Atraumatic Flashcards
Atraumatic Care
use of interventions that eliminate or minimize the psychological and physical distress
Physical Stressors
pain/discomfort (injections, dressing changes, suction, intubation, blood draws)
Immobility (restraints, bedrest, inability to get up without assistance)
sleep deprivation
inability to eat or drink
changes in elimination habits
temp extremes
loud noises
bright lights/darkness
Psychological Stressors
separation from child
lack of privacy
inability to communicate (intubation, language barrier)
inadequate knowledge/understanding of situation
severity of illness
parental behavior (expression of concern)
child behavior (look very ill)
Environmental Stressors
unfamiliar surroundings (crowds)
unfamiliar sounds (equip noise and other people)
unknown people
smells (alcohol, adhesive remover, body fluids)
constant lights
activity r/t others (talking, crying, coughing, moaning)
sense of urgency or lack of urgency (chaos or lazy nurse)
unkind comments
Social Stressors
disrupted relationships esp. with family and friends
concern with missing school or work
play deprivation
Principles of Atraumatic Care
Prevent or Minimize Physical Stressors
Prevent or Minimize Parent/Child Separation
Promote a Sense of Control
Avoid or Reduce Intrusive and Painful Procedures
examples
tympanic temp than rectal
pulse Ox than ABG
anesthetic
2% xylocaine jelly for foley
two try policy
lidocaine in IM injections of Ceftriaxone
smallest gauge
slow and warm IV site with painful infusion
comfort positioning and hugging instead of restraints
warm blankets when cold
1-2 hour naps without distraction or bothering
avoid tape for skin tears
control pain
Prevent or Minimize Parent/Child Separation
examples
Promote Family-Centered Care
Use Core Primary Nursing
Consider Research Findings on Parents’ and Children’s Preferences
Majority of the Time, Parents and Children Want To Be Together
At Time of Anesthesia Induction & in PACU
In the Emergency Department
During CPR – They Felt Their Adjustment to Death was Easier & That Their Presence was Beneficial to the Dying Child
Prepare them ahead of time for treatment or procedure and offer if they want to go
- Parents neds therapeutic distraction options
COMFORT POSITION
familiar objects
DO NOT ASK THE PARENT TO __________ THE CHILD!!!!!
RESTRAIN
Promote a Sense of Control
Respect and Elicit Family’s Knowledge About Child and Health Condition
reduce fear of unknown
- environ. and routines
less threatening meds outside od the room
animism
Opportunity for Control
Animism
assigning lifelike qualities to inanimate objects
Opportunity for Control in children
Do Procedures With Child in Parents Lap
Allow Child to Have a Familiar Object
Provide Choices - Select Food Choices
Allow Privacy
Provide Play Activities
Time Structuring
Respect Cultural Differences
The pediatric nurse is mentoring a new graduate on the pediatric unit. She will include which principles of atraumatic care? Select all that apply.
A. Prevent or minimize physical stressors
B. Prevent or minimize parent/child separation
C. Promote a sense of control
D. Promote healthy lifestyles
A. Prevent or minimize physical stressors
B. Prevent or minimize parent/child separation
C. Promote a sense of control
What are some of the reasons that health care professionals may resist parental presence during procedures? Select all that apply.
A. They will delay or interfere with the procedure
B. They wil distract the health care professional
C. They will decrease the anxiety of the health care professional
D. The parents will have increased anxiety if they are present
A. They will delay or interfere with the procedure
B. They wil distract the health care professional
D. The parents will have increased anxiety if they are present
What are ways that the pediatric nurse can promote a sense of control?
Select all that apply.
A. Prepare medications prior to entering the room
B. Explain equipment
C. Do procedures in the parent’s lap if applicable
D. Allow them to select their food choices
E. Provide play activities
A. Prepare medications prior to entering the room
B. Explain equipment
C. Do procedures in the parent’s lap if applicable
D. Allow them to select their food choices
E. Provide play activities
