Card Set Information
Coping Safety Issues
Pediatric Hospitalized Patient
What is the major goal for pediatric nursing?
To improve the quality of health care for kids
What are the pedicatric age groups?
Infant 0-1 yr
Toddler 1-3 yr
Preschooler 3-5 yr
School Age 6-12 yr
Adolescent 13-18 yr
What are the key stressors of hospitalization?
Seperation anxiety for both parent and child
Loss control, bodily injury, and pain
Loss of a loved one
What are the stages of separation anxiety
Protest-child reacts aggressively to the separation from the parent
Despair-crying stops and depression is evident
Detachment-denial, superficially it appears that child has finally adjusted to the loss
Describethe expression of anxiety for early childhood
Infants-mistrust and decreased sense of control
Toddlers-negativism, temper tantrums, non-compliance, regression, enforced dependency
Preschoolers-loss of control, interpret messages according to their particular past experiences
School-age-concrete thinking, vulnerable to events that less their feeling of control and power
Adolescent-concrete thinking, loss of control and threat to self-identity, withdrawal, uncooperativeness
What are the cognitive influences of loss of control?
Egocentrism-"it's all about me" (infants & toddlers)
Magical Thinking-"I have the power" not logical (Preschoolers & some school-age)
Concrete Thinking-understand logical thinking (Adolescence)
What do we need to do to minimize loss of control?
Lack of control increases the perception of threat and can affect the child's coping skills. The major areas of loss of control and physical restriction, altered routine or rituals, and dependency
Freedom of movement
Hospitalization and stress, what are some risk factors, sibling reactions, & parental reactions?
: difficult temperament, lack of fit between child and parent, age, male gender, below average intelligence, multiple and continuing stresses
: experience lonliness, fear & worry, anger, resentment, =guilt, unequal attention
: feeling an overall sense of helplessness, questioning skills of the staff, accepting reality of hospitalization, needing to have info explained, dealing with fear, uncertainty
What are some strategies to support parents during stressful times and hospitalization?
Promote trust in staff
Encourage participation in care
What is the #1 cause of death for older pediatric populations?
What is child abuse?
Intentional physical abuse of neglect
Emotional abuse or neglect
Sexual abuse of children
*Neglect is most common form of maltreatment
What is the nurse's responsiblity when it comes to abuse?
Protect the child further abuse
Support the family and child
Report and document to local authorities
Describe failure to thrive?
Weight that falls below the 5th percentile for a child's age. It is a sign of inadequate growth resulting from the inability to obtain or use calories required for growth
What are the types of failure to thrive?
1. Inadequate caloric intake
2. Inadequate absorption
3. Increased metabolism
4. Defective utilization
What are the potential drives for non-organic failure to thrive?
Health or childbearing beliefs such as fad diet
What is ALTE (Apparent Life Threatening Event)?
Refers to an event that is sudden and frightening to the observer
Apnea, change in color, hypotonia, choking, gagging, sepsis, CPR, upper or lower airway infection
What is SIDS and what are the risk factors?
Sudden death of an infant younger than 1 year of age that remains unexplained
95% of deaths occur under 6 months
Risk factors include
: maternal smoking, co-sleeping, soft bedding, unintentional asphyxiation from adult intoxication, maternal obesity