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Cover image of Caring for Children Who Have Severe Neurological Impairment
Cover image of Caring for Children Who Have Severe Neurological Impairment
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Caring for Children Who Have Severe Neurological Impairment

A Life with Grace

Julie M. Hauer, M.D.

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An expert physician empowers parents to make informed decisions about their child’s care.

Global impairment of the central nervous system, whether stable or progressive, is often called severe neurological impairment (SNI). A child who has SNI will be cared for both by specialist clinicians and by parents at home. A parent is a child’s best expert and advocate, and many parents become highly skilled in managing their child's care. This guide provides information to help parents increase their knowledge and improve their caregiving skills.

In Caring for Children Who Have Severe Neurological...

An expert physician empowers parents to make informed decisions about their child’s care.

Global impairment of the central nervous system, whether stable or progressive, is often called severe neurological impairment (SNI). A child who has SNI will be cared for both by specialist clinicians and by parents at home. A parent is a child’s best expert and advocate, and many parents become highly skilled in managing their child's care. This guide provides information to help parents increase their knowledge and improve their caregiving skills.

In Caring for Children Who Have Severe Neurological Impairment, Dr. Julie M. Hauer advocates shared decision making between family caregivers and healthcare providers. She details aspects of medical care such as pain, sleep, feeding, and respiratory problems that will be particularly useful to parents. Tables and key points summarize discussions for clear, quick reference, while case studies and stories illustrate how different families approach decision making, communication, care plans, and informed consent.

Parents and other caregivers will find this book to be indispensable—as will bioethicists and clinicians in pediatrics, neurology, physical and rehabilitative medicine, palliative care, and others who care for children with neurological and neuromuscular disorders. Dr. Hauer offers hope and practical coping strategies in equal measure.

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Reviews

This unique book provides detailed scientific information that is carefully explained in a gentle and thoughtful manner. This book provides a much needed resource for families struggling to stay informed and make decisions for their children. It also is a new and essential resource for pediatric palliative care professionals who walk alongside families as guides.

Framing by symptoms, not diseases, Dr. Hauer gives practical diagnostic and therapeutic approaches to the most challenging problems faced by children with severe neurological impairment. Grounded in compassion, experience, and family-centered care, Caring for Children Who Have Severe Neurological Impairment: A Life with Grace is a must-read.

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About

Book Details

Publication Date
Status
Available
Trim Size
6.125
x
9.25
Pages
480
ISBN
9781421409375
Illustration Description
18 line drawings
Table of Contents

Foreword, by Chris Feudtner, MD, PhD, MPH
Preface
Acknowledgments
1. Caring for a Child Who Has Severe Neurological Impairment: An Overview
2. Impairment of the Central Nervous System: Specific Conditions

Foreword, by Chris Feudtner, MD, PhD, MPH
Preface
Acknowledgments
1. Caring for a Child Who Has Severe Neurological Impairment: An Overview
2. Impairment of the Central Nervous System: Specific Conditions
3. Treating Pain and Other Distressing Symptoms: An Overview
4. Pain: Evaluation and Treatment
5. Gastrointestinal Problems: Retching, Vomiting, Feeding Intolerance, and Other Problems
6. Respiratory Problems: Pneumonia, Excessive Secretions, and Respiratory Distress
7. Problems of the Central Nervous System: Spasticity, Dystonia, Dysautonomia, Seizures, andRelated Problems
8. Changes from the Expected: Sleep, Temperature, Heart Rate, Sodium Levels, Puberty, Growth, and Nutrition
9. Decision Making
10. Care at the End of Life
Glossary
Index

Author Bio
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Julie M. Hauer, M.D.

Julie M. Hauer, M.D., is an assistant professor, medical director of Seven Hills Pediatric Center, and a staff member in General Pediatrics, Complex Care Service, at Boston Children’s Hospital Harvard Medical School.
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