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Nursing Management fo The ospitalized Child in Acute Care

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Nursing care for children with acute illness in the hospital setting.

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									Acute Illness in Children


          Pediatric Nursing
Acute Care of Children
Chapter 9: Acute Illness

 Safety issues: All children are to have
 a hospital identification band on at all
 times.
 Non-verbal infants may have an
 additional alarm – sensor security tag.
 Photo identification is often posted in
 the chart.
Safety Issues
Alert: To ensure that the appropriate child
  receives the correct treatment. ID bands
  must be checked prior to administration of
  medications or performing treatments. It is
  not permissible to only verbally identify the
  child’s name.

FAILURE TO THIS RESULTS IN WRITTEN
  WARNING
School Programs




    Classroom presentation or hospital tours are
    methods Used to familiarize children with the
    hospital experience.
Pre-Operating room Visit
Hospital Preparation




                  Ball & Bindler
Home Away From Home
Pet Therapy
Play at The Bedside

                           Play materials need
                           to be appropriate
                           for age, interests, and
                           limitations.




           Whaley & Wong
Therapeutic Play

 Play is a mechanism through which
 they cope, learn, test new ideas, and
 test newly acquired motor skills.
Instructional Play

 This type of play can be used to
 prepare a child for a procedure or
 help the child learn about his or her
 disease.
Playroom

                           Drawing or
                           painting are
                           excellent ways
                           for a child to
                           express themselves.




           Whaley & Wong
Playroom

 caReminder: Any uncomfortable or
 painful procedures should not be
 administered in the playroom itself.
 The children should feel that within
 the confines of this room, they are
 safe from intrusion and discomfort as
 much as possible.
Hospital Play


                Playing with hospital
                equipment can help children
                express their fears and
                give them a sense of control.
Hospital Play
Demonstrate Procedures




                  Ball & Bindler
Separation Anxiety
 Three Phases:
   Protest: When the parent leaves the child
   searches for them and cries, protests, and
   rejects hospital personal.
   Despair: Child becomes sad and apathetic.
   When parents / caretaker return they may cling
   to them or reject them.
   Denial or detachment: Patient will bond with
   hospital staff and reject parents.
Infant Separation Anxiety

 Reduce separation anxiety by:
   Having parents stay in hospital
   Peek-a-boo
   Visual / auditory stimuli
   Minimize caretakers
   Comfort measures
Infant Loss of Control

 Heparin lock vs IV
 Minimize restraints
 Playroom
 Play therapy
Toddler Separation Anxiety

 Interventions
   Having parents stay in hospital
   Specific time frames
   Transitional objects
Toddler Loss of Control

 Interventions:
   Choices
   Playroom
   Medical play
   Rituals
   Respect regressive behavior
School-age Separation Anxiety

 Communication
 Be available
 Homework
 Help with tasks
 Promote choices
School-age Loss of Control

 Interventions:
   Choices
   Play room
   Medical play
   Be truthful
   Concrete explanation
                             Ball & Bender
Adolescent

 Peer interaction
 Parent visitation
 Telephone privileges
 Activity sessions
Adolescent Years


                   Joint plan of care

                   Privacy

                   Choices in routine

                   Open communication

								
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