Lecture 01 Chronic Illness Flashcards
Parental response: What is the approach behavior?
Coping mechanisms aimed at
reducing tension caused by stress
that results in movements toward
adjustment and resolution of the
crisis.
(Seeks information regarding
diagnosis and treatment &
anticipates future problems)
What is Avoidance Behavior?
Coping mechanism resulting in movement
away from adjustment or maladaptation to
a crisis (fails to recognize seriousness of
condition despite physical evidence)
What are Adaptive Tasks of Parents of Children with Chronic Conditions?
- Accept the condition
- Manage the condition on a day to day basis
- Meet the child’s normal developmental needs
- Meet the developmental needs of other family members
- Cope with ongoing stress and periodic crisis
- Educate others about the child’s condition
- Establish a support system
How should a nurse provide family support? (5)
- Provide support at time of diagnosis
- Accept family’s emotional reaction
- Support family’s coping methods
- Advocate for empowerment
- Educate about the disorder
& general health care needs
What are some Parental Stress Points? (7)
- Time of diagnosis
- Developmental milestones
- Start of schooling
- Reaching the ultimate attainment (realize child may never sit/walk)
- Adolescence
- Future placement
- Death of the child
What are 4 types of parental reactions to diagnosis?
- Four types of parental reaction
- Overprotection of child
- Rejection of child
- Denial that disorder exists
- Gradual acceptance with realistic restrictions placed on child and promotion of reasonable physical & social abilities
What is Chronic Sorrow?
- Intensified grief that recur in waves over time
- Repeated losses
- Care-giving demands
–
What are factors that affects family adjustment?
- Available support systems
- Perception of Illness of Disability
- Coping Mechanisms
- Available Resources
- Concurrent Stressors.
KNOW: What are Normal Developments during Infancy? (5)
- Develop sense of trust
- Bond/attach to parent
- Learn thru environmental experiences
- Mobility
- Begin to develop a sense of separateness from parents
What would prevent normal development in infancy? (7)
- Multiple caregivers
- Deprivation of consistent nurturing
- Delay in attachment
- Increased exposure painful vs. pleasurable experiences
- Limited contact environment r/t restricted mobility
- Increased dependence on parent
- Over-involvement of parent in care
What would be normal development during toddler hood?
- Develop autonomy
- Master locomotion and language skills
- Learn through sensorimotor experience
What could impede normal development of toddlerhood during hospitalization?
- Increased dependence on parents
- Limited opportunity to test own abilities and limits
- Increased exposure to painful experiences
What’s normal development during preschool age? (5)
- Develop initiative
- Master self care skills
- Begin to develop peer
relationships
- Develop sense of body image and sexual identification
- Learn through preoperational thought (magical thinking)
How may hospitalization impede normal development during preschool age? (5)
- Limited opportunity
- Limited opportunity to socialize with peers (may appear baby like)
- Protected within family, may fear criticism form others
- Sex role focused on mothering role
- Guilt (caused illness or punishment)
What are 4 normal developments in school age?
- Develop a sense of accomplishment
- Form peer relationships
- Learn through concrete operations
- Develop sense of control and mastery
