Neurological Challenges in the Pediatric Population – Lisa Keeler

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Exploring the Essential Features of “Neurological Challenges in the Pediatric Population – Lisa Keeler”

Pediatric healthcare providers care for children with a variety of common and uncommon neurological conditions. But, many of us have not had extensive training in the diagnosis and management of the neurological disorders of children, especially those that are uncommon. This session will enhance your knowledge about pediatric neurological conditions and to provide specific techniques that will improve the management of these children

Speaker

Lisa Keeler, MS, RN, CPNP-AC

 
Lisa Keeler, MS, RN, CPNP-AC, is an acute care nurse practitioner at Boston Children’s Hospital. She has over 15 years of advanced practice experience all with a pediatric acute care focus, working the last three years in inpatient critical care over the last three years, and previously 12 years in pediatric gastroenterology. Lisa serves as a clinical preceptor for APN nursing students.

Speaker Disclosures:
Financial: Lisa Keeler has employment relationships with Children’s Hospital, Merrimack Valley YMCA Camp Nokomis, and Northeastern University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Lisa Keeler is a member of the American Association of Critical Care Nurses.

Objectives

1. Define key terms related to pediatric neurological symptoms, conditions, and therapies.
2. Determine the etiology and pathophysiology of different pediatric neurologic conditions, including genetic, metabolic and environmental factors that may contribute to their development.
3. Identify the signs and symptoms of different pediatric neurological conditions including physical and behavioral manifestations.
4. Discuss familiar with common pediatric neurologic conditions and appropriate diagnostic evaluation.
5. Discuss the diagnostic criteria and testing used to aid in diagnosis of pediatric neurological conditions.
6. Evaluate the different treatment options available for pediatric neurological conditions, including pharmacological, surgical, and behavioral interventions.
7. Utilize knowledge of pediatric neurological conditions and apply to current practice.

Outline

Definition; Neurologic Disorders

Causes of Neurologic Disorders in Children

• Congenital
• Acquired

Common Symptoms of Neurologic Disorders

• Muscle Tone and Coordination
  • Delayed Milestones
  • Hypo or Hypertonia
    • Dysphagia
    • Incontinence
  • Gait issues
  • Poor coordination
• Altered Mental Status: LOC/Mood
  • Changes in Level of Consciousness
  • Depression/Anxiety
  • Behavior Changes
• Sensory
  • Vision Changes
  • Numbness or Tingling in extremities
  • Ringing in ears
• Seizures/Spasm
  • Definition
  • Types of Seizures
    • Infantile Spasm
    • Febrile
    • Epilepsy
  • Presentation
  • Diagnosis/Work-Up
  • Treatment
    • Medical
    • Surgical

Common Neurological Disorders in Children

• Congenital
  • Genetic/Metabolic
    • Tay-Sachs disease
    • Dystonia
    • Retts
    • Wilsons Disease
    • PKU
    • Autism Spectrum Disorder
• Chromosomal Abnormalities
  • • Angelman Syndrome
    • Prader-Willi
    • Cru di Chat
• Pre-Perinatal
  • • Birth Trauma
    • Low Birth Weight
    • Hypoxia
    • Infection
    • Toxin
• Acquired
  • Immune Disorders
    • Autoimmune encephalitis
    • Transverse myelitis
    • ADEM
  • Infectious
    • Meningitis
    • Encephalitis
    • Acute Flaccid Myelitis
  • Trauma
    • Traumatic Brain Injury
    • Spinal Cord Injury
    • Concussion
  • Neoplasm
    • Benign Lesions
      • Meningioma
      • Crainiopharyngioma
    • Malignant
      • Astrocytoma
      • DIPG
      • GBM
      • Medulloblastoma
    • Cerebrovascular/Blood Flow Disruption
      • AVM
      • Moyamova
      • Cavernous Malformation
      • Clot/Aneurysm

Common Diagnostic Studies and Lab Exams

Common Medication Therapies

Common Surgical Interventions

Target Audience

• Nurses
• NPs
• APRNs
• Physician Assistants
• Physicians

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