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Peds 109 Ch 44

Reaction to illness and hospital

QuestionAnswer
Feelings of loss of control are caused by unfamiliar environmental stimuli, physical restriction, altered routine, and dependency
Nursing care of the child in the hospital is aimed at preventing or minimizing separation, decreasing loss of control, minimizing fear of bodily injury, using play or expressive activities to lessen stress, and maximizing the potential benefits of hospitalization
The nurse can maximize potential benefits of hospitalization by fostering parent-child relations, providing educational opportunities, promoting self-mastery, and encouraging socialization
Nursing care of the family involves listening to parents’ verbal and nonverbal messages, providing clergy support; accepting cultural, socioeconomic, and ethnic values; giving information to families and siblings, and preparing for discharge and home care
what is another name for separation anxiety anaclitic depression, greatest stressor
What do infants need most trust
what do toddlers need most autonomy
Preschoolers need most magical thinking needs more than just verbal instruction
school age children need sense of control, usefulness, no boredom
adolescents need independence, socialization, preparation,
hospitilization can off children opportunity to master stress, feel competent in coping abilities, new socialization exp.
what is important about room assignment place children of same age adn with similar types of illness together, esp for adolescents
One technique to minimize disruption in child's routine daily schedule
Enabling children's control helps maintina independence, promote self care
what is best way to prepare for painful procedures preparation, manipulation procedures, tympanic vs rectal
Use of bandages helps which age group toddlers/preschoolers watch dressings get smaller measures healing
Nurses have responsibility of fostering child's growth/development
what is most effective tool for child to manage stress play, gives sense of control
what is therapuetic play helping children deal with concerns and fears and helps nurse gain insight into child
what is most importatn nursing intervention in providing information info about disease/tx/prognosis/homecare, child's emotional/physical reactions to illness/hospital, reactions of family members in crisis
what is most neglected area of communication to siblings
In planning teaching nurses need to asses complexity of skill, ability to learn skill, previous exp with procedures
Created by: palmerag
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