Atraumatic Care Flashcards

Questions and Answers

What is Atraumatic Care?

Atraumatic care

What is Atraumatic care based on the concept of?

do no harm

What is family-centered care based on?

That the family is the primary source of strength and support for the child

What should be the first priority when delivering care to a pediatric patient?

Family-centered care Signup and view all the answers

What are the stressors of the sibling?

jealousy, sadness, insecurity, resentment, confusion, anxiety Signup and view all the answers

What are the stressors of the parents?

guilt, denial, anger, depression, marriage strain, financial burden Signup and view all the answers

What are the 3 principles of Atraumatic care?

prevent/minimize stressors, prevent or minimize parent-child separation, promote a sense of control Signup and view all the answers

How do you prevent/minimize stressors?

reduce intrusive or painful procedures, avoid other physical distress (noise, smells, n/v), control pain Signup and view all the answers

How do you prevent/minimize parent-child separation?

promote family-centered care, keep family together Signup and view all the answers

How do you promote a sense of control in children?

educate family about the child's condition, have parents participate in care, keep normal daily schedule, allow to make choices, encourage communication Signup and view all the answers

What is a child life specialist?

Pediatric health care professionals who help children cope with hospitalization and illness Signup and view all the answers

What should a nurse do to minimize physical stressors during procedures?

distractions, therapeutic hugging, play, hold and comfort after the procedure Signup and view all the answers

What are physical stressors?

pain, nausea, sleep deprivation, immobility, vomiting Signup and view all the answers

What are safety considerations for infants?

Close supervision, keep one hand on infant when crib rails down, no small objects left near infant Signup and view all the answers

What is development of newborns and infants characterized by?

inability to follow directions, lack of understanding of procedures, stranger anxiety, may not sleep well, uses facial expressions as most consistent indicator of pain Signup and view all the answers

What are intervention considerations for toddlers?

encourage parent to stay, give choices when possible, encourage activity in playroom, maintain home routines Signup and view all the answers

What is the development of a preschooler characterized by?

limited understanding of illness, magical thinking, separation anxiety, fears of bodily harm Signup and view all the answers

What is development of a school-aged child characterized by?

more aware of body functioning, can describe pain, likes to have control, asks a lot of questions Signup and view all the answers

What is development of adolescents characterized by?

increasing awareness of cause and effect, concerned with body image changes, need privacy Signup and view all the answers

Where should procedures be done on young children vs. older children?

In young children, procedures should be done in a treatment room, in older children they may decide to stay in the hospital room Signup and view all the answers

What should be done immediately after a procedure for a child?

Always praise and reward afterward no matter how child responded Signup and view all the answers

What is preop preparation on a child?

PT education: show them what's going to be done, NPO after midnight, allow the parents to carry the child Signup and view all the answers

What is the importance of play in a hospital setting?

helps provide emotional outlet for children, gives opportunities for teaching and learning Signup and view all the answers

What is community-based nursing care?

cost-effective way to provide care, emphasizes wellness and prevention, allows chronically ill children to receive home care Signup and view all the answers

What is an Individualized Health Plan (IHP)?

aka 504 plan, developed for students with complex health needs Signup and view all the answers

What illnesses need an IHP?

asthma, type 1 diabetes, physical disabilities, ADHD, medication needs Signup and view all the answers

What is an IEP?

Plan for learning disabilities Signup and view all the answers

Study Notes

Atraumatic Care Principles

Atraumatic Care aims to reduce psychological and physical distress in children and families within healthcare settings.
Based on the principle of "do no harm," ensuring the least invasive care approach possible.
Family-centered care emphasizes the family's role as primary support for the child.

Stressors in Pediatric Care

Siblings may experience stressors such as jealousy, sadness, insecurity, resentment, confusion, and anxiety.
Parents can feel guilt, denial, anger, depression, marital strain, and financial burden during their child's healthcare journey.

Core Principles of Atraumatic Care

Focus on preventing or minimizing stressors for the child and family.
Reduce or eliminate separation between the child and parents.
Foster a sense of control for the child and their family within the healthcare environment.

Techniques for Minimizing Stress

Use non-invasive techniques to avoid painful procedures.
Reduce environmental stressors (noise, bad odors).
Manage pain effectively before, during, and after procedures.

Family Engagement Strategies

Promote family-centered approaches to keep the family unit together.
Educate parents and involve them in their child's care.
Maintain familiar routines to give children a sense of normalcy.

Role of Child Life Specialists

Child life specialists support children and their families during hospitalization, focusing on coping strategies for illness and disability.
They offer resources and information to family members such as parents and siblings.

Managing Physical Stressors

Utilize distractions, therapeutic hugging, and play during procedures.
Comfort children post-procedure to alleviate any subsequent distress.

Developmental Considerations

Children's reactions to hospitalization depend on their developmental stage, affecting their ability to understand and cope.
Newborns may exhibit stranger anxiety and rely heavily on non-verbal cues for pain.
Toddlers experience separation anxiety and may not understand medical procedures.

Separation Anxiety Stages

Protest: Child expresses discomfort vocally and physically.
Despair: Withdrawal and sadness occur as the child feels abandoned.
Detachment: The child seems to adjust but loses interest in their parents, a stage to be avoided.

Age-Specific Safety and Care Considerations

Infants require close supervision and comfort, with safety measures in the sleeping environment.
Toddlers should be encouraged to play and participate in choices, with safety precautions against wandering.
Preschoolers benefit from simple explanations and play to alleviate fears and maintain routines.
School-aged children need opportunities for control over their care and may prefer engagements with peers.
Adolescents value privacy, social interaction, and understanding their medical situation, making emotional support vital.

Postoperative and Preoperative Care

Preoperative teaching may involve demonstrations with dolls to alleviate fear.
Postoperative care includes monitoring vital signs, maintaining airway clearance, and ensuring pain relief.

Importance of Play Therapy

Different play forms provide essential emotional outlets and education:
- Unstructured play offers leisure.
- Nursing care play engages children in their treatment.
- Therapeutic play educates and demystifies medical procedures.

Community Based Nursing

Focuses on wellness and preventive care, allowing children with chronic conditions to receive home-based care.
Nurses engage in various functions such as education, case management, and advocacy.

Individualized Health Plans (IHP) and IEPs

An IHP (individualized health plan) is developed for children with specific health needs, ensuring care instructions are followed in schools.
IEPs (individualized education plans) cater specifically to children with learning disabilities.

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Description

Test your knowledge on Atraumatic Care with these flashcards. The quiz explores definitions, principles, and the concept of family-centered care in the context of minimizing distress for children and families in healthcare. Perfect for healthcare professionals seeking to improve their understanding of this important care approach.