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
how to promote development in school agers
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
what should you have school agers do when giving an explanation of a task
Have them explain it back
27
how to prepare school agers for a procedure
Use correct terms and diagrams Explain equipment, concretely Allow child to manipulate equipment, time for questions before and after and responsibility
28
PAIRS mnemonic for adolescence
Peer group Altered body image Identity Role confusion Separate from Peers
29
Do adolescents understand the physical and psychological pain?
Yes
30
how do adolescence want to be related to?
On their own level Patient role fosters dependency and depersonalization
31
what can you expect from adolescence in the hospital?
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
How to promote development in adolescence
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
how to prep adolescence for procedure
Conscious of appearance Strive for independence Capable of abstract, thoughts
34
what is adolescence concern with time?
They are concerned with the present, rather than the future They are also concerned with how this affects their future
35
characteristics of vulnerable patients
Difficult temperament Lack of fit between child and parent six months to four years old Male Below average intelligence Multiple stresses Rural children Passive