Program - Day 5

GLOBAL PROBLEMS AND CONTEMPORARY CHALLENGES ON THE HORIZON

"A Chance to Live" - a film

This 50 minute film documents the worldwide immunization campaign undertaken to eradicate killer diseases in childhood. The film presents the economic, political, logistical and educational obstacles that had to be overcome to reach the goal of all childr en being immunized by the year 2000.

SYMPOSIUM: VIOLENCE, VICTIMIZATION AND POVERTY - GLOBAL PROBLEMS AFFECTING CHILDREN

Environmental Unrest and Its Impact on Child Health Nursing in Developing Nations
Many child health problems exist in areas where there is political and socioeconomic unrest. This presentation will examine the affects of a variety of environments on children within a social setting, to include wars, unempoyment, lack of education and t heir impact on child health nursing. The presentation will include a discussion of the physical environmental problems such as endemic diseases including riverblindness, malaria, HIV/AIDS as well as the sociological problems such as homelessness/street ch ildren, abuse, malnutrition and poor health service. All of these are a great challenge to the nursing profession. Questions will be raised to include the profession's response to these problems and how nurses can be prepared to address them.
OBJECTIVES:
At the end of this session, participants will be able to:
  1. Discuss the impact of economic and political unrest on the health and well-being of children.
  2. Examine the influence of physical and social problems on families and children in developing regions of the world.
  3. Explore ways that the nursing profession can respond to these complex problems to improve the health and lives of children and their families.
Sexual Victimization of Young Innocents: An Epidemic
Sexual victimization of children is prevalent throughout the world. The purpose of this presentation is to describe the scope of the problem from an international perspective; discuss forms of sexual abuse prevalent in various countries and cultures; and describe the physical and behavioral indicators of sexual abuse. The problems of female circumcision, child prostitution, and child pornography will be explored.
OBJECTIVES:
At the end of this session, participants will be able to:
  1. Define the problem of sexual victimization of children.
  2. Discuss types of sexual abuse prevalent in various countries and cultures.
  3. Identify clinical indicators of sexual victimization.
Implementation of Maternal and Child Nutrition Education Programs in Tibet
Tibet is a remote region in the Himalayas, with somewhat limited contact from outside health professionals. In a survey of children in 1993, initial data indicated that 66% of Tibetan children were suffering from chronic malnutrtion. Although data from a survey in 1994 is still being analyzed through the Public Health Department of University of California, Berkeley, early findings support the previous data. Although we have not yet established the contributing causative factors of this malnutrition, nurs es have initiated education programs in the region. This session will describe the U.S. - Tibet Child Nutrition Project and the role of nursing and nursing education in implementation of the project.
OBJECTIVES:
At the end of this session participants will be able to:
  1. Articulate the goals of the childhood nutrition project.
  2. Describe the role of nursing in the implementation of the project.
  3. Identify the advantages of implementing a nursing education project in improving the health of Tibetan children.
Bringing HOPE to Children Around the World
Project HOPE is the principal activity of the People-to-People Health Foundation, Inc., an independent, international non-profit organization. Today, HOPE operates in 37 nations, including areas of Africa, Asia, Latin America, Central Europe, the N.I.S. a nd the United States. Project Hope strives to improve health standards throughout the world through partnership and education, teaching people to help themselves. Although immediate humanitarian assistance is often an element of its activities, Project HO PE stresses human resource development and local capacity building as the long-term solution to health care problems. This session will describe the planning and implementation of rural and urban programs of Project HOPE, highlighting the critical health needs that are met by Project HOPE programs and sustained after projects are completed.
OBJECTIVES:
At the end of this session, participants will be able to:
  1. Define Project HOPE's key programmatic areas.
  2. Identify the health care needs of selected groups in reconstructing and developing worlds.
  3. Discuss the trainer-of-trainers model.

CLOSING PLENARY SESSION:

Ethical Challenges and Clinical Realities on the Horizon: Creating Partnerships with Parents and Professionals

Today's health care environment is replete with ethical tensions that are created in repsonse as a result of the technology explsion, shrinking resources and fears of litigation. Parents and professionals often struglle to define an ethically definsible p lan of care for critically and chronically ill children. What do we mean by shared decision making between parents and professionals? This quesion continues to be debated in clinical, public policy and legal arenas. This session will explore selected et hical challenges that occur in clinical practice today and discuss a framework for creating partnerships between parents and professionals around ethical conflicts.
OBJECTIVES:
At the end of this session, participants will be able to:
  1. Discuss some of the forces that have precipitated these ethical challenges.
  2. Explore different meanings of shared-decision making.
  3. Discuss a framework for creating succesful partnerships between parents and professionals when ethical conflicts arise.
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