Which characteristics of parent-professional relationships that have been sucessful in regards to pedatric patients?
- Shared expectations and mutual trust
- Shared power and responsibility for decision making
- Communication of information with adherence to treatment plan and achievement of clinical outcomes
What should nurses be aware with when working with adolescents?
- Be aware that the adolescent's response to a chronic illness results from beliefs and meanings the adolescent assigns to the illness experience
- Talk with adolescents about their chronic illness expeirence in order to develop an understanding of their perceptions and to encourage a mutual relationship with health professionals
- Work with adolescents to develop treatment plans that address difficulties related to their management of treatment regimens, symptom control, and the integration of illness expeirences into every day life. This include incorporating strategies that help reduce the number of restricitons, pains, and worries associated with having a chronic illness
- Inform or share with adolescents some of the coping strategies commonly used by other chronically ill adolescents
How does chronic illness affect the young adult?
The process of establishing intimacy may be interrupted. The issues imposed by the chronic illness may impact decisions regarding whether to have children of additional children and decisions regarding career and even where to live
How does chronic illness affect middle-aged adults?
May have difficulty with satisfactory resolution of the generativity VS stagnation. May develop dears of early aging or dying. Physical manifestations of the illness may reawaken the struggles and conflicts of previous stages.
How does chronic illness affect the older adult?
May be more likely to experience feelings of hopelessness (ego VS identity VS despair). The illness will likely influence the length of time the older adult can continue in an independent living environment or when to consider a nursing home placement
Emphasizing sustaining relationships
Ask patients to discuss significant relationships and encourage reminiscence
Attachment Ideation - preoccupation with a specific loved one
Reminding the patient that the loss of control is temporary
Let patients know in exacerbations of the illness that some of the equipment/procedures won't be necessary when they go home and that you'll be teaching them whatever will be necessary for self-care at home
The nurse should regard health problem as an opportunity for growth and adaptation. Practice unconditional positive regard by accepting the patient's expression of emotions, even anger. Insisting that the patient maintain a positive attitude is not helpful, as it can trivalize the patient's distress so this is to be avoided.
Expanding the patient's coping repertoire
Support the coping mechanisms by the patient and/or teach or role model those that might be helpful such as:
- Seeking information
- Confronting the problem
- Actively participating with the planning and implementation of care
- Redefining the problem as something favorable
- Relaxation techniques
- Visual imagery
- Desensitization to anticipated stressful events