Assessment, Variations, Hospitalization, and Pain Worksheet Flashcards
Assess from least invasive to most. Beginning with respiratory rate and ending with moro reflex
Assessment - Infant
The mummy restraint is ideal for this age group.
Variations - Infant
Parental involvement in cares (feeding, bathing, etc…) are critical for bonding.
Hospitalization - Infant
The use of a behavioral pain scale will need to be used for this age group.
Pain - Infant
Has no concept or understanding of death.
Chronic illness, Death/Dying - Infant
Distraction can be a beneficial tool.
Hide scarry equipment from the child’s view. (animism)
Assessment - Toddler
Refuses to take medication because it is not in the correct cup.
Variations - Toddler
Hospitalizations are especially traumatic due to changes in schedule. Provide consistent caregivers.
Hospitalization - Toddler
Changes in behavior will be the most obvious sign of pain in this age group.
Pain - Toddler
Child may believe that her grandma who recently passed will soon wake up from a nap.
Chronic illness, Death/Dying - Toddler
Allow child to play with equipment. Avoid medical jargon and validate fears.
Assessment - PreK
The deltoid muscle can safely be used as an IM injection site.
Variations - PreK
Can tolerate brief periods of separation from parents during hospitalizations.
Hospitalization - PreK
When asked about pain, the child may construct an answer they think will please the provider or guardian.
Pain - PreK
A child may think their sister is sick because the child didn’t clean her room.
Chronic illness, Death/Dying - PreK
Wants to know the reasoning behind why he needs a blood pressure taken.
Assessment - School
Explaining procedures with pictures and correct terminology can help eliminate fears.
Variations - School
Common fears during hospitalization include: falling behind in school and peers forgetting about them.
Hospitalization - School
Appropriate pain scales for this age group include Oucher, Visual analog scale, and Numerical rating scale
Pain - School
Begins to understand that death is irreversible.
Chronic illness, Death/Dying - School
Assessments should be completed without guardians unless requested.
Assessment - Adolescent
Rectal administration of medications should be avoided
Variations - Adolescent
May develop body image disturbances and feelings of isolation while hospitalized.
Hospitalization - Adolescent
May avoid admitting to pain in order to avoid having to rest or sit out.
Pain - Adolescent
Struggles the most processing their impending death.
Chronic illness, Death/Dying - Adolescent
