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Chapter 2: Fevers and Febrile Convulsions
Overview:
- A concise definition of a fever and its detection
- Methods of assessing a sick child with a fever including the ‘A,B,C, Fluids in, and Fluids out’ method
- A description of the causes, stages and effects of a fever
- Directions in fever management
- A thorough description of febrile convulsions
Description:
Fevers are common in young children. A fever can be defined as a centrally regulated rise in temperature in response to some pathological stimulus. In simple terms, something has gone wrong and this has caused the body to raise its temperature. This chapter informs the reader about how to effectively manage children with fevers.
Topics:
- What is a fever?
- Assessing sick children with a fever
- What is happening in a fever?
- Causes of fever
- Management of fever
- Febrile convulsions
- Final messages
Speaker / Author:
Gerry Silk
Gerry is a registered paediatric nurse who holds a bachelor’s degree and a master’s degree in education. Gerry trained at The Hospital for Sick Children, Great Ormond Street, London, and now has more than 30 years of experience in the care of sick children in various settings, including major city hospitals and outback Australia. Gerry spent 15 years working in the Emergency Department of the Royal Children’s Hospital (Melbourne, Australia), including ten years as the clinical nurse educator. She now works part-time as a paediatric nurse educator at the Angliss Hospital (Melbourne).
Gerry also runs her own business in paediatric health education and consultancy. In this capacity she presents seminars and educational sessions for parent groups, nurses, and other health professionals. While at the Royal Children’s Hospital, Gerry had a particular interest in the care of suddenly bereaved families. She developed hospital guidelines for the care of families affected by sudden infant death syndrome (SIDS), and these guidelines are now used around Australia. Gerry continues to have strong links with the ‘SIDS & Kids’ organisation, and conducts creative scrapbooking workshops for bereaved parents.
Gerry also instigated the use of calico dolls with children who are receiving health care. The dolls are now used throughout Australia and in many countries overseas — with the support of the Kiwanis organisation, which coordinates the making of the dolls. As a result of this initiative, Gerry was awarded the Victorian Community Service award in 1993. Gerry is especially interested in the cultural aspects of health care, and her postgraduate studies (which included study in China) reflected this abiding interest. Gerry regularly works in developing countries for a couple of weeks each year, which also allows her to indulge in her love of travel.
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