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Pediatrics > ATI 10 - Hospitalization, Illness, + Play > Flashcards

ATI 10 - Hospitalization, Illness, + Play Flashcards

1
Q

Families are considered ____ when children are ill

A

clients

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2
Q

Separation anxiety manifests in 3 behavioral responses

A

1 Protest
2 Despair
3 Detachment

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3
Q

Protest

A
  • screaming
  • clinging to parents
  • verbal + phys aggression toward strangers
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4
Q

Despair

A
  • withdrawal fr others
  • depression
  • decr communicatn
  • regression
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5
Q

Detachment

A
  • interacting w strangers
  • forming new relationships
  • happy appearance
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6
Q

Level of Understanding

INFANT

A
  • not able to describe illness
  • cannot follow directions
  • lack of understanding for the need of procedures
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7
Q

Level of Understanding

TODDLER

A
  • limited ability to describe illness
  • poorly dvlpd body image + boundaries
  • limited understanding of need for procedures
  • limited ability to follow directions
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8
Q

Level of Understanding

PRE-SCHOOLER

A
  • limited understanding of illness but knows what illness feels like
  • limited ability to describe manifestn
  • fears r/t MAGICL THINKNG
  • ability to understands cause + effect is inhibited by CONCRETE THINKNG
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9
Q

Level of Understanding

SCHOOL-AGED CHILD

A
  • beginning awareness of body functn
  • able to describe pain
  • incr ability to understand cause + effect
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10
Q

Level of Understanding

ADOLESCENT

A
  • incr ability to understand cause + effect

- perception of illness severity r/t degree of body image changes

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11
Q

impact of hospitalization

INFANT

A
  • stranger anxiety bw 6-8 mo
  • phys behaviors bc discomfort since they cant talk
  • sleep deprivation r/t strange noise, monitoring device, + procedures
  • anxiety r/t unfamiliar environmt + unknown
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12
Q

impact of hospitalization

TODDLER

A
  • *separation anxiety**
  • intense rxn to any type of procedure r/t intrusion of boundaries
  • regression
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13
Q

impact of hospitalization

PRE-SCHOOL

A
  • can experience separation anxiety
  • can harbor fears of bodily harm
  • might believe illness/hosptlztn is punishment
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14
Q

impact of hospitalization

SCHOOL-AGED CHIILD

A
  • fear of loss of control
  • seeks information (form of control)
  • can sense when not being told the truth
  • can experience stress r/t separation fr peers + regular routine
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15
Q

impact of hospitalization

ADOLESCENT

A
  • dvlp body image disturbance
  • embarrassed about losing control (but tries to maintain composure)
  • feelings of isolation
  • worries about outcome + impact on school/activities
  • might not adhere to tx/med regimen bc peer influence
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16
Q

family responses

A
  • fear/guilt for not bringing child sooner
  • frustratn rt perceived inability to care for child
  • worry re finances or other responsibilities
  • fear rt lack of knowledge
  • siblings experience jealousy, loneliness, guilt
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17
Q

INFANT interventions

A
  • place bb whose parents are not there near nurse’ station so needs are quickly met
  • provide consistency in assigning nurses
18
Q

TODDLERS interventions

A
  • encourage parents to provide routine care (diapers/feedings)
  • encourage autonomy by offering choices
  • provide consistency in assigning nurses
19
Q

PRESCHOOLERS interventions

A
  • explain procedures using simple, clear language
  • encourage independence by letting them self-care
  • encourage to express feelings
  • validate fears + concerns
  • toys that allow emo exprssn (pounding board)
  • consistency in nurses
  • allow choices (cup or spoon for meds)
  • allow handling of equipment
20
Q

SCHOOL-AGE CHILDREN interventions

A
  • provide factual info
  • encourage exprssn of feel
  • maintain norm routine incl schoolwork
  • encourage contact w peer group
21
Q

ADOLESCENT interventions

A
  • factual info
  • include child in planning of care to provide sense of control
  • encourage contact w peer group
22
Q

Content of Play [6]

A 
1 social affective
2 sense pleasure
3 skill
4 unoccupied behavior
5 dramatic
6 games
23
Q

social affective play

A

taking pleasure in relationships

24
Q

sense-pleasure play

A

objects in environt catching child’s attention

25
Q

skill play

A

demonstrating new abilities

26
Q

unoccupied behavior play

A

focusing attention on something of interest

27
Q

dramatic play

A

pretending or fantasizing

28
Q

games

A

imitative, formal, or competitive

29
Q

Social Characters of Play [5]

A 
1 onlooker
2 solitary
3 parallel
4 associative
5 team play
30
Q

onlooker

A

child observes others

31
Q

parallel

A

children playing INDEPENDENTLY but among others

toddlers

32
Q

associative

A

children playing together

  • WITHOUT ORGANIZATION
  • preschoolers*
33
Q

team play

A

organized playing in groups

school aged children*

34
Q

play activities

infant [birth - 3 mo]

A

colorful moving mobiles

music/sound boxes

35
Q

play activities

infant [3-6 mo]

A

noise making objects

soft toys

36
Q

play activities

infant [6-9 mo]

A

teething toys

social interactions

37
Q

play activities

infant [9-12 mo]

A

large blocks
toys that pop apart
push/pull toys

38
Q

play activities

toddlers

A
  • cloth books
  • large puzzles
  • large crayon + paper
  • push/pull toys
  • balls
  • *tricycles**
  • educatnl + age approp shows/videos
39
Q

play activities

preschoolers

A
  • imitative + imaginative play
  • drawing, painting
  • riding tricycle
  • jumping, running
  • educatnl + age approp shows/videos
40
Q

play activities

school-aged child

A
  • games (alone or w another person)
  • **team sports
  • muscl instrmnt
  • art+crafts
  • collections
41
Q

play activities

adolescent

A
  • team sports
  • school activities
  • reading
  • listening to music
  • peer interaction
42
Q

therapeutic play

A
  • make use of dolls/stuffd animals
  • encourage acting out feels
  • enables coping strategies
  • assist in gaining cooperation w procedures

Pediatrics (51 decks)

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