Hospitalized child and pain Flashcards
What is the reason for the majority of hospitalizations for children <5?
Respiratory issues
What is the reason for the majority of hospitalizations for older children?
Respiratory/injuries
GI/gastro/mental health
What is the reason for the majority of hospitalizations for adolescents?
Injuries, pregnancy, mental health
During a child’s reactions to hospitalizations, what are the phases of separation?
Protest
Despair
Detachment
What are some nursing interventions to help decrease anxiety in infants?
Rooming‑in of parents Minimize number of caretakers Volunteers to hold and cuddle Provide comfort measures Minimize use of restraints Tactile, auditory, visual stimulation Toys: stuffed animals, mirrors, mobiles
What are some nursing interventions to help decrease anxiety in toddlers?
Rooming‑in of parents Transitional objects (bring to hospital) Set time frame for parents to return if parent leaves the hospital Teach parents how to assess child for stress Follow home routine PLAYROOM Medical play Expect regression
What are some nursing interventions to help decrease anxiety in preschoolers?
Rooming‑in of parents Transitional objects (bring to hospital) Set time frame for parents to return if parent leaves the hospital Teach parents how to assess child for stress Follow home routine PLAYROOM Medical play Expect regression Offer choices and encourage participation Medical & Therapeutic play Worry beads, Worry dolls Be truthful
What are some nursing interventions to help decrease anxiety in school-age children?
Communication with parents, siblings & friends
Promote normalcy (homework)
Available to talk with child & listen to feelings
Provide explanations of medical care (diagrams, equipment)
Promote developmental goal of industry
Provide choices
What are some nursing interventions to help decrease anxiety in adolescents?
Promote peer interactions Encourage parents to visit/stay Develop plan of care with adolescent Respect need for independence Privacy Be open & honest about medical care
What are safety measures for the hospitalized newborn and infant?
Use age-appropriate crib and bedding
Secure equipment cords under the infant’s gown or shirt
Do not allow child to chew on cords
Properly dispose of syringe caps and other small items that may present a choking hazard
Establish with parents a list of persons who may visit the child
Keep bed rails up at all times
What are safety measures for the hospitalized toddler and preschooler?
Maintain bed in low position
Keep side rails up when a parent is not at the bedside
Do not allow child to chew on any cords
Keep room clutter free
Remove all unnecessary equipment from the child’s room
Latex balloons should not be permitted due to the risk of suffocation
What are safety measures for the hospitalized child?
Properly dispose of syringe caps and other small items that may present a choking hazard
If toddlers are curious about hospital equipment provide them the opportunity to explore the equipment safely and with guidance
Keep in mind that these children are naturally curious and explorative
Instruct family members to inform staff when they are leaving the room to ensure that the child is being supervised
Treatment room
What are safety measures for the hospitalized school-age child?
Instruct the child to avoid manipulating hospital equipment such as IV pumps, PCA, and oxygen gauges
Allow the child the opportunity to explore hospital surroundings and equipment with guidance
Instruct family members to inform staff when they are leaving the to ensure that the child is being supervised.
What are safety measures for the hospitalized adolescent?
Address issues such as smoking in the room and consuming alcohol since friends could possibly bring cigarettes or alcohol to the hospitalized adolescent
Assess teen for signs he/she could elope from institution
What are some strategies to promote coping for the hospitalized child?
Rooming in for parents Child Life programs Meeting the educational needs Therapeutic play Learn about health care Express anxieties Work through feelings Achieve a sense of mastery or control over frightening or little-understood situations
