hospitalized child
DESCRIPTION
Hospitalized Child. Presented by Marlene Meador RN, MSN, CNE. What age is most effected by separation anxiety?. 0-8 months 9-36 months Preschool School aged Adolescent. Stages of Separation. Protest Despair Detachment. - PowerPoint PPT PresentationTRANSCRIPT
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Hospitalized Child
Presented by
Marlene Meador RN, MSN, CNE
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What age is most effected by separation anxiety?
0-8 months9-36 monthsPreschoolSchool agedAdolescent
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Stages of Separation
Protest
Despair
Detachment
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Nursing Interventions:
How does the nurse meet the needs of the hospitalized child in each age group?
InfantToddler-PreschoolSchool- agedAdolescent
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Family’s Response to Hospitalization
Perception
Support system
Coping mechanism
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What determines the family’s response to a child’s hospitalization?
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What is the best method for communicating with the family of a hospitalized child?
What factors influence the family’s ability to interact with the hospital staff?
What nursing interventions should receive highest priority when communicating with these families?
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Nursing Interventions for the family of a hospitalized child:
Augment coping mechanisms- (what specific factors influence client teaching?)
Reinforce information and encourage questions (who would have difficulty with asking questions?)
Anticipate discharge needs (when should this begin?)
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PPEN
Why is this an effective tool for assisting the child and the family?
How would the nurse assist the child and family to arrive at the PPEN?
Is this a static assessment?
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Preparation for Hospitalization
What nursing interventions prepare a child for hospitalization?
Are the interventions the same for all children?
Who should the nurse include in these preparations?
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Developmental Milestones
Infant- Trust vs. MistrustToddler- Initiative vs. GuiltPreschool- IndustryAdolescence- Identity vs. Identity
diffusion
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Nursing Care of the Child with Special Needs:
Special equipment- visually or hearing impaired, wheelchairs,
Specialized care- feeding tubes, trachs/ventsAssess family coping ability- who is primary
caregiverAssess support systems Involve additional members of the healthcare
team
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Promoting Coping and Normal Development
Child life specialists: assist with preparing child for procedures, and to adjust to illness and hospitalization.
Therapeutic play: emotional outlet, teaching strategy, assessment tool
Anticipate child/family’s needs
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Difficult Families
What is the nurse’s best response to a family identified as “difficult”?
What additional information does the nurse require?
What is COPE, and how is it helpful with families in crisis?
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COPE: Convey genuine caring, concern and interest in the child’s wellbeing.
C- collaborationO- objectiveP- proactiveE- evaluateAvoid placating or condescending phrases.
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Pain Assessment
Infant- grimacing, poor feeding, restlessness, crying
Toddler- clinging to parent, crying, pulling or rubbing area of pain, anorexia, vomiting, restlessness.
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Pain Assessment cont…
Preschool- verbalize pain, guard injured extremity, anorexia, vomiting, sleeplessness.
Adolescent- verbalize pain, may not understand “type” of pain. Possibly reluctant to call for help.
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Pain Assessment Tools:
FACES- smile to worst hurt (tears)FLACC- face, legs, activity, cry and
consolability (p. 1215-1216)NIPS- neonatal pain during/after
procedures- facial expression, cry quality, breathing patterns, arm & leg position, state of arousal
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Physiological response to pain:
What happens to VS?
How does the nurse assess anxiety in a hospitalized child?
How does sleeplessness impact healing?
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Nursing interventions: pharmacologic
PCA- what age can use this most effectively?
Ketoralac- why is this effective? What specific nursing interventions apply to this medication?
Why are NSAIDS used with children? What lab values and contraindications are
important for analgesic medications used with children?
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Nursing interventions: nonpharmacologic
What actions should the nurse include with each of the following?– Positioning for comfort (turning or elevation)– Thermal therapy (heat or cold)– Diversion therapy
What actions would work best with an infant?
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If you have any questions or concerns regarding this information please contact Marlene Meador via email [email protected]
Or cell phone 512-422-8749