the role of the nurse was taking
care of children and they were responsible for
maintaining nutrition, hygiene and hydration.
 They played a major role in controlling the
spread of communicable disease by
observing sanitary measures.
 1886- Nurses practiced in home without
direct physician supervision.
 1893- Lillian Wald opened the Henry Street
settlement house, which provided medical
social, cultural and education services to
the poor children.
 1896-Nurses Association Alumni of the
United States and Canada was founded.
Later it became the American Nurses
Association.
 1903- Recognition of pediatric Nurse was
Initiated.
 1909- President Roosevelt started first
White House conference on children.
 1912- The US Children Bureau was
established as a result of this conference.
(children health and environment).
 During this time the creation of better
standards of care for mothers and children
started and it led to the “1st maternity and
infants Act”. And it influenced for the
creation of the “American Academy of
Pediatrics (AAP)”
 1917-first child labor law was passed.
1935: the social security act for health and care
of children became law.
1940- Spits and Roberson identified the effects
of Isolation and Asepsis, maternal deprivation.
1946-The United Nations International Children
Emergency Fund was created by United
Nations. (UNICEF).
1948-The World Health Organization (WHO)
was created .
1959-The 14th general assembly of the United Nations
approved the declaration of Child Rights.
1963: SOCIAL SECURITY ACT FOR MATERNAL AND
INFANT CARE.
1965: SOCIAL SECURITY ACT FOR COMPREHENSIVE
HEALTH CARE FOR DEPRIVED CHILDREN.
 1970- Health became a more comprehensive
concept. Nurses began to view children
holistically i.e., in relation to their biophysical,
cognitive affective and social needs.
 1974-The child abuse and prevention Act &
Juvenile Justice and Delinquency prevention Act.
 1975-Social security Act for children.
1980-The Child Welfare Act.
1982: missing children act national computer
information network to identify missing
children.
1986-The National Child hood Vaccine Injury
Act.
Child survival act
•1965- Elementary and secondary Education
Act.
•1973- Rehabilitation Act.
•1975- Education for all Handicapped Children
Act. (Mandated free appropriate education for
all children with disabilities below 3-18 yrs
old.
 1990- Individuals with Disabilities
Education Act (IDEA). – including autism
and traumatic brain injury. (Up to 21 years).
 2001- No Child left behind Act.
 CONCLUSION:
the nurse has a responsibility both as a
citizen & professional individual to assure
that the needs of children and their families
are met.
SUMMARY

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Historical development of pediatrics & pediatric nursing

  • 2. The term pediatrics is derived from the “greek” word pedia (means child or pertaining to child) Iatrike (means treatment), Ics ( branch of science).
  • 3.  Pediatric nursing is “the practice of nursing with children, youth, and their families across the health continuum, including health promotion, illness management, and health restoration”. “BENKELE”
  • 4.  It is “ the art and science of giving nursing care to children from birth through adolescent with emphasis on the physical growth, mental, emotional and psycho-social development “. GOOGLE.COM
  • 5.  Study of pediatrics began in the last of 1800s under the influence of Prussian born physician, Abraham Jacobi (1830-1919) referred as “the father of pediatrics”.  The end of the 19th century is often regarded as “the dark ages of pediatrics”.  The first half of the 20th century is regarded as “the dawn of improved health care for children”.
  • 6. HISTORICAL BACKGROUND AND DEVELOPMENT OF PEDIATRIC NURSINGCHILDREN IN PRIMITIVE SOCIETY DURING ANCIENT CIVILIZATION IMPACT OF CHRISTIANITY ON CHILD CARE THE CHILD IN THE UNITED STATES MODERN CONCEPTS OF PEDIATRICS
  • 7. Early primitive people were nomads, where they were moving constantly to search for food and safety from wild animals. The society ruled that malformed & sick children would drain the resources of the group. The sick child was killed or left behind.  CHILDRENINPRIMITIVESOCIETY
  • 8. Some times infants were killed simply because they were females, who could not contribute as much productive labor to the group as males could. This practice is termed as female infanticide.
  • 9. Some primitive person was believed that the birth of a defective infant was also Punishment for previous transgressions of the parents. Child physical care & receiving love & affection used to depend on the cultural group and tribe of the mother.
  • 10. The childin ANCIENTCIVILIZATIONs The concept of the importance of child to society gradually improved instead of liability the child slowly became an asset to society.
  • 11. IN EGYPT: 1500 BC, children received treatment, which differed from that given to adults with good care . Egyptian children were cared for by dressing infants in loose clothes and breast-feeding was encouraged. They encouraged children to learn as well as to participate in out door activities.
  • 12. GREECE & ROME: PHYSICAL BEAUTY WAS CONSIDERED IMPORTANT BY THE EARLY INHABITANTS OF GREECE; THUS CHILDREN WERE RARED SO THAT THEY WOULD HAVE WELL FORMED BODIES. THE IMPORTANCE OF THE FAMILY WAS STRESSED IN ROME BECAUSE ITS FUNCTION WAS TO RAISE STRONG SONS TO BECOME WARRIORS WHO COULD SERVE THE STATE.
  • 13. ISRAEL: AMONG THE ANCIENT JEWS THE HYGIENIC MEASURES WERE IMPROVED IN MATERNAL & CHILD CARE. HEBRIEW: PEOPLE RECOGNISED THE IMPORTANCE OF CLEANESS & NUTRITION. THEY ALSO RECOGNISED THE COMMUNICABLE DISEASES AND MADE EFFORTS TO CONTROL THEM.
  • 14. THEY BELIEVED THAT THE RELIGIOUS CEREMONY OF CIRCUMCISSION PRACTICED ON MALE INFANTS SERVED AS A HEALTH MEASURE AS WELL. PARENTHOOD WAS HONOURED AMONG THE HEBRIEWS, A LARGE FAMILY WAS CONSIDERED A SIGN OF “GODS BLESSING” UPON THE PARENTS.
  • 15. IMPACTOF CHRISTIANITYON CHILDCARE: CHRISTIANITY TAUGHT THE VALUE OF THE CHILD AS AN INDIVIDUAL . SINCE CHRISTIANITY ALSO TAUGHE THE PROTECTION OF THE WEAK BY THE STRONG & CARE OF THE ILL BY THE WELL, THE CHRISTIAN CHURCHES STARTED TAKING CARE OF SICK & ORPHAN CHILDREN FOR THE FIRST TIME IN THE HISTORY.
  • 16. THE CHILD IN EUROPE: BEFORE THE 19TH CENTURY LIFE EPECTENCY IN EUROPE WAS SHORT. MANY PARENTS DID NOT LIVE LONG ENOUGH TO REAR THEIR CHILDREN DUE TO CONTAGEOUS DISEASES . YOUNG MEN DIED IN THE WAR OR FROM INJURIES . WOMEN MARRIED EARLY AND HAD LARGE FAMILIES.
  • 17. THE MATERNAL DEATH RATE WAS HIGH. THESE CONDITIONS RESULTED IN MANY ORPHENED CHILDREN. ASYLUMS INITIALLY FOUNDED FOR THE CARE OF DEPENDENT CHILDREN IN 787 AD. THOUGH THE NUMBER OF ASYLUMS WERE INCREASED THE CHILDREN USED TO DIE DUE TO THEIR POOR HYGENIC CONDITIONS, OVER CROWDING, LACK OF NUTRITION, LACK OF SANITATION, POOR QUALITY OF CARE AND LACK OF ASEPTIC TECHNIQUES.
  • 18. THE DARKEST PERIOD IN CHILD CARE IN GREAT BRITAIN & WESTERN EUROPE WAS BEGINNING OF THE INDUSTRIAL REVOLUTION DURING THE 1800’s. CHILDREN OF 6-12 YEARS USED TO WORK IN COTTON MILLS FOR 10 OR MORE HOURA A DAY. THEY OFTEN FELL ASLEEP AT THEIR WORK AND ACCIDENTS WERE MORE COMMON & THEIR WAGES WERE SO LOW, MILL OWNERS EMPLOYED THEM IN LARGE NUMBERS.
  • 19. THE CHILD IN THE UNITEDSTATES: BY THE MIDDLE OF 19 TH CENTUARYLARGE SLUMS WERE GROWN IN NEWYORK MORBIDITY & MORTALITY RATES OF INFANTS & CHILDREN WERE HIGH DUE TO OVER CROWDING & UNSANITARY CONDITIONS. DURING THIS PERIOD CONTAMINATED MILK LEAD TO SERIOUS INTESTINAL DISODERS AMONG THE INFANTS & CHILDREN.
  • 20. MILK FROM TUBERCULOUS COWS CAUSED MANY CASES OF TUBERCULOSIS AMONG MANY CHILDREN. THE CONDITION OF NEGLECTED, ABANDONED AND SICK CHILDREN AROUSED PUBLIC AND PROFESSIONAL SYMPATHY.
  • 21. THE CHILDIN DEVELOPING COUNTRIES: The emphasis of pediatric nursing, fifty years ago, was on the care of the ill children in either the hospital or physician’s office. Today, dramatic changes in the care of children occurred, where the emphasis has broadened to include prevention of illness and accidents; the holistic health care; and the nursing care of children within their family constellation.
  • 22. 1771- New York Hospital one of the 1st teaching hospitals in USA provided classroom presentations designed for nurses caring children.. 1790-first orphanage was established. 1851- The Hospitals for sick children was founded in London.
  • 23.  1855- one of the earliest known pediatric text book “How to Nurse Sick Children” was published.  1855- The Children’s Hospital of Philadelphia, USA was founded.  1860-Dr.Jacobi in New york established first children's clinic.
  • 24.  1867-1940 , Lillian Wald – The Founder of Public Health or Community Nursing.  1880- pediatric section of American medical association was organized.  Children Hospital training school in San Francisco offered formal classes to educate nurses in the care of ill children.  During this period the role of the nurse was taking care of children and they were responsible for maintaining nutrition, hygiene and hydration.
  • 25.  They played a major role in controlling the spread of communicable disease by observing sanitary measures.  1886- Nurses practiced in home without direct physician supervision.  1893- Lillian Wald opened the Henry Street settlement house, which provided medical social, cultural and education services to the poor children.
  • 26.  1896-Nurses Association Alumni of the United States and Canada was founded. Later it became the American Nurses Association.  1903- Recognition of pediatric Nurse was Initiated.  1909- President Roosevelt started first White House conference on children.
  • 27.  1912- The US Children Bureau was established as a result of this conference. (children health and environment).  During this time the creation of better standards of care for mothers and children started and it led to the “1st maternity and infants Act”. And it influenced for the creation of the “American Academy of Pediatrics (AAP)”  1917-first child labor law was passed.
  • 28. 1935: the social security act for health and care of children became law. 1940- Spits and Roberson identified the effects of Isolation and Asepsis, maternal deprivation. 1946-The United Nations International Children Emergency Fund was created by United Nations. (UNICEF). 1948-The World Health Organization (WHO) was created .
  • 29. 1959-The 14th general assembly of the United Nations approved the declaration of Child Rights. 1963: SOCIAL SECURITY ACT FOR MATERNAL AND INFANT CARE. 1965: SOCIAL SECURITY ACT FOR COMPREHENSIVE HEALTH CARE FOR DEPRIVED CHILDREN.
  • 30.  1970- Health became a more comprehensive concept. Nurses began to view children holistically i.e., in relation to their biophysical, cognitive affective and social needs.  1974-The child abuse and prevention Act & Juvenile Justice and Delinquency prevention Act.  1975-Social security Act for children.
  • 31. 1980-The Child Welfare Act. 1982: missing children act national computer information network to identify missing children. 1986-The National Child hood Vaccine Injury Act. Child survival act
  • 32. •1965- Elementary and secondary Education Act. •1973- Rehabilitation Act. •1975- Education for all Handicapped Children Act. (Mandated free appropriate education for all children with disabilities below 3-18 yrs old.
  • 33.  1990- Individuals with Disabilities Education Act (IDEA). – including autism and traumatic brain injury. (Up to 21 years).  2001- No Child left behind Act.  CONCLUSION: the nurse has a responsibility both as a citizen & professional individual to assure that the needs of children and their families are met.