Full course description
The Medical Complexity chapter equips professionals with knowledge and skills to manage the unique challenges faced by children with complex health needs. Starting with foundational concepts, the curriculum addresses spasticity, spinal cord injury, feeding tubes, tracheostomy, and mental health considerations in this population. Later sections delve into advanced care strategies, including mobility, communication technologies, and palliative support, offering a comprehensive resource for healthcare providers dedicated to this specialized area of pediatric care.
The Medical Complexity Chapter spans 19 topics across five levels of instruction. Levels 1 and 2 provide foundational knowledge beneficial for medical professionals and allied professionals, including educators, social workers, therapists, and psychologists.
Levels 3 to 5 shift to a more clinical focus, offering advanced insights geared toward medical doctors and sub-specialists.
The table below outlines the complete chapter content.
Chapter Editors
Michelle Melicosta, MD, MPH joined Kennedy Krieger Institute in 2014 as a board-certified pediatrician and pediatric hospitalist in the Pediatric Rehabilitation UnitLinks to an external site. at Kennedy Krieger Institute. She currently serves as the Medical Director of the Inpatient Rehabilitation Unit. She is an assistant professor in pediatrics at Johns Hopkins University School of Medicine. Dr. Melicosta provides comprehensive, pediatric neurorehabilitative care as part of the interdisciplinary care team for to infants, children and teens on the inpatient unit at Kennedy Krieger Institute. Her clinical interests include spinal cord injury, traumatic brain injury, pediatric pain rehabilitation and post-orthopedic surgery rehabilitation.
Nadia Zaim, MD is an Assistant Professor of Psychiatry and Behavioral Sciences at the Johns Hopkins School of Medicine. Her expertise is centered around Child Psychiatry and Pediatrics.
Content, Featured Experts, and Learner Groups
Level |
Neurodevelopmental Topic Content |
Featured Experts |
Learner Group(s) |
Level 1 |
1.1 Children with Medical Complexity |
Michelle Melicosta, MD, MPH |
Allied professionals Medical Professionals Sub-Specialist Professionals |
Level 2 |
2.1 Navigating Healthcare: Parent Perspective |
TjaMeika Purnell (Parent) |
Allied professionals Medical Professionals Sub-Specialist Professionals |
2.2 Role of the School Nurse |
· Megan Roesler, MSN, RN, CPN · Patricia Fato, BSN, RN, CPN |
||
Level 3 |
3.1 Spasticity Management |
Nancy Yeh, MD |
Medical Professionals Sub-Specialist Professionals |
3.2 Considerations in the Care of Children with Spinal Cord Injuries |
Michelle E. Melicosta, MD, MPH |
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3.3 Common Complications of Spinal Cord Injury (SCI) |
Michelle E. Melicosta, MD, MPH |
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Level 4 |
4.1 Pressure Injuries in the Pediatric Patient |
Dawn Pfluger, BSN, RN, CPN, CRRN, CWCN |
Medical Professionals Sub-Specialist Professionals |
4.2 Pain Management |
Melanie Brown, MD |
||
4.3 Tubes and Tube Feedings |
Patti Miller, MS, RD, CSP, LDN |
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4.4 Shunted Hydrocephalus |
Kelly Harnett, PA-C |
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4.5 Caring for the Ventilator Dependent Child: From Hospital to Home |
Laura M. Sterni, MD |
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4.6 Intrathecal Baclofen Pumps |
· Holly Kosten, MSN, FNP · Colleen Lenz, MS, RN, CPNP · Samantha Dunn, MS, FNP |
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4.7 Pediatric Seating and Mobility |
· Beth Farrell, PT, DPT, PCS, ATP/SMS · Sarah Murdoch, PT, DPT, ATP |
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4.8 Anxiety Disorders in Children with Complex Medical Conditions |
Nadia Zaim, MD |
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4.9 Depression in Children with Complex Medical Conditions |
Nadia Zaim, MD |
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4.10 Neonatal and Pediatric Tracheostomy |
Jonathan Walsh, MD, FACS |
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Level 5 |
5.1 Impact of Stress on Parents of Children with Medical Complexity |
Patricia Shepley, MSW, LCSW-C |
Medical Professionals Sub-Specialist Professionals |
5.2 Augmentative and Alternative Communication Strategies and Technologies |
Lauren Tooley, M.S., CCC-SLP |
||
5.3 Palliative Care for Children with Medical Complexity |
Heather Brown, MD |
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