ATI 10 - Hospitalization, Illness, + Play Flashcards
(42 cards)
1
Q
Families are considered ____ when children are ill
A
clients
2
Q
Separation anxiety manifests in 3 behavioral responses
A
1 Protest
2 Despair
3 Detachment
3
Q
Protest
A
- screaming
- clinging to parents
- verbal + phys aggression toward strangers
4
Q
Despair
A
- withdrawal fr others
- depression
- decr communicatn
- regression
5
Q
Detachment
A
- interacting w strangers
- forming new relationships
- happy appearance
6
Q
Level of Understanding
INFANT
A
- not able to describe illness
- cannot follow directions
- lack of understanding for the need of procedures
7
Q
Level of Understanding
TODDLER
A
- limited ability to describe illness
- poorly dvlpd body image + boundaries
- limited understanding of need for procedures
- limited ability to follow directions
8
Q
Level of Understanding
PRE-SCHOOLER
A
- limited understanding of illness but knows what illness feels like
- limited ability to describe manifestn
- fears r/t MAGICL THINKNG
- ability to understands cause + effect is inhibited by CONCRETE THINKNG
9
Q
Level of Understanding
SCHOOL-AGED CHILD
A
- beginning awareness of body functn
- able to describe pain
- incr ability to understand cause + effect
10
Q
Level of Understanding
ADOLESCENT
A
- incr ability to understand cause + effect
- perception of illness severity r/t degree of body image changes
11
Q
impact of hospitalization
INFANT
A
- stranger anxiety bw 6-8 mo
- phys behaviors bc discomfort since they cant talk
- sleep deprivation r/t strange noise, monitoring device, + procedures
- anxiety r/t unfamiliar environmt + unknown
12
Q
impact of hospitalization
TODDLER
A
- *separation anxiety**
- intense rxn to any type of procedure r/t intrusion of boundaries
- regression
13
Q
impact of hospitalization
PRE-SCHOOL
A
- can experience separation anxiety
- can harbor fears of bodily harm
- might believe illness/hosptlztn is punishment
14
Q
impact of hospitalization
SCHOOL-AGED CHIILD
A
- fear of loss of control
- seeks information (form of control)
- can sense when not being told the truth
- can experience stress r/t separation fr peers + regular routine
15
Q
impact of hospitalization
ADOLESCENT
A
- dvlp body image disturbance
- embarrassed about losing control (but tries to maintain composure)
- feelings of isolation
- worries about outcome + impact on school/activities
- might not adhere to tx/med regimen bc peer influence
16
Q
family responses
A
- fear/guilt for not bringing child sooner
- frustratn rt perceived inability to care for child
- worry re finances or other responsibilities
- fear rt lack of knowledge
- siblings experience jealousy, loneliness, guilt
17
Q
INFANT interventions
A
- place bb whose parents are not there near nurse’ station so needs are quickly met
- provide consistency in assigning nurses
18
Q
TODDLERS interventions
A
- encourage parents to provide routine care (diapers/feedings)
- encourage autonomy by offering choices
- provide consistency in assigning nurses
19
Q
PRESCHOOLERS interventions
A
- explain procedures using simple, clear language
- encourage independence by letting them self-care
- encourage to express feelings
- validate fears + concerns
- toys that allow emo exprssn (pounding board)
- consistency in nurses
- allow choices (cup or spoon for meds)
- allow handling of equipment
20
Q
SCHOOL-AGE CHILDREN interventions
A
- provide factual info
- encourage exprssn of feel
- maintain norm routine incl schoolwork
- encourage contact w peer group
21
Q
ADOLESCENT interventions
A
- factual info
- include child in planning of care to provide sense of control
- encourage contact w peer group
22
Q
Content of Play [6]
A
1 social affective 2 sense pleasure 3 skill 4 unoccupied behavior 5 dramatic 6 games
23
Q
social affective play
A
taking pleasure in relationships
24
Q
sense-pleasure play
A
objects in environt catching child’s attention
25
skill play
demonstrating new abilities
26
unoccupied behavior play
focusing attention on something of interest
27
dramatic play
pretending or fantasizing
28
games
imitative, formal, or competitive
29
Social Characters of Play [5]
```
1 onlooker
2 solitary
3 parallel
4 associative
5 team play
```
30
onlooker
child observes others
31
parallel
children playing INDEPENDENTLY but among others
| ***toddlers***
32
associative
children playing together
- WITHOUT ORGANIZATION
* ***preschoolers****
33
team play
organized playing in groups
| **school aged children***
34
play activities
| infant [birth - 3 mo]
colorful moving mobiles
| music/sound boxes
35
play activities
| infant [3-6 mo]
noise making objects
| soft toys
36
play activities
| infant [6-9 mo]
teething toys
| social interactions
37
play activities
| infant [9-12 mo]
large blocks
toys that pop apart
push/pull toys
38
play activities
| toddlers
- cloth books
- large puzzles
- large crayon + paper
- push/pull toys
- balls
- *tricycles**
- educatnl + age approp shows/videos
39
play activities
| preschoolers
- imitative + imaginative play
- drawing, painting
- riding tricycle
- jumping, running
- educatnl + age approp shows/videos
40
play activities
| school-aged child
- games (alone or w another person)
- **team sports
- muscl instrmnt
- art+crafts
- collections
41
play activities
| adolescent
- team sports
- school activities
- reading
- listening to music
- peer interaction
42
therapeutic play
- make use of dolls/stuffd animals
- encourage acting out feels
- enables coping strategies
- assist in gaining cooperation w procedures
