Hospitalized Child Flashcards
1
Q
Family Centered Care
A
- include family in all aspects of care
- offer respect, choices, support, information
- allow family to stay with child
2
Q
Child’s Perspective on Hospitilization
A
- see death as permanent at age 6
- don’t lie, explain everything according to their level of understanding
- if faced with uncomfortable question, ask what made them ask that question
3
Q
Atraumatic Care
A
- prevent/minimize separation from parent/family
- promote sense of self control
- prevent or minimize bodily injury/pain
4
Q
Examples of Atraumatic Care
A
- prepare the child before a procedure as much as age appropriate.
- control pain
- allow privacy
- provide choices whenever possible
- provide play activities to aid in emotional expression
5
Q
Parents Needs
A
- child’s pain to be controlled
- full unbiased information
- ability to trust medical team and feel trusted
- support and guidance
- feeling that whole family is valued
6
Q
When Child is entering hospital
A
- speak at eye level
- use language they can understand
- remember that hospitals are scary
- pictures/toys from home
- give tour of unit, playroom first
7
Q
Nursing Admission History
A
- prenatal history (until 2-3 yrs for preemies)
- words used for bathroom
- favorite foods/dietary recall
- cup or bottle
- how do they take meds
- how do they cope in response to stress
- immunizations and exposures
- hx of childhood illnesses
8
Q
Separation Anxiety
A
- most common 16-30 mos of age
1. Protest Phase: crying, screaming, clinging to parent or desperately searching for parent if not present
2. Despair Phase: withdrawal and situational depression; lack of interest in eating, playing, and interacting with others
3. Denial/Detachment Phase: child adjusted to loss of parent and gains interest in others and toys; superficial adjustment
9
Q
Decreasing Anxiety in Infancy
A
- room in parent
- minimize number of caretakers
- volunteers to hold and coddle
- tactile, auditory, and visual stimulation
- minimize restrictive medical equipment
- change of scenery/walks
10
Q
Decreasing Anxiety in Toddlers
A
- bring transitional objects from home
- set time frame for parents return
- teach parents how to assess for child’s stress
- follow home routine when possible
- play w/ medical stuff to normalize
- regression is expected
11
Q
Decreasing Anxiety in Preschoolers
A
- similar to toddlers
- offer choices and encourage participation
- be truthful
12
Q
Decreasing Anxiety in School Aged Children
A
- communicate with parents, siblings, friends
- promote normalcy (ex. homework)
- allow child to voice feelings to you
- provide explanations of medical care
- promote goal of industry (developmental)
- provide choices
13
Q
Decreasing Anxiety in Adolescents
A
- develop plan of care with them
- respect need for independence
- give privacy when dressing/bathing
- be open about medical care
14
Q
When Speaking with Hospitalized children
A
- be honest
- use understandable language
- ask for their help
- choose vivid language
- don’t be harsh with explanations
15
Q
Safety Considerations: Infancy
A
- keep side rails up at all times
- back to sleep, to prevent sids
- no bottle/pacifier on string in bed
- bubble top crib
- proper use of safety straps in the infant car seat
