Family Centered Care

Question 1

Stressors of Hospitalization

Answer 1

Protest Phase: Crying screaming, clinging to parent

Despair Phase: Cessation of crying; evidence of depression

Detachment Phase; Possible serious effects on parent attachment

Early Childhood; avoid separating

Late childhood and Adolescence ; Not as big of an issue

Question 2

What does each stage need to prevent loss of control? What does loss of control look like in each stage?

Infants;
Toddlers;
Preschoolers;
School Age;
Adolescents;

Answer 2

Infants; They are in their trust vs mistrust stage, they need to be cared for, consistent loving caregivers and a daily routine prevent development issues.

Toddlers: They require autonomy and daily routines. Loss of control may result in regression, negativity, and temper tantrums.

Preschoolers: They’re egocentrical, may view illness as punishment, they’re in preoperational though

School age: They desire independence but are prone to getting bored, they fear death, abandonment, and permanent injury

Adolescents: Deep desire for independence, separation from peer groups are stressors, may respond w/ anger. Need for information about their illnesses.

Question 3

What makes someone especially at risk for loss of contol

Answer 3

Difficult temperament, poor child parents relationship, age (toddlers), male, low IQ, multiple stresses.

Question 4

Hospitalization stressors for children, parents, and siblings.

Answer 4

Children; We’re seeing more serious and complex issues, increased fragility of newborns, more severe injuries of children, greater disability, more invasive and traumatic procedures, increasing length of hospitalization.

Parents; feeling of helplessness, question staff skills, accept reality of hospitalization, fear, uncertainty, seek reassurance

Sibling: Experience changes they’re too young to understand, being care for my nonrelatives, receiving little information about sibling

Question 5

How do we help prepare them for hospitalization and make it a positive experience?

Answer 5

Minimize separation from parents,

promote freedom, maintain the child’s routine, encourage independence and industry

Prevent or minimize fear of injury, provide developmentally appropriate activities, diversional, expressive activities, toys