Family-Centred Care

Question 1

7 Principles of FCC

Answer 1

1. Family as the constant in the child’s life
2. Exchanging complete and unbiased information
3. Respect for cultural diversity
4. Respect for different coping mechanisms and supporting diverse needs
5. Facilitating family-to-Family networking
6. Flexible, accessible and comprehensive services
7. Appreciating families as families and children as children

Question 2

3 Principles of Atraumatic care

Answer 2

1. Prevent or minimise separation from family
2. Promote sense of control
3. Prevent or minimise experience of bodily injury and/or pain

Question 3

Hospitalisation - childhood concerns

Answer 3

1. Separation from parents/siblings
2. Unfamiliar environment and caregivers
3. Fear of pain
4. Uncertainty about what will happen
5. Insecurity about being different from peers
6. Fear of missing out
7. Loss of independence and privacy

Question 4

Hospitalisation - adolescent concerns

Answer 4

1. Desire for independence (vs need for support)
2. Desire for information (vs information overload)
3. Desire for privacy
4. Body image concerns
5. Need for peer contact and acceptance
6. Emotional management - stress, anger, frustration.

Question 5

Hospitalisation - childhood behaviours

Answer 5

1. Regression - e.g. bed-wetting, thumb-sucking.
2. Clinginess to caregivers
3. Emotional lability - mood swings, tearfulness.
4. Disrupted sleep/wake and feeding patterns
5. Withdrawn or acting out

Question 6

Hospitalisation - adolescent behaviours

Answer 6

1. Aggression or defiance
2. Withdrawn/self-isolating
3. Mood swings
4. Fatigue

Question 7

Hospitalisation - childhood strategies

Answer 7

1. Prepare in advance
2. Orient to caregivers and environment
3. Provide honest, age-appropriate information
4. Offer choice
5. Promote caregiver/family involvement
6. Allow questions and talk about feelings
7. Distraction therapy

Question 8

Hospitalisation - adolescent strategies

Answer 8

1. Speak to pt directly (with/out family)
2. Provide honest age-appropriate information
3. Reassure of confidentiality
4. Encourage questions and emotional expression
5. Validate fears/concerns
6. Encourage visits from family/peers