[Exam 3] Chapter 30 – Atraumatic Care of Children and Families Flashcards
Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: What is a Child Life Specialist?
Specially trained individual who provides programs that prepare children for hospitalization, surgery, and other procedures that couple be painful
Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: Services provided by CLS include?
Nonmedical Prep for tests/surgeries
Support during medical procedure
Therapeutic play
Sibling support
Grief and Bereavement support
Emergency room interventions for child/fam
Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: Nursing care for preventing or minimizing physical stressors?
For injections, use numbing technique
During painful procedure, use therapeutic hugging]
Advocate for minimal lab draws
Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: Nursing care for preventing or minimizing child and family separation?
Promote family-centered care
In hospital, provide comfortable accomdations
Allow family choice to stay or go during invasive procedure
Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: Nursing care for promoting a sense of control?
Maintain childs home care routine in hospital
In hospital, use primary nursing
Encourage child to have security item present
Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: Goal of CLS?
To decrease the child’s anxiety and fear while improving and encourage the child’s understanding and cooperation
Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: How does CLS provide engaging and uplifting events?
By coordinating special entertainment and activites
Minimizing Physical Stressors During Procedures: Whaat is therapeutic hugging?
A holding position that promotes close physical contact between child and the parent. May b e used during certain procedures when child must remain still
Minimizing Physical Stressors During Procedures: Example of therapeutic hugging?
Parent can hold the child in their lap snugly to prevent the child from moving during an injection or venipuncture
Before the Procedure: Appropriate preparation for procedures helps with what?
Decrease families anxiety
Promote childs cooperation
Support child/family coping skills
Improve recovery
Before the Procedure: General guidelines for preparing a child?
Provide description of and reason for procedure
Describe where procedure will occur and how long
Introduce equipment
Identity unusual sensations that may occur
Tell child its okay to cry or yell
Before the Procedure: Major aspect of preparation involves what?
Play. Toys and dolls provide way to demonstrate procedures that wil occur
Before the Procedure: What should you do first?
Gain trust and provide support while including childs parents. Be short and simple.
During the Procedure: How can you encourage coperation?
By involving the child in decision making and allowing the child to select from a list or group of appropriate choices.
During the Procedure: What should the child be allowed to express?
Feelings of anger, anxiety, fear, fustration or any other emotions
During the Procedure: How should toddlers be restrained when they dont want the procedure?
Use alternative methods that provide comfort to child to keep them still during the procedure.
After the Procedure: What should be done after the procedure?
Hold and comfort the child. Cuddle and soothe infants.
After the Procedure: What activity may help express their frustration?
Activties such as pounding or throwing are helpful for children to discharge pent-up feelings and energy
Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: What does family centered care involve?
Partnership between the child, family, and health care providers in planning, providing, and evaluating care
Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: What does family-centered care enhance?
Parents and caregivers confiddence in their own skills and also prepares children and young adults for assuming responsibility for their own helath needs
Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: Several core principles of family-centered care include?
Respect family
Identifcation of family strengths
Support families choices related to care
Empowerment of families
Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: Positive outcomes of family-centered care?
Anxiety decreased
Childen are calmer
Recovery time shortened
Families confidence/problem-solving skills improved
Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: Ways to increase collaboration between family?
Family advisory board, newsletter, conferences, or parent resource books.
Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: Methods for increasing communication between health care team and family?
Mailboxes or dry erase boards for updating plan of care.
Promising Sense of Control - Developmental Techniques for Communicating with Children: What to do if child is shy?
Talk to the parents first to give the child time to warm up for you
Promising Sense of Control - Developmental Techniques for Communicating with Children: How should ypu speak to children?
Unhurried, quiet, yet confident maner. Communicate at childs eye level
Promising Sense of Control - Developmental Techniques for Communicating with Children: How can you refer to white blood cells?
AS bad guy fighters
Promising Sense of Control - Developmental Techniques for Communicating with Children: How to communicate with infants?
Primarily communicate through touch, sight, and hearing. can occur by cuddling, holding, rocking, or singing to the infant
Promising Sense of Control - Developmental Techniques for Communicating with Children: How to communicate with toddler or preschooler?
Allow them time to compelte their thoughts. Takes longer for young child to find right words, especially with response to questions
Promising Sense of Control - Developmental Techniques for Communicating with Children: How to communicate with school-age children?
Simple but honest and straightforward responses. when asked question, they may be eager to commmunicate.
Promising Sense of Control - Communicating with Parents: What age should play puppets be used with?
With preschoolers
Promising Sense of Control - Communicating with Parents: What communication method should school-age children use?
Use diagrapms, illustrations, books, and videos
Teaching Children and Families: When does patient education occur?
When nurse shares information, knowledge, and skills with families, thus empowering them to take responsibility for their children health care
Teaching Children and Families - Goals of Child/Fam Education: Goals here include?
Improve familiy health literacy
Encourage communication with health care providers
Improve health outcomes
Encourave improvement of child
Teaching Preschool Children: When teaching young children, nurse or family assumed part or all responsibility of what
what is learned, how it is learned, and when it is learned. Make sure to skillfully deliever timed information to promote trust
Teaching School-Age Children: How should we speak to them?
Speak directly to them and include them in education plan. Teach them with parent.
Teaching Adolescents: What are they sensitive about?
Maintaining body image and feelings of control and autonomy
When providing atraumatic care to a child, which action would be the most appropriate?
Applying restraints for any procedure that would be uncomfortable Keeping the lights on in the child’s room throughout the day and night Limiting the use of topical anesthetics for painful injections Allowing parents and children an informed choice about being together
Allowing parents and children an informed choice about being together
A 2-year-old boy is scheduled to undergo an endoscopic procedure. His parents are asking when they should tell him about it. Based on the nurse’s understanding of the child’s developmental stage, when would be the most appropriate time to prepare the child for the procedure?
About 1 week before the scheduled date A few days in advance of the scheduled date About 1 hour before the procedure is to occur Just before the procedure is to be performed
A few days in advance of the scheduled date
When working with children and families, which is a critical strategy for promoting therapeutic communication?
Detailed explanations Attentive listening Comforting touch Closed-ended question
Attentive listening
The nurse is caring for a 2-year-old in the hospital, and the mother expresses concern that the toddler will be scared. Which response by the nurse would be most appropriate?
“Don’t worry; we practice family-centered and atraumatic care here.” “We will do our best to minimize the stress that your child experiences.” “It will probably be upsetting for you as well, so you should stay home.” “Our practice of atraumatic care will eliminate all pain and stress for your child.
“We will do our best to minimize the stress that your child experiences.”
When planning education for a child and parents, what is the first step the nurse should take?
Decide which procedures and medications the child will be discharged on. Determine the child’s and family’s learning needs and styles. Ask the family if they have ever performed this type of procedure. Tell the child and family what the goals of the teaching session are.
Determine the child’s and family’s learning needs and styles.
