Hospitalized child Flashcards

1
Q

stresses of infants

A

Absence of parents
Sense of parents anxiety
Not having basic needs met – food, sleep

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2
Q

how to promote development in infants in the hospital

A

Position to see your face and hands
Talk about items in the room
Touch, swaddle, soft talk
Be in field of vision
Simulate home routine
Assign same nurse
Light/sound stimulation

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3
Q

toys appropriate for infants

A

Mobiles
Rattles
Squeaky toys
Colorful Picture books
balls, blocks
Activity boxes

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4
Q

how to prepare infants for procedures

A

Keep mom and dad close and get them to help
sensory soothing
cuddle/hug
Safe restraints – swaddle
Allow Security objects from home

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5
Q

PRAISE mnemonic for toddlers

A

P parallel play
R rituals, routines, regression
A autonomy versus shame and doubt, accidents
I involve parents
S separation anxiety
E explore

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6
Q

what to expect from toddlers in the hospital

A

Rituals and routines are important
Physical restriction difficult
Regression
Separation anxiety

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7
Q

how can toddlers perceive their illness in the hospital?

A

Perception of illness extended and unrelated to the actual event

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8
Q

how to promote development for toddlers in the hospital

A

Patient care ritual/home routines
Allow security objects
Praise anything done
Provide mobility and outlets for aggression
Access to finger foods, snacks
Reasonable exploration of environment
Give guided choices
Talk through all care

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9
Q

appropriate toys for toddlers

A

Board and mallet
Push – pull toys
Toy telephone
Stuffed animals
Story books with pictures

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10
Q

how to prepare toddler for procedure

A

Explain everything day of exam
Include what they see, feel, smell
Praise for doing well
Reassure mom and dad are waiting

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11
Q

MAGIC mnemonic for preschoolers

A

Mutilation fear
Associative play, abandonment
Guilt versus initiative
Imaginary playmate
Curious

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12
Q

cognitive development of preschoolers

A

Transductive reasoning
Animism, magical thinking
Egocentrism

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13
Q

what to expect of preschoolers in the hospital

A

May become overly aggressive or withdrawn
May bring imaginary playmate
Refusal of meds/care
Little understanding of time
Enjoy playing with other kids
May regress from toilet training
Enjoy silly humor
Need transitional objects

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14
Q

Do preschoolers understand that you will be back after watching a show or that Christmas is in eight months?

A

That you will be back after watching a show

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15
Q

how to promote development in preschoolers in the hospital

A

Specific language and direct eye contact
Be aware of distracting noises
Speak socially understood words
Transitional object
Routines before meals
Read out loud
Throw/catch

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16
Q

how should you approach wanting to get a task done?

A

“ let’s do this”, “ how about”

17
Q

what is a way to lighten the mood with a preschooler

A

Make silly mistakes and let them catch you

18
Q

appropriate toys for preschoolers

A

Color books
Puzzles
Cut and paste
Dolls
Building blocks

19
Q

how to prepare a preschooler for procedure

A

Simple explanations with a diagram or doll
Allow them to play with the cap, gown, stethoscope
Describe what they feel, hear, see and smell
Medical play

20
Q

what do you need to say out loud for preschoolers about to go into a procedure?

A

This is not a punishment

21
Q

DIMPLE mnemonic for school age

A

Doers
Industry versus inferiority
Modesty
Peers
Loss of control
Explanation of procedures

22
Q

what is important regarding privacy and modesty with school agers

A

Keep them covered

23
Q

do school agers understand the cause of their illness?

A

They are concrete thinkers
Understand some causes of illness

24
Q

what to expect from school agers in the hospital

A

Risk-taking
Like adults to be involved in decision making
Like contact with others of the same age
Want time to themselves
Rules are important

25
Q

how to promote development in school agers

A

Encourage continuation of schoolwork
Give realistic and truthful explanations
Allow quiet time
Involve them in making things
Suggest collecting things
Make game out of routines

26
Q

what should you have school agers do when giving an explanation of a task

A

Have them explain it back

27
Q

how to prepare school agers for a procedure

A

Use correct terms and diagrams
Explain equipment, concretely

Allow child to manipulate equipment, time for questions before and after and responsibility

28
Q

PAIRS mnemonic for adolescence

A

Peer group
Altered body image
Identity
Role confusion
Separate from Peers

29
Q

Do adolescents understand the physical and psychological pain?

A

Yes

30
Q

how do adolescence want to be related to?

A

On their own level

Patient role fosters dependency and depersonalization

31
Q

what can you expect from adolescence in the hospital?

A

To follow instructions of mobility and diet
To be a part of the care team
To act like an adult, and then a child

32
Q

How to promote development in adolescence

A

teach a realistic level
Involved with new staff
Discuss concerns, bring up issues
Ask them how involved they want their parents to be
High expectation for appropriate behavior

33
Q

how to prep adolescence for procedure

A

Conscious of appearance
Strive for independence
Capable of abstract, thoughts

34
Q

what is adolescence concern with time?

A

They are concerned with the present, rather than the future

They are also concerned with how this affects their future

35
Q

characteristics of vulnerable patients

A

Difficult temperament
Lack of fit between child and parent
six months to four years old
Male
Below average intelligence
Multiple stresses
Rural children
Passive