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Flashcards in Ped Test 1.5 Deck (25):
1

Stressors of hospitalization and child's reaction

1. Separation anxiety
2. Loss of control
3. Pain
4. Immobilization/ mutilation/ altered body image

2

Major stressor for 6-30 months

being separated from parents

3

Separation illicits

1. Protest; hostile
2. Despair; sad, withdraws, uncommunicative, regression
3. detachment; rare, superficially adjusted, treats all people the same, is resigned, importance on material things instead of people

4

Solutions to anxiety and stressors

1. allow rooming in; encourage frequent visitation
2. follow normal routines (food, bath times, etc.)
3. bring articles from home
4. allow choices if at all possible

5

Loss of control manifestations: infant

1. separation anxiety begins at 6-9 months
2. basic needs must be met
3. best if parent can give most care
4. immobilization, sleep deprivation, sensory overload

6

Loss of control manifestations: toddler

1. continued separation anxiety
2. regression (bedwetting/ temper tantrums)
3. immobiliztion, fear of the dark

7

Loss of control interventions: toddler

1. try to maintain consistency and routine
2. encourage independence, demonstrate use of equipment just prior to procedure

8

Loss of control manifestations: preschooler

1. can tolerate brief periods of separation/ may regress
2. fears pain, mutilation, fear of dark and monsters
3. separation anxiety may be more passive (refuse to eat etc)
4. aggression
5. may view hospitalization as punishment

9

Loss of control interventions: preschooler

1. needs routine, give choices
2. demonstrate use of equipment just prior to use
3. allow child to participate

10

Loss of control manifestations: School-age

1. may not have separation anxiety
2. needs parental support (esp. younger ones)
3. fears separation from family/ friends, pain, loss of control over body functions, death
4. upset about lack of activity
5. may not admit needs (lonely, bored)
6. feel loss of independence and productivity

11

Loss of control interventions: School-age

1. Younger may need parental support
2. Draw them out, give them activities to do

12

Loss of control manifestations: adolescents

1. fears altered body image
2. loss of control
3. separation from friends
4. loss of privacy and identity

13

Stress factors affecting parental reaction to hospitalization

1. prior experience
2. seriousness
3. support systems
4. cultural/ religious beliefs

14

Parental reactions to hospitalized child

1. disbelief/ denial (comes and goes a long time)
2. anger/ guilt
3. fear/ anxiety
4. bargaining
5. depression

15

Sibling reactions to hospitalization

1. Fear
2. loneliness
3. anger
4. resentment
5. jealousy
6. guilt
(parents often unaware, siblings visit with appropriate explainations)

16

Coping with denial

listen actively, eye contact, touching

17

Coping with guilt

Silently observe/ avoid scientific explanations

18

Coping with anger

Avoid losing temper/ encourage them to talk
1. you seem angry at everyone
2. being angry is only natural
3. it must be difficult to endure

19

Facilitating coping

Important to have all family members support each other

20

Advocating through support groups

1. compassionate friends
2. SIDS
3. Parents of murdered children
4. MADD
5. etc.

21

Developmentally appropriate activities: infants

mobiles, music, mirrors, age-appropriate toys

22

Developmentally appropriate activities: toddlers

Peek-a-boo, security object from home, puzzles, push/ pull toys

23

Developmentally appropriate activities: preschoolers

crayons, books, dolls, play dough, animals

24

Developmentally appropriate activities: School-age children

collections, video games, books, puzzles

25

Developmentally appropriate activities: adolescents

phone, friends visiting, movies, video games