Conclusion
Pediatric nurses and other healthcare providers should have
a high index of suspicion of possible CS in children who
present with obesity, growth retardation, skin problems,
history of fractures, and behavior changes. Although CS is
rare, it can have long-term deleterious effects on the body and
brain; therefore, early diagnosis and treatment is important.
The nurse is an essential team player in the identification,
evaluation, treatment, and follow-up of children affected by
CS. This includes obtaining accurate measurements, plotting
on growth charts, assisting with the accurate specimen
collection, and assessing appropriate implementation of“sick
day rules.” The pediatric nurse has an integral role in providing
support and education; future research is needed to enhance
quality of life and improve patient outcomes