Mapstone advised and should be implemented in stages.

Mapstone states
that sports-related concussions in children are a major health concern, with
50% of these injuries going undiagnosed. This is partially due to a lack of
adequate education and training provided to nurses and other health care
providers regarding sports-related concussions. Mapstone aims to present a
curriculum to be implemented in educating the health care team. In this
curriculum, the author presents key points that must be emphasized to the
collaborative care team that includes health care providers, family, the
patient, coaches, and school administrators. The distinction is made between
the functional and structural nature of the injury to demonstrate how this can
cause physical, psychosocial, and cognitive symptoms without anatomic
pathology. Diagnosis should be made through a comprehensive history, detailed
neurologic exams, and assessments of symptoms, cognitive function, and balance.

Management should be through cognitive and physical rest while interacting with
family and friends, as tolerated. Gradual return to school and sports is
advised and should be implemented in stages. The danger of chronic traumatic
encephalopathy is raised to highlight the importance of full recovery before
returning an athlete to play. The complexity of treating pediatric patients
with sports-related concussions is stressed as their brains are still developing,
and they are undergoing many internal changes and external pressures.

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Furthermore, children are likely to be less compliant than adults with
recommendations for physical and cognitive rest.

This article is
relevant to the presentation on sports-related concussions in pediatric
patients because it emphasizes the importance of teaching this topic to a
pediatric population. Due to the possibility of chronic traumatic
encephalopathy and the fact that there is currently no diagnosis or cure for
the condition, it is crucial that children, families, and coaches understand
the risk of multiple concussions and importance of full recovery before
returning to a sport. This article also raises important teaching points to be
used in educating the family, and, in particular, the pediatric patient. Mapstone
states that children are less compliant with recommendations for physical and
cognitive rest. Therefore, it is integral to use specific methods for educating
the child to ensure that they understand the importance of rest and returning
to school and play in gradual stages as they recover. Methods such as videos,
games, and workbooks will be shown in the presentation as materials that can be
used effectively with school-aged children.

This article is
relevant to my future nursing praxis, as it focuses on the role of the nurse in
assessing, diagnosing, and managing sports-related concussions in pediatric
patients. The author also places particular emphasis on the importance of
educating the health care team, the family, the patient, school administrators,
and coaches. Therefore, in my future nursing praxis, I could use this education
in the assessment and diagnosis of concussions in the emergency department. This
would include assessing for early and delayed symptoms of concussion and taking
an accurate history, including predisposing factors that could prolong
recovery. Such predisposing factors include previous concussions, mood
disorders, and psychiatric disorders. Additionally, as a nurse and a member of
the child’s health care team, it may be necessary to advocate for adjustments
and accommodations to their education and activities once they return to school
and sports following a sports-related concussion. This article is further
relevant to my nursing praxis because I could be educating others in community
centres or schools in the future. For example, it could become necessary that teachers
at schools and parents that enroll their children in contact sports attend an
education session that could be facilitated by a nurse with advanced knowledge
in pediatric sports-related concussions.

 

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