Hospitilized Child Flashcards
Physiological differences in children from adults
Greater nutritional needs, growth plates aren’t closed, smaller anatomy, faster HR & RR, lower BP, Meds based on weight, dehydrate very quickly
Age division of a neonate
First 28 days of life
psychological differences in children
Fears- separation anxiety as 1 yo, fear of dark as 3 yo, mutilation in preschool age
Cognitive differences in children
Can’t understand why hospitalized, can’t express feelings with words, the way you talk to them affects how you great them. Find the right words or actions to communicate
Infants reaction to stress
Crying, comfort before and after procedures, pacifier
Toddler reaction to stress
Regression (go back steps in development), loss of control – give choices
Preschool reaction to stress
Fear of mutilation– use band aids to make them feel better
Stress reactions from school age children
Fear death, pain– involve in care to teach, help understand, and give control
Adolescent reaction to stews
Body image, loss of control, independence– May refuse to do anything as a way of having control. Be honest and talk on their level
Family reactions when child is hospitalized
Disbelief anger, guilt, fear, anxiety, depression… Expect anger and dads may not be as open
Sibling reactions to sick child
Anger, jealousy, resentment, loneliness, fear, worry… Pay attention to siblings after attending to child
Pain assessment of child
QUESTT
question child, use pain scale rating, evaluate behavior, secure parents involvement, take cause of pain into account, take action and evaluate results
Med administration- 1-3 months
Support head, use nipple or oral syringe, center and rear of mouth, small volumes when hungry
Med administration- 12-18 months
Select juices, crush in applesauce, play a game, firm consistent approach
Med administration- 18-30 months
Chewable pills, simple directions, firm consistent approach, immediate positive approach
