Complex Patient Care

Unavailable until further notice

Objectives: 

Provide students with an opportunity to gain experience in the interview and assessment of children and youth with medical complexity and fragility, with/without technology dependency:

  • Understand family centered care, comprehensive care assessment and care coordination.
  • Become comfortable using the “SOAP” interviewing technique and approach for physical examination.
  • Gain confidence in engaging and working with children and youth with medical complexity and fragility, with/without technology dependency.
  • Understand and observe multidisciplinary and interdisciplinary care and the importance of communication.
  • Participate with inpatient care responsibilities under the supervision of the staff.

Description:

Students will have an opportunity to participate in several areas of the Complex Care Service. Experience will include inpatients of all age groups and exposure to a wide variety of conditions including:  

  • Fluid management and nutrition, IV access management including PICC line and central line.
  • Acutely ill child: respiratory severe distress, shock, dehydration, sepsis, electrolyte disorder, seizure, coma, poisoning, child abuse, apparent life-threatening event, acute trauma.
  • Respirology: asthma, bronchiolitis, pneumonia/aspiration pneumonia, acute/chronic respiratory failure, pulmonary hypertension, bronchopulmonary dysplasia (BPD), chronic lung disease.
  • ENT: tracheostomy, drooling dysfunction and management, visual and hearing impairments.
  • Cardiology: congestive heart failure, congenital heart disease, hypertension, heart murmur, dysrhythmia, heart transplant.
  • Nephrology: urinary tract infection, pyelonephritis, nephritic/nephrotic syndrome, acute/chronic renal failure, hypertension, renal transplant, acid-base disorder.
  • Neurology: Oro-motor dysfunction including dysphagia, seizure, headache and cyclical vomiting, coma, encephalopathy, cerebral palsy, spina bifida.
  • Gastroenterology: dysphasia and feeding problems, failure to thrive, gastroesophageal reflux and vomiting, enteral feeding tube, parenteral nutrition, diarrhea and colitis, hepatitis, jaundice, constipation.
  • Infectious Diseases: sepsis, meningitis, bacteremia, osteomyelitis, cellulitis, gastroenteritis, colitis, central line sepsis, immune-dysregulation, other infections.
  • Endocrinology: adrenal insufficiency, electrolyte disorder including diabetes insipidus, hyper/hypoglycemia.
  • Hematology: anemia, marrow suppression, Post-marrow transplant, hemoglobinopathy.
  • Oncology: solid tumors (CNS, Wilms, neuroblastoma), leukemia.
  • Metabolics: mitochondrial disorders, rare diseases.
  • Genetics: Trisomy 21, CHARGE, VACTER, Williams syndrome, cardio-velo-facial syndrome, others.
  • Connective Tissue Disorder: lupus (SLE), juvenile rheumatoid arthritis.
  • Rehabilitation: learn about ICF (international classification of function), hip dislocation, scoliosis, traumatic brain injury and management, other orthopedic issues.
  • Palliative Care: care directives, pain management.

Location: Children's Hospital of Eastern Ontario.

Duration: 2 weeks

No. of Students: 1 student

Available for: Clinical clerks only

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