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NUR 440 Exam 1 > Adolescents and the Sick Child > Flashcards

Adolescents and the Sick Child Flashcards

1
Q

% of sick children growing

A

A child is living longer with chronic disease

In the past they would die

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2
Q

Goals for Normalization

A

Allow the family to function to their fullest capacity

Identify sources of stress or concern and evaluate the families and child’s strengths and weaknesses

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3
Q

1 Family Concern

A

Child’s health and well being

Then sibling needs, home routines, financial and practical needs

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4
Q

Child Concerns

A

The sick child is worried about about their parents and siblings
Changes across development
Loss of control, missing school, missing important events, being different than peers and fear of death

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5
Q

Family Centered Care

A

Collaboration

Respect- Information sharing- Collaboration- Empowerment- Respect

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6
Q

The Hospitalized Child

A

Does not like feeling out of control

Concept of pain and illness change over time

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7
Q

Fall Risk

A

Set limits, almost always witnessed- pj’s too big
Environment is clean and safe
Side rails UP

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8
Q

Stressors

A

Separation Anxiety = Protest- Despair- Detachment
Normal and expected
Interventions: primary care the same, minimize disruption, and differences from the home

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9
Q

Loss of Control

A

Give choices between two options
Develops trust
Parents feel out of control as well!

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10
Q

Pain

A

Very fearful
Past experiences
Anxiety affects pain response!
Source- a shot- GOING to hurt

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11
Q

To minimize stressors

A 
Minimize # of care takers 
Maintain normal routine
Provide choices
Encourage independence
Involve family
Provide clear and appropriate explanations
Listen and acknowledge fear
Complete pain assessment and manage
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12
Q

Early Adolescence

A

9-12 years

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13
Q

Middle Adolescence

A

13- 16 years

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14
Q

Late Adolescence

A

17- 20 years

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15
Q

Biologic Development

A

Puberty is universal
Cultural differences
Adolescence is variable with different cultures

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16
Q

Girls Puberty

A

1st sign- breast bud development
2 years after you should get your period
Rapid growth prior to menarch
>13 years with no buds means you are delayed

17
Q

Boys Puberty

A 
Loosening of the scrotum sac
Development of pubic hairs
Starts at 11/12/13 
About 2 years AFTER girls 
Spine and torso grow a little longer
18
Q

Cognitive Development

A

Tied to your environment and experiences!

19
Q

Piaget

A 
Concrete Thinking and Formal Operations
More self conscious and aware
Pre-frontal cortex changes the most 
Concrete operational thought 7-11 years: can somewhat see another view point
Formal operation 12+ : think abstractly
20
Q

Psychosocial Development

A

No identity- would be hard to get out of bed in the morning and know what to do

21
Q

Identity

A

Largely related to sports

Parents may have established an identity for you- in adolescence it changes

22
Q

Autonomy

A

Talking to friends
Gradual pulling away from parents
What is important to you

23
Q

Body Image

A

Important to feel similar to peers

Do not like to feel different

24
Q

Contexts of Development

A 
Friends
Team
Social Media** getting the response you want??
School
Family
Church 
Work
25
Q

Health Promotion

A

What is important at 10 is different at other ages
Lots of questions- getting info from different sources
Try to understand the child
Talk to them
No cookie cutter diagnosis

26
Q

Acne

A 
Mostly under the skin
Psychological stress does not correlate with severity 
Mild washing is better
Treatment- tropical 1st
Side effect- Burning, red, dry, itching
Can take a very long time to clear up
27
Q

Health Concerns for Girls

A

Late puberty
Sexually active
Do a pregnancy test- can’t take their word for it
Eating disorders, depression and suicide

28
Q

Health Concerns for Boys

A 
Epidiymitis- swelling
Testicular exams are important- teach the boys
Torsion- significant and acute pain
Breast bud development- gynecomastia 
STDS
29
Q

Girls Height Spurt

A

9.5 years to 14.5 years

30
Q

Girls Menarche

A

10.5-15.5 years

Should be two years after breast bud development

31
Q

Girls Breast Development

A

Breast buds are 1st sign of puberty
7-13 breast buds
12-18 further breast development

32
Q

Girls Public Hair Development

A

10-14 years

33
Q

Boys Height Spurt

A

10.5-16 years

34
Q

Boys Apex Strength Spurt

A

13.5- 17.5 years

35
Q

Boys Penis Growth

A
  1. 5 years to 14.5

12. 5 to 16.5 years

36
Q

Boys Public Hair

A

12-15 years

37
Q

Erikson

A

Identity Vs Role Confusion
Brings together everything they have learned about themselves and integrates them into a whole sense of identity
May seek a “runaway” or “drug abuser” identity over no identity

NUR 440 Exam 1 (7 decks)

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