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The Peds NP provides a practical approach to the application of clinical evidence-based practice in pediatrics using stories from the bedside, cases, and personal experiences to help you apply the most current literature to your practice with children. The host is Becky Carson, DNP, APRN, CPNP-PC/AC. She is a dual-certified pediatric nurse practitioner in acute and primary care and assistant professor at The Catholic University of America’s Conway School of Nursing in Washington D.C. Through a conversational review of the literature, you can easily apply knowledge to clinical practice to improve outcomes in pediatric care. Disclaimers & Show Notes: www.thepedsnp.com
Episodes
Wednesday Jun 15, 2022
Wednesday Jun 15, 2022
Infant dyschezia refers to the discomfort an infant experiences when bearing down against a closed anal sphincter, and is often misidentified as constipation by parents. As long as red flags are absent, this functional, self-limited condition is easily diagnosed using the Rome IV Criteria. In this episode, you will learn how to reassure parents and what contraindicated treatments should be discussed.
References:
Children’s Wisconsin. (2020). Infants straining to move bowels. https://childrenswi.org/-/media/chwlibrary/publication-media-library/2020/03/30/20/48/2144en.pdf
LeLeiko, N. S., Mayer-Brown, S., Cerezo, C., & Plante, W. (2020). Constipation. Pediatrics in review, 41(8), 379–392. https://doi.org/10.1542/pir.2018-0334
Tabbers, M. M., DiLorenzo, C., Berger, M. Y., Faure, C., Langendam, M. W., Nurko, S., Staiano, A., Vandenplas, Y., Benninga, M. A., European Society for Pediatric Gastroenterology, Hepatology, and Nutrition, & North American Society for Pediatric Gastroenterology (2014). Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. Journal of pediatric gastroenterology and nutrition, 58(2), 258–274. https://doi.org/10.1097/MPG.0000000000000266
Zeevenhooven, J., Koppen, I. J., & Benninga, M. A. (2017). The New Rome IV Criteria for Functional Gastrointestinal Disorders in Infants and Toddlers. Pediatric gastroenterology, hepatology & nutrition, 20(1), 1–13. https://doi.org/10.5223/pghn.2017.20.1.1
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