Hospitilization, Illness, & Play Flashcards
Separation Anxiety Responses =
Protest + Despair + Detachment
Examples of Protest =
Screaming + Clinging to parents + Verbal / Physical Aggression towards strangers
Examples of Despair =
Withdrawal from others + Depression + Decreased Communication + Developmental Regression
Examples of Detachment =
Interacting with Strangers + Forming New Relationships + Happy Appearance
When do Infants begin experiencing Stranger Anxiety?
Between 6 and 8 months old
What impact does hospitalization have on an Infant?
Stranger Anxiety (If between 6-8 months old).
Displays physical behaviors as expression of discomfort.
Possible Sleep Deprivation + Anxiety.
What are the nursing interventions for hospitalized Infants?
If their parents aren’t in attendance, have the Infant close to the nurses’ station
Provide consistency in assigning caregivers
What’s important to remember about hospitalized Toddlers?
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
What impact does hospitalization have on a Toddler?
Separation Anxiety + Exhibits Intense Reaction to Procedures + Behavior can Regress
What are the nursing interventions for hospitalized Toddlers?
Encourage parents to provide routine care for the child + Encourage the child’s Autonomy + Provide consistency in assigning caregivers
What’s a Preschooler’s level of understanding to hospitalization?
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
What’s the impact that hospitalization has on a Preschooler?
Possible Separation Anxiety + Possible Fears of Bodily Harm + May believe that Illness & Hospitalization are forms of Punishment
Nursing interventions for hospitalized Preschoolers =
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
What’s a School Aged kid’s level of understanding to hospitalization?
Begins to have awareness of body functioning + Able to describe pain + More able to understand cause and effect
What is the impact of hospitalization on School Aged kids?
Fears loss of control + Seeks info + Able to tell when lied to
What are the nursing interventions for School Aged kids?
Provide factual info + Encourage the expression of feelings + Maintain a normal routine + Encourage contact with friends
What is the level of understanding of hospitalization for Adolescents?
More able to understand cause and effect + Perceptions of illness severity are based on the degree of body image changes
What is the impact of hospitalization on Adolescents?
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
Nursing interventions for Adolescents =
Give factual info + Include in the planning of care + Encourage contact with friends
What are some family responses to hospitalization?
Fear & Guilt + Frustration + Altered Family Roles + Worry + Sibling Experiences + Caregiver Role Strain
What things need to be assessed for hospitalized kids?
Child & Family Understanding + Stressors + Past Experiences + Developmental level of child and family + Parenting Role + Support System + Coping Strategies
Nursing interventions for kids and their families?
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
How does Play help kids in a hospital setting?
Allows kids to express feelings and fears + To learn social behaviors.
Protects from stress.
Facilitates mastery of Developmental Stages.
Can be educational.
What are the functions of play?
Intellectual + Sensorimotor + Social + Self-Awareness + Creativity + Therapeutic & Moral Values
