Child Hospitalization Experience PDF
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This document provides an overview of the child's experience during hospitalization, presenting information on various aspects, including nursing care, parental responses, and different stages of child development. It also contains information about pain management and cultural considerations.
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The Child Experience During Hospitalization NP03L007 ELO A · VERSION 2.0 INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING, 8TH ED. CHAPTER 21, PP. 479-495 ELO A: The Child’s Experience of Hospitalization Action: Identify the child’s experience of hospitali...
The Child Experience During Hospitalization NP03L007 ELO A · VERSION 2.0 INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING, 8TH ED. CHAPTER 21, PP. 479-495 ELO A: The Child’s Experience of Hospitalization Action: Identify the child’s experience of hospitalization Condition: In a classroom environment, given PPTX, handouts, and scenarios Standard: Identify the growth and development of the child’s experience of hospitalization Check on Learning Match the stage of separation anxiety with the behavior that corresponds with the behavior ____ Denial a. Child is sad and depressed ____ Despair b. Child becomes interested in his or her surroundings ____ Protest c. Child cries continuously for “mommy” Check on Learning True or False? T/F: Every child reacts differently to the hospital experience. T/F: During hospitalization, a caring and compassionate nurse can take the place of a child’s primary caregivers. T/F: Hospitalization can be a positive experience for children. Health Care Delivery Setting Outpatient Clinics Satellite Clinics Private medical offices Children facilities Well-child clinics Asthma clinics Cardiac clinics Orthopedic clinics Home Children’s hospital unit Preparing for treatments or procedures Infants Involve parents Include familiar objects Soothe, distract, and hug Toddlers and preschoolers Involve parents Offer simple explanations Give permission to express discomfort Offer one direction at a time Allow for choices Use distraction Hug Preparing for treatments or procedures School-age child All the aforementioned, plus Let child examine equipment Encourage verbalization of fears Offer small reward Adolescents Provide privacy Involve adolescent Explain the treatment/procedure/equipment Suggest coping techniques Child’s Reaction to Hospitalization Separation anxiety 6 months through toddler 3 stages Protest Despair Denial/Detachment Coping mechanism is to detach and reduce the emotional pain Child’s Reaction to Hospitalization Pain 5th Vital Sign Use pain assessment tools FACES Visual Analog Scale Poker chips NIPS PICIC FLACC Treat pain Child’s Reaction to Hospitalization Response to drugs Elimination may be prolonged Renal clearance may be increased Reduces protein binding; increases free unbound medication Doses are influenced Weight Absorption Metabolism Clearance Calculate every medication Child’s Reaction to Hospitalization Drugs used for pain Acetaminophen NSAIDs Opioids Fentanyl Naloxone Flumazenil Conscious Sedation Fear Regression Cultural Responses Culturally sensitive attitudes Personal space Smiling Eye contact Touch Focus Culturally sensitive teaching Parental Reactions to Child’s Hospitalization Entire family affected Blame themselves for child’s illness Guilt Helplessness Anxiety Communication is key Rooming-in Parental involvement Explore lodging or childcare for siblings Allow to vent parent’s feelings Every member of the family is affected Check on Learning Describe three or more things the nurse can do to lessen anxiety for the patients of a hospitalized child. Nurse’s Role in Child Hospitalization Admission Developmental history Family relationships and support systems Cultural needs Nicknames, rituals, routines Developmental level and abilities Personality, adaptability, coping skills Past experiences Previous separations Impact of current health problems on growth & development Preparation Previous contact with HCP Nurse’s Role in Child Hospitalization Pediatric nursing care plan Nursing focused Communication Include growth and development Include play Clinical Pathways Interdisciplinary plan of care Meeting the Needs of the Hospitalized Child Infant Nursing Goals Frustration Reassure parents Displeasure Maintain sense of trust Disruption of routine Incorporate home habits Miss affection of parents Individualize flexible care plans Repetitive games of peek-a-boo Toddler Transitional object Painful experience Do not understand separation Meeting the Needs of the Hospitalized Child Preschooler Understand more; use concrete thinking Explanation must be realistic Use non-threatening words Hospitalization is not a punishment School-aged Endure separation for short periods of time Forced dependence may cause feelings of loss of control/security Participate in their care Meeting the Needs of the Hospitalized Child Adolescent Early adolescence (10-13 years) Threat to body image Intense relationships with own sex Anxious about effects to physical appearance, function and mobility Self-portrait drawings are helpful Privacy and same-sex room assignments are essential Middle Adolescence (14-16 years) Anxious about their ability to appeal to opposite sex Struggle with emancipation from family Incorporating choice, privacy, appropriate hair and cosmetic appearance Opportunity for peer visitors is important Meeting the Needs of the Hospitalized Child Adolescent Late Adolescence (17-21 years) Concentrated with tasks of education, career, marriage children, community, lifestyle Hospitalization threatens these tasks Contact with teachers and counselors is important Adjustment to illness Understand implication of illness in the present and the future Able to participate in decision making Recognize these skills and the patient gains confidence, and increases sense of independence and self-esteem Meeting the Needs of the Hospitalized Child Adolescent Roommate selection Better with one or more roommates of similar age Confidentiality and legality Respecting confidentiality establishes trust Emancipated minor Younger than 18 who is no longer under the parents authority Married minors Minors in the military Give own consent Meeting the Needs of the Hospitalized Child Discharge planning Goal: Return a healthier & happier child Consider the emotional growth of the child Consider the education of patient and family Documentation Home Care Respite care Health care workers Observe parent's interaction Post signs denoting special considerations Listen to parents, ask questions, discuss apprehensions Be attuned to needs of other children in the home Be creative in exploring avenues for socialization Explore support groups the benefit the family Check on Learning The nurse’s best approach to prepare a toddler for a painful procedure is to: a. be truthful if it will be painful b. avoid telling him it might hurt c. prepare early so he can ask questions d. have his mother explain what will happen Questions?
