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  • Nursing
  • Advanced Practice Nursing
Hours: 25 Contact Hours (7.4 Pharm hours)
  • Clark Kebodeaux, PharmD, BCACP
  • Antoinette Towle, EdD, MSN, APRN
  • Cindy K. Lybarger, MSN, APRN, FNP-BC, CDE
  • Carie A. Braun, PhD, RN
Peer Reviewer(s):
  • Janelle L. B. Macintosh, RN, PhD,
  • Jean Ivey, PhD, CRNP, CPNP-PC
  • Carie A. Braun, PhD, RN
Item#: N2000
Contents: 1 Course Book (386 pages)
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Pediatric Nursing: Immunizations, Mental Health, and Diabetes

Price $74.95
Item # N2000
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Release Date: August 2, 2017

Expiration Date: January 31, 2019

The idea that “children are not little adults” was coined in 1993 with regard to a national report on pesticides in the diets of infants and children (National Academic of Sciences, 1993). Today, that phrase has expanded to acknowledge the many profound differences between children and adults. This course focuses on the unique aspects of care of the pediatric patient, especially in preventing infectious disease, screening and interventions for mental health, and the diagnosis and treatment of diabetes. Assessments and interventions in all three areas must be adapted to meet the needs of growing and developing children and their families.

Pediatric immunization schedules are complex and constantly evolving. Some immunizations are common to all stages of the lifespan, such as flu and tetanus, and recommendations are similar to those in the adult population. However, questions regarding the timing of specific pediatric immunizations, knowing where to find reliable immunization information, or addressing parental concerns can require additional competency regarding pediatric immunizations. This course provides authoritative information essential to RNs and APRNs that immunize patients or care for any child or adolescent who is a candidate for immunization.

Mental, emotional, and behavioral health is a critical component of a child’s healthy development. Children need to be mentally and emotionally healthy in order to learn, grow, and lead productive lives. The onset of major child mental health disorders has been seen in children as young as 3 years old (Centers for Disease Control and Prevention , 2013a). Early diagnosis and intervention critically impact positive outcomes. The nurse needs to be able to identify the signs and symptoms of prevalent mental health problems in the pediatric patient population as well as treatment interventions.

Diabetes mellitus is a complex, chronic metabolic disease that is becoming increasingly common. Both type 1 and type 2 diabetes are increasing in incidence in pediatric populations. There are excellent guidelines for the care of children with type 1 diabetes, but few research-based guidelines exist that are specific to the care of children with type 2 diabetes. Much of current practice is based on research of adults with type 2 diabetes, which may not ultimately prove applicable to children. As more research attention is focused on the problem of type 2 diabetes in children, more specific guidelines will be forthcoming. Unfortunately, few interventions for type 2 diabetes in youth have been successful, making prevention of obesity by lifestyle interventions even more crucial. This course will assist nurses in a variety of settings to understand the complex metabolic, developmental, emotional, and social implications for a child with diabetes and the family. Understanding the unique considerations for this population will assist the nurse to provide supportive and flexible care. Also critically important is the nurse's role in providing education to the parents or caregivers, as well as education appropriate to the child's developmental level.

These three complex and rapidly changing topics emphasize that healthy children need healthy environments, and because children are still growing and developing, they reap tremendous benefits from prevention and early intervention. Although immunizations, mental illness, and diabetes are present in adults, specialized knowledge is required to perform appropriate assessments, effectively intervene, and to provide sound education for caregivers.


This course should not be taken in conjunction with N1793 - Pediatric Immunizations, 2nd Edition, N1955 - Mental Health Assessment of the Pediatric Patient, 2nd Edition, or N2001 - Diabetes in Children, 3rd Edition.

Course Objectives

  • Discuss current immunization recommendations and appropriate schedule guidelines for children and adolescents.
  • Describe current assessments and interventions for children and adolescents experiencing mental health disorders, including emergency situations.
  • Describe the pathophysiology of diabetes in children.
  • Describe best practices for providing support to families with a child who has diabetes.
  • Explain the pathophysiology of diabetes in children.
  • Apply principles of teaching, learning, and behavioral change, including the application of cultural considerations, to help children with management of their diabetes.
  • Describe strategies for helping children with diabetes achieve the goals of medical nutrition therapy.
  • Describe blood glucose monitoring strategies for children and teens to help them achieve their glycemic targets.
  • Identify the major chronic complications of diabetes, including strategies for children with type 1 and 2 diabetes and their families to prevent and manage diabetes complications.
  • Describe the principles of insulin pump therapy for children with diabetes.
  • Describe the major medical and legal guidelines involved in caring for children with diabetes in school and daycare settings.
  • Describe strategies to prevent or delay the onset of type 2 diabetes and treatment modalities in the pediatric population.

Carie A. Braun, PhD, RN, has been a pediatric nurse for 25 years. She completed her undergraduate work at the College of St. Benedict in St. Joseph, Minnesota, and her master’s degree and doctorate in nursing at the University of Minnesota. She began her nursing career in public health nursing, and practiced as a certified pediatric nurse practitioner. She is currently a professor of nursing at the College of St. Benedict/St. John’s University, where she teaches pediatrics, public health nursing, pathophysiology, and pharmacology. She has published in the areas of pathophysiology, pediatric nursing, and alternative therapies.

Clark Kebodeaux, PharmD, BCACP, is a clinical assistant professor of pharmacy practice and science at the University of Kentucky College of Pharmacy. He graduated from the University of Kansas School of Pharmacy and completed a Post Graduate Year 1 (PGY1) community pharmacy residency at the University of Kentucky College of Pharmacy. Dr. Kebodeaux is an adjunct faculty member at the School of Nursing at St. Louis University and coordinator of the advanced pharmacology course for advanced practice registered nurses (APRNs). In his previous shared faculty role at the St. Louis College of Pharmacy, Dr. Kebodeaux ran a pharmacist-based clinic that was responsible for the delivery of community-pharmacy-based clinical services, including medication therapy management, health testing, and immunization delivery. Dr. Kebodeaux served as the primary site preceptor at Walgreens for the PGY1 St. Louis College of Pharmacy community residency program and primary preceptor for several Advanced Pharmacy Practice Experience (APPE) and Introductory Pharmacy Practice Experience (IPPE) student pharmacist rotations. He has completed two separate immunization certifications and is a faculty trainer for the American Pharmacists Association (APhA) Pharmacy-Based Immunization Delivery Certificate program.

Antoinette Towle, EdD, MSN, APRN, is an assistant professor at Southern Connecticut State University (SCSU) Department of Nursing. She has been an American Nurses Credentialing Center (ANCC) board-certified pediatric and school health nurse practitioner since 1999, working for over 15 years with children and adolescents in a wide variety of community settings. Antoinette has extensive expertise working with children and adolescents with emotional and behavioral difficulties and in school-based health. She is currently teaching nursing to both undergraduate and graduate nursing students at SCSU.

Cindy K. Lybarger, MSN, APRN, FNP-BC, CDE, has been a pediatric nurse for more than 30 years. She began her nursing career in pediatric critical care and has worked as a staff nurse, nurse educator, and clinical nurse specialist; she is a certified family nurse practitioner and diabetes educator currently working full-time in pediatric diabetes education and management. Ms. Lybarger is also the coordinator for the American Diabetes Association-recognized diabetes education program at Monroe Carell Jr. Children’s Hospital at Vanderbilt in Nashville, Tennessee. She holds a faculty appointment in the Department of Pediatrics at the Vanderbilt University School of Medicine and actively precepts nurse practitioner students. She has also served as a diabetes camp nurse for several years and is a member of the American Nurses Association, the American Association of Diabetes Educators, and the American Diabetes Association.

Janelle L. B. Macintosh, RN, PhD, is an assistant professor at Brigham Young University in Provo, Utah. Dr. Macintosh received her BSN from Radford University in Radford, Virginia, and her PhD from the University of Utah. Dr. Macintosh has experience working as a Newborn Intensive Care Unit nurse and has a strong interest in immunization. She has served on the Immunization Coalition for Utah County and has been a volunteer representative of the American Nurses Association on the Advisory Committee on Integration of Immunization into Undergraduate Nursing curriculum (ACIIUN).

Jean Ivey, PhD, CRNP, CPNP-PC, is an associate professor at the University of Alabama at Birmingham, School of Nursing. She has taught undergraduate and graduate nursing students for over 25 years, teaching such courses as physical assessment. She led a PNP program for over 12 years that focused on health promotion for children and adolescents.

Carie A. Braun, PhD, RN, has been a pediatric nurse for 25 years. She began her career in public health nursing and practiced as a certified pediatric nurse practitioner. Dr. Braun is currently a professor of nursing at the College of Saint Benedict/Saint John’s University, where she teaches pediatrics, public health nursing, pathophysiology, and pharmacology. She has published in the areas of pathophysiology, pediatric nursing, and alternative therapies.

  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that this course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.