Institutional members access full text with Ovid®

Share this article on:

Concussion Evaluation and Management in Pediatrics

Rivera, Robin G. MSN, RN, FNP-BC; Roberson, Susan P. MSN, RN, ANP-BC; Whelan, Margaret EdD, RN, FNP-BC; Rohan, Annie PhD, RN, NNP/PNP-BC

MCN, American Journal of Maternal Child Nursing: March/April 2015 - Volume 40 - Issue 2 - p 76–86
doi: 10.1097/NMC.0000000000000114
Feature: CE Connection

Abstract: Concussions are among the most complex injuries to assess and manage in sports medicine and primary care. Sports concussion in youth has received much attention in recent years because research shows that improperly managed concussion can lead to long-term cognitive deficits and mental health problems. There are several notable risk factors affecting the incidence and severity of concussion in school-age children and adolescents, including a history of a previous concussion. A more conservative approach for return to activities following concussion has been proposed for children and adolescents. Programs of individualized, stepwise increases in physical activity have largely replaced use of algorithms for assigning a grade and activity expectations to concussions. Although validity and reliability testing is ongoing to support use of concussion assessment instruments in pediatric patients, it is practical and appropriate that clinicians incorporate symptom checklists, sideline and balance assessment tools, and neurocognitive assessment instruments into their practice in accordance with evidence-based guidelines.

Concussion assessment and management are timely topics in pediatric nursing. Information about symptom checklists, sideline and balance assessment tools, and neurocognitive assessment instruments, is offered to promote use of evidence-based guidelines.

Robin G. Rivera is a Nurse Practitioner, Division of Pediatric-Adolescent Medicine, Cohen Children's Medical Center of the North Shore-LIJ Health System, New Hyde Park, NY.

Susan P. Roberson is a Nurse Practitioner, Division of Pediatric-Adolescent Medicine, Cohen Children's Medical Center of the North Shore-LIJ Health System, New Hyde Park, NY.

Margaret Whelan is a Coordinator, Family Nurse Practitioner Track, Molloy College, Division of Nursing, Rockville Centre, NY.

Annie Rohan is Director of Pediatric Research, Stony Brook University, School of Nursing, Stony Brook, NY, and a Nurse Practitioner, Neonatal Intensive Care Unit, Cohen Children's Medical Center of the North Shore-LIJ Health System, New Hyde Park, NY. She can be reached via e-mail at annie.rohan@stonybrook.edu

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.mcnjournal.com).

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved