Module 1: Family Centred Care Flashcards
What act did Ontario pass in 2011
The excellent care act for all
Why was the excellent care act for all passed?
Because Canadians wanted to ensure that advances in the healthcare sector would not put technology ahead of patient needs
What is child and family centred care?
Care that includes not only the child but also their family as well
What are the 4 core concepts in child and family care?
Treat ppl with respect and dignity
Communicate unbiased information to pt and family
Encourage family and pt to participate in decisions at the level they choose
Collaborate among pt and family
What can you do as a nurse to ensure pt and family centred care?
Introduce yourself to both
Show them around the unit
Ask parents if they’ve slept or ate
Ask them what they’d like to do
Explain everything you’re doing to both
How can you involve the child in the health history interview
Ask age appropriate questions
Incorporate play therapy
What should you encourage the parents to do in the health history interview?
To share information even if its sensitive
They often avoid because they want to make a good impression and don’t understand the value of missing information
What data needs to be collected?
Patient information (name, gender, age)
Physiological data (histories and reason of admission)
Current Health status
Psychosocial
What sequence and approach should you use for examination in peds for a younger child?
Foot to head assessment, you want to start off with the least distressing
Examinations for newborns and infants under 6 months
Keep parents present
Provide comfort such as pacifier
Use distractions like rocking the child
Examination for infant over 6 months
Avoid separation anxiety
Smile and talk soothingly
Uses toys for distraction
Assess feet and hands before doing the central portion
Examination for toddlers
Keep parents present
Tell the child what you’re doing at each step
Give them guided choices (not yes or no answers)
Neuro and MSK just observe child play and walking
Examination for Preschoolers
Assess willingness to be away from parents
Allow child t touch and play with equipment
Give simple explanations
Use distractions like asking them about their favourite activity
Give positive feedback
Examination for school age children
See if they want to sit on exam table
Offer gown and underwear
Head to toe sequence
Demonstrate how equipment is used
Offer choices
Allow them to listen to their own HR
Examination with adolescents
Provide gown
Cover body parts that are not currently being assessed
Private setting
Provide reassurance about normal progression of their bodies
