Ped Test 1.5 Flashcards
Stressors of hospitalization and child’s reaction
- Separation anxiety
- Loss of control
- Pain
- Immobilization/ mutilation/ altered body image
Major stressor for 6-30 months
being separated from parents
Separation illicits
- Protest; hostile
- Despair; sad, withdraws, uncommunicative, regression
- detachment; rare, superficially adjusted, treats all people the same, is resigned, importance on material things instead of people
Solutions to anxiety and stressors
- allow rooming in; encourage frequent visitation
- follow normal routines (food, bath times, etc.)
- bring articles from home
- allow choices if at all possible
Loss of control manifestations: infant
- separation anxiety begins at 6-9 months
- basic needs must be met
- best if parent can give most care
- immobilization, sleep deprivation, sensory overload
Loss of control manifestations: toddler
- continued separation anxiety
- regression (bedwetting/ temper tantrums)
- immobiliztion, fear of the dark
Loss of control interventions: toddler
- try to maintain consistency and routine
2. encourage independence, demonstrate use of equipment just prior to procedure
Loss of control manifestations: preschooler
- can tolerate brief periods of separation/ may regress
- fears pain, mutilation, fear of dark and monsters
- separation anxiety may be more passive (refuse to eat etc)
- aggression
- may view hospitalization as punishment
Loss of control interventions: preschooler
- needs routine, give choices
- demonstrate use of equipment just prior to use
- allow child to participate
Loss of control manifestations: School-age
- may not have separation anxiety
- needs parental support (esp. younger ones)
- fears separation from family/ friends, pain, loss of control over body functions, death
- upset about lack of activity
- may not admit needs (lonely, bored)
- feel loss of independence and productivity
Loss of control interventions: School-age
- Younger may need parental support
2. Draw them out, give them activities to do
Loss of control manifestations: adolescents
- fears altered body image
- loss of control
- separation from friends
- loss of privacy and identity
Stress factors affecting parental reaction to hospitalization
- prior experience
- seriousness
- support systems
- cultural/ religious beliefs
Parental reactions to hospitalized child
- disbelief/ denial (comes and goes a long time)
- anger/ guilt
- fear/ anxiety
- bargaining
- depression
Sibling reactions to hospitalization
- Fear
- loneliness
- anger
- resentment
- jealousy
- guilt
(parents often unaware, siblings visit with appropriate explainations)
