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Nursing Across the Lifespan 1 (Exam 1 Prep) > Hospitilization, Illness, & Play > Flashcards

Hospitilization, Illness, & Play Flashcards

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1
Q

Separation Anxiety Responses =

A

Protest + Despair + Detachment

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2
Q

Examples of Protest =

A

Screaming + Clinging to parents + Verbal / Physical Aggression towards strangers

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3
Q

Examples of Despair =

A

Withdrawal from others + Depression + Decreased Communication + Developmental Regression

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4
Q

Examples of Detachment =

A

Interacting with Strangers + Forming New Relationships + Happy Appearance

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5
Q

When do Infants begin experiencing Stranger Anxiety?

A

Between 6 and 8 months old

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6
Q

What impact does hospitalization have on an Infant?

A

Stranger Anxiety (If between 6-8 months old).

Displays physical behaviors as expression of discomfort.

Possible Sleep Deprivation + Anxiety.

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7
Q

What are the nursing interventions for hospitalized Infants?

A

If their parents aren’t in attendance, have the Infant close to the nurses’ station

Provide consistency in assigning caregivers

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8
Q

What’s important to remember about hospitalized Toddlers?

A

They’ve got a limited ability to describe illness + Poorly developed sense of body image & boundaries + Limited understanding of need for procedures + Limited ability to follow directions

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9
Q

What impact does hospitalization have on a Toddler?

A

Separation Anxiety + Exhibits Intense Reaction to Procedures + Behavior can Regress

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10
Q

What are the nursing interventions for hospitalized Toddlers?

A

Encourage parents to provide routine care for the child + Encourage the child’s Autonomy + Provide consistency in assigning caregivers

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11
Q

What’s a Preschooler’s level of understanding to hospitalization?

A

Limited understanding of cause of illness but knows what it feels like + Limited ability to describe symptoms + Fears related to Magical Thinking + Able to understand Cause and Effect

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12
Q

What’s the impact that hospitalization has on a Preschooler?

A

Possible Separation Anxiety + Possible Fears of Bodily Harm + May believe that Illness & Hospitalization are forms of Punishment

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13
Q

Nursing interventions for hospitalized Preschoolers =

A

Explain procedures + Encourage independence + Encourage expressions of feelings + Validate fears and concerns + Provide toys + Provide consistency in assigning caregivers + Give choices when possible + Allow to handle equipment when safe to do so

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14
Q

What’s a School Aged kid’s level of understanding to hospitalization?

A

Begins to have awareness of body functioning + Able to describe pain + More able to understand cause and effect

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15
Q

What is the impact of hospitalization on School Aged kids?

A

Fears loss of control + Seeks info + Able to tell when lied to

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16
Q

What are the nursing interventions for School Aged kids?

A

Provide factual info + Encourage the expression of feelings + Maintain a normal routine + Encourage contact with friends

17
Q

What is the level of understanding of hospitalization for Adolescents?

A

More able to understand cause and effect + Perceptions of illness severity are based on the degree of body image changes

18
Q

What is the impact of hospitalization on Adolescents?

A

Develops body image disturbance + Attempts to maintain composure + Experiences feelings of isolation + Worries about outcome and impact on school / activities + Might not adhere to certain treatments or meds

19
Q

Nursing interventions for Adolescents =

A

Give factual info + Include in the planning of care + Encourage contact with friends

20
Q

What are some family responses to hospitalization?

A

Fear & Guilt + Frustration + Altered Family Roles + Worry + Sibling Experiences + Caregiver Role Strain

21
Q

What things need to be assessed for hospitalized kids?

A

Child & Family Understanding + Stressors + Past Experiences + Developmental level of child and family + Parenting Role + Support System + Coping Strategies

22
Q

Nursing interventions for kids and their families?

A

Teach the kid & their family what to expect + Encourage family to stay with child + Maintain routines as much as possible + Encourage independence + Explain treatments + Provide Activities

23
Q

How does Play help kids in a hospital setting?

A

Allows kids to express feelings and fears + To learn social behaviors.
Protects from stress.
Facilitates mastery of Developmental Stages.
Can be educational.

24
Q

What are the functions of play?

A

Intellectual + Sensorimotor + Social + Self-Awareness + Creativity + Therapeutic & Moral Values

25
Q

What classifies as Therapeutic Play in a hospital setting?

A

Encourages the acting out of feelings, the learning of coping strategies, cooperation for medical treatment

26
Q

What are some Play Activities from Birth to 3 Months Old?

A

Colorful moving mobiles, music/sound

27
Q

What are some Play Activities from 3-6 Months Old?

A

Noise Making Objects + Soft Toys

28
Q

What are some Play Activities from 6-9 Months Old?

A

Teething Toys + Social Interaction

29
Q

What are some Play Activities from 9-12 Months Old?

A

Large Blocks + Push / Pull Toys

30
Q

What are some play activities related to Toddlers?

A

Cloth Books + Puzzles with Large Pieces + Push/Pull Toys + Balls + Tricycles + Educational / Child Appropriate Shows & Videos

31
Q

What are some play activities related to Preschoolers?

A

Imitative & Imaginary Play + Drawing + Painting + Riding a Tricycle + Jumping + Running + Educational / Child Appropriate Shows & Videos

32
Q

What are some play activities related to School-Aged kids?

A

Games that can be played alone or with another person + Team Sports + Musical Instruments + Arts / Crafts + Collections

33
Q

What are some play activities related to Adolescents?

A

Team Sports + School Activities + Reading / Listening to Music + Peer Interactions

34
Q

What are the nursing interventions involved for Play?

A

Select safe toys + Consider isolation precautions + Enhance development + Look for cues of fear and anxiety + Encourage kids to bring one favorite toy from home + Use dolls / stuffed animals + Provide play opportunities + Allow kid to go to the play room if able + Encourage adolescent’s peer’s to visit + Involve a Child Life Specialist in planning activities

35
Q

What is a Child Life Specialist?

A

A type of healthcare provider who works with kids during medical challenges or hospitalization

36
Q

What is the goal of a Child Life Specialist?

A

To ensure that a kid’s life is as normal as possible while dealing with illness or while stuck in a hospital setting

37
Q

What are some things a Child Life Specialist can do for a kid?

A

Help ease discomfort during hospital stays + Teach kids about coping skills through Play, Preparation, Education, and Self-Expression

Nursing Across the Lifespan 1 (Exam 1 Prep) (8 decks)

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