care of the hospitalized child (1) Flashcards
what are the 4 significant stressors of the hospitalized child?
- separation from parents, caregivers, peers
- Loss of control, privacy, autonomy, schedule
- Painful or invasive procedures
- fear of injury and disfigurement
describe separation anxiety and when it occurs
- develops around six months of age
- May feel anxious when in contact with strangers
what are the three stages of separation anxiety
- Protest (scream, cry, resist)
- Despair (red flag)
- Denial or detachment
at what months of aged a stranger anxiety occur
6-18
how to soothe a crying infant
find cause (Huangry, wet, hurt, lonely?)
Oral stimulation
What to do when an infant iS hungry or wet
- Feed or burp
- Change diaper
what to do when an infant is hurt or lonely?
- Look for and remove the cause of pain
- touch, hold, talk, sing
- Offer pacifier, toy
what are some interventions for a toddler to keep them comfortable
- comfort objects
- Keep to home routine as much as possible
- Parental presence
- don’t leave while they’re sleeping and be honest
what Erikson stage is the hospitalized preschooler in?
initiative vs. guilt
how may a preschooler developmentally regress in hospitalization?
no longer potty trained
school age hospitalization stressors?
- loss of control related to bodily function
- privacy issues
- fear of pain, spearation
what stressors do have adolescents have that youngers do not?
- fear of disability, pain, death
- separation from school friends
what is important to tell/consider with siblings of hospitalized children?
- explain what it will be like for them to see their sibling
- address fears
- keep them informed
- instruct them how to touch
how can you promote coping in childhood hospitalization?
- play!!!
- rooming in w/ parents
- child life therapists
define chronic condition
lasts longer than 3 months
