Hospitalized Child Flashcards
1
Q
Coping and Adaptation
A
dynamic process involving cognition and behavior to adapt to change in the environment
2
Q
Atraumatic Care
A
- Do not harm
- provision of therapeutic care in settings, by personnel, and through the use of interventions that eliminate or minimize the psychologic and physical distress experienced by children and their families
3
Q
Goals of Atraumatic Care
A
- to prevent or minimize separation
- to promote a sense of control (options or choices)
- to prevent or minimize bodily injury and pain (shot blocker and buzz-ez, not changing IV daily, numbing cream)
4
Q
Role of the Pediatric Nurse
A
- must address the psychosocial developmental concerns that accompany hospitalization
- discipline in conjunction and may need to set rules
- family advocacy/caring
- disease prevention/health promotion: supportive counseling/teaching
- listener and observer of family dynamics
- interpreter of physician
5
Q
Legal and ethical issues
A
- rights of the child in the hospital setting
- adequate provision of care
- protection from physical danger
- protection from psychologically threatening environment
6
Q
The nurse is responsible to recognize the…
A
psychosocial, physiological, and developmental differences between children and adults
7
Q
Development is assessed…
A
at each hospital admission
8
Q
General differences between children and adults
A
- increased BMR
- rapid periods of growth
- large BSA (body surface area) (sensitive to temp and changes)
9
Q
Ways to assist with coping
A
- love and affection
- security and safety
- discipline
- dependence and independence
- self-esteem
- stress reduction
10
Q
Regression of the Hospitalized Child
A
- usually occurs with stress
- revert to patterns of behavior that were successful in earlier stages of development
- common in toddlers
- possible at any developmental level
**pacificer, back to diapers, blanket holding, thumb sucking, wanting their mom
11
Q
Regression
A
requires knowing developmental stages and expected behaviors
- usually revert back once back in their normal environment
- coping mechanism for being in hospital
- ignore the behavior while sick in hospital
12
Q
What can nurses do?
A
- plan patient centered nursing interventions for children that are appropriate for the child’s developmental stage
- tailor care to family’s needs and preferences
- honest and open communication
- view parent as the expert about the child
- respect cultural practices
13
Q
Therapeutic play
A
- play is the work of childhood
- assists in normal development
- helps express anxieties and feelings
- helps achieve a sense of control
- child life programs
- animal therapy
14
Q
Pain misconceptions
A
- newborns/infants don’t feel pain
- infants don’t express pain
- infants/children don’t remember pain
- sleeping or distracted children feel no pain
- children will always tell you when they have pain
- children become addicted easily to pain medication
- children tolerate pain well
15
Q
Pain assessment
A
- dependent on developmental age
- influenced by culture and gender
- objective and subjective measures
- pain assessment considered “fifth vital sign”
