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.
The skin is complex with an array of functions. It is the body’s largest organ, protecting the deeper tissues and organs from mechanical damage, chemical damage, bacterial damage, ultraviolet radiation and thermal damage. The skin aids in regulating body temperature, in excretion of urea and uric acid and also synthesis of vitamin D (Marieb 2012).
The purpose of this guideline is to provide guidance about the glomerular filtration rate measurement: IohexolTM method at Great Ormond Street Hospital.
NOTE: We review our guidelines regularly and this guideline is now past its review date. The content of the guideline below may not reflect the most recent evidence based practice. Please use with caution.
This information from Great Ormond Street Hospital (GOSH) is for parents of children and young people undergoing assessment for possible lung or heart-lung transplantation. A transplant is a serious operation and is not without risk. A transplant can be the only effective treatment option for certain serious lung diseases; however, it is not a cure. In many situations transplantation can lead to an extension of life with improved quality.
Great Ormond Street Hospital's work to achieve Zero Harm, along with its role as a leader and innovator in the field of Patient Safety, has been recognised by the awarding of the Patient Safety in Paediatrics Award at the HSJ and Nursing Times 2013 Patient Safety and Care Integration Awards.
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).
Six-year-old Callum has a brain tumour that is too close to his pituitary gland to be removed. He needs to take medication for the rest of his life to replace vital hormones that he does not produce naturally. Mum, Sandra, remembers the surgery and treatment at Great Ormond Street Hospital (GOSH) that saved Callum’s life.
The decision to withdraw or withhold life-sustaining treatment in paediatric and neonatal intensive care units (ICUs) is both complex and emotive for everyone involved. All members of the treating healthcare team, lead by the consultant in charge, should be involved in the decision-making process.This guideline is intended to be used by nurses when situations arise where it may be ethical and legal to consider withholding or withdrawing life-sustaining medical treatment.
Researchers from the UCL Great Ormond Street Institute of Child Health have discovered a new gene change that identifies a type of the movement disorder, muscle dystonia. This new discovery will allow doctors to more easily identify patients who can benefit from treatment so effective that it can restore the ability to walk.