This guideline describes the procedure which must be followed whenever a diagnosis of Mycobacterium Tuberculosis (M.TB) infection is suspected or confirmed, to optimally protect staff, patients and other visitors from risk of infection and assist in the care of the child with M.TB (not including Occupational Health policy).
This guideline is intended to supplement the resources found in the 'When a Child Dies' (WACD) purple box located in every ward, which gives detailed information on the care of a child after death and, additionally, the ongoing care and attention that the child's family will require (Rationale 1).
The most common reason why might the pulmonary valve need replacing in children and young adults is related to treatment of congenital heart disease. Pulmonary valve replacement is usually suggested when a child has symptoms of heart failure, such as tiredness on exercising.
New 3D modelling techniques which could give a more realistic view of heart defects in patients are being researched at Great Ormond Street Hospital and University College London, thanks to a grant from Heart Research UK.
This guideline is intended to guide and facilitate the care of patients under the care of the clinical teams at Great Ormond Street Hospital for Children NHS Trust (GOSH). It has been approved by the Guideline Approval Group and is for use by staff of all disciplines and levels in these health care teams. The guidance contained here in is not intended to replace individual assessment and personalised treatment of the patient.
Within 15 minutes of the birth of their baby daughter, Isobel, Abigail and Shaun knew that something was wrong. Here, Abigail shares her story of how Isobel was diagnosed with cystic fibrosis and her hopes for the future.
Enteral feeding is a very useful method of ensuring adequate intake of fluid and nutrients in patients who, for a variety of reasons, are unable to use the oral route, or are unable to take sufficient nutrients to maintain growth and development.
Suction is used to clear retained or excessive lower respiratory tract secretions in patients who are unable to do so effectively for themselves. This could be due to the presence of an artificial airway, such as an endotracheal or tracheostomy tube, or in patients who have a poor cough due to a variety of reasons such as excessive sedation or neurological involvement.