logging in or signing up Child's reaction to hospitalization anitarobins Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1251 Category: Education License: All Rights Reserved Like it (3) Dislike it (0) Added: March 03, 2010 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... By: halamzak (9 month(s) ago) hey, a very nice presentation.i wanted to download it.signed up as well yet cant download it....help. Saving..... Post Reply Close Saving..... Edit Comment Close By: dbmadhu.v (9 month(s) ago) could u plz help me in downloading this ppt? Saving..... Post Reply Close Saving..... Edit Comment Close By: bindubindu (9 month(s) ago) Very gud ppt......can u please allow me to download????:) Saving..... Post Reply Close Saving..... Edit Comment Close By: anitarobins (13 month(s) ago) Thanx all. You may create an account and download it. Saving..... Post Reply Close Saving..... Edit Comment Close By: kaurharpreet87 (15 month(s) ago) very nice ppt...i wanna download this ppt..plz help me.... Saving..... Post Reply Close Saving..... Edit Comment Close loading.... See all Premium member Presentation Transcript REACTION TO HOSPITALIZATION : REACTION TO HOSPITALIZATION Nirmala Roberts Paediatric Nursing REACTION OF HOSPITALIZED CHILD : REACTION OF HOSPITALIZED CHILD Mammaaaaa.. MAJOR STRESSORS & REACTIONS TO THEM : MAJOR STRESSORS & REACTIONS TO THEM Separation anxiety Protest – Cry, scream, run Despair – Withdrawal, depressed, non-communicative, regression Detachment – Superficial adjustment/ relationships Loss of control – Addl stimuli, inconsistency, unfamiliarity of env./ daily rituals, rigid schedules Bodily injury & pain REACTION TO BODILY INJURY & PAIN : REACTION TO BODILY INJURY & PAIN 0 – 6 months – Cry, bodily movements 6/12 – 1 year – Resistance, uncooperative 1 – 3 years – Aggressive behaviour 3- 5 years – Fear of punishment/ mutilation/ death; verbal abuse 5–12 years – Fear of disability, concern for privacy, words to describe pain > 12 years – Effect on body image, questioning, privacy REACTION TO STRESSORS : REACTION TO STRESSORS Depends upon Developmental age Previous experience with illness Separation Coping skills (innate/ acquired) Seriousness of illness Support systems CARE OF HOSPITALIZED CHILD : CARE OF HOSPITALIZED CHILD Prepare for hospitalization Prevent/ minimize separation Minimize loss of control Prevent minimize bodily injury Allow for regression Provide pain management (= Atraumatic care) Provide for developmentally appropriate play activities Provide opportunities for play/ expressive activities Maximize potential benefit of hospitalization Focus on developmental age rather than chronological age REACTION OF CHILD’S FAMILY : REACTION OF CHILD’S FAMILY STRESSORS & REACTIONS : STRESSORS & REACTIONS Parents – Disbelief…anger…guilt…..fear… anxiety…frustration…depression Siblings Fear of contracting illness Missing the elder/ younger sibling Uncleared doubts about the sick child Perceived change in parenting Altered family roles Jealousy & anger CARE OF THE FAMILY : CARE OF THE FAMILY Assess – Seriousness of child’s illness Family’s previous experience Medical procedures involved in care Need for home care (discharge assessment) Encourage – Rooming In, positive attitude, include in child care, respect wishes/ values Support – Based on verbal/ non verbal messages Provide – Info’ on disease/ treatment, child’s/ sibling’s reaction SPECIAL SITUATIONS CAUSING STRESS : SPECIAL SITUATIONS CAUSING STRESS Isolation & isolation procedures Emergency admission Admission to Intensive Care Unit Remember ! Stress levels are high Need for post ’vention counseling ROLE OF PAEDIATRIC NURSE : ROLE OF PAEDIATRIC NURSE Primary concern – Welfare of child & family Family advocacy Disease prevention & health promotion Health teaching – Support/ counseling Therapeutic role Coordination & collaboration (for ‘Holistic care’) Research Health care planning – At political/ legislative level FUTURE TRENDS… : FUTURE TRENDS… Ambulatory care (stress on promotion & prevention) Home care & community health services – family assessment, anticipatory guidance, discharge planning Technological advances – ‘will’ > tech skill Role of ‘patient care educator’ Changing demographics – Knowledge of adolescent medicine CULTURAL INFLUENCES & FAMILY FACTORS IN CHILD CARE : CULTURAL INFLUENCES & FAMILY FACTORS IN CHILD CARE Social roles Guilt & shame orientation Child rearing practices – class/ mobility… Effects of religion Effects of schools Peer culture Bi culture Health concerns NURSING ALERT! : NURSING ALERT! Avoid making generalizations Avoid directly attacking traditional health beliefs Meet the child’s needs for spiritual support Remember – No culture is homogenous Slide 15: THANK YOU You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Child's reaction to hospitalization anitarobins Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1251 Category: Education License: All Rights Reserved Like it (3) Dislike it (0) Added: March 03, 2010 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... By: halamzak (9 month(s) ago) hey, a very nice presentation.i wanted to download it.signed up as well yet cant download it....help. Saving..... Post Reply Close Saving..... Edit Comment Close By: dbmadhu.v (9 month(s) ago) could u plz help me in downloading this ppt? Saving..... Post Reply Close Saving..... Edit Comment Close By: bindubindu (9 month(s) ago) Very gud ppt......can u please allow me to download????:) Saving..... Post Reply Close Saving..... Edit Comment Close By: anitarobins (13 month(s) ago) Thanx all. You may create an account and download it. Saving..... Post Reply Close Saving..... Edit Comment Close By: kaurharpreet87 (15 month(s) ago) very nice ppt...i wanna download this ppt..plz help me.... Saving..... Post Reply Close Saving..... Edit Comment Close loading.... See all Premium member Presentation Transcript REACTION TO HOSPITALIZATION : REACTION TO HOSPITALIZATION Nirmala Roberts Paediatric Nursing REACTION OF HOSPITALIZED CHILD : REACTION OF HOSPITALIZED CHILD Mammaaaaa.. MAJOR STRESSORS & REACTIONS TO THEM : MAJOR STRESSORS & REACTIONS TO THEM Separation anxiety Protest – Cry, scream, run Despair – Withdrawal, depressed, non-communicative, regression Detachment – Superficial adjustment/ relationships Loss of control – Addl stimuli, inconsistency, unfamiliarity of env./ daily rituals, rigid schedules Bodily injury & pain REACTION TO BODILY INJURY & PAIN : REACTION TO BODILY INJURY & PAIN 0 – 6 months – Cry, bodily movements 6/12 – 1 year – Resistance, uncooperative 1 – 3 years – Aggressive behaviour 3- 5 years – Fear of punishment/ mutilation/ death; verbal abuse 5–12 years – Fear of disability, concern for privacy, words to describe pain > 12 years – Effect on body image, questioning, privacy REACTION TO STRESSORS : REACTION TO STRESSORS Depends upon Developmental age Previous experience with illness Separation Coping skills (innate/ acquired) Seriousness of illness Support systems CARE OF HOSPITALIZED CHILD : CARE OF HOSPITALIZED CHILD Prepare for hospitalization Prevent/ minimize separation Minimize loss of control Prevent minimize bodily injury Allow for regression Provide pain management (= Atraumatic care) Provide for developmentally appropriate play activities Provide opportunities for play/ expressive activities Maximize potential benefit of hospitalization Focus on developmental age rather than chronological age REACTION OF CHILD’S FAMILY : REACTION OF CHILD’S FAMILY STRESSORS & REACTIONS : STRESSORS & REACTIONS Parents – Disbelief…anger…guilt…..fear… anxiety…frustration…depression Siblings Fear of contracting illness Missing the elder/ younger sibling Uncleared doubts about the sick child Perceived change in parenting Altered family roles Jealousy & anger CARE OF THE FAMILY : CARE OF THE FAMILY Assess – Seriousness of child’s illness Family’s previous experience Medical procedures involved in care Need for home care (discharge assessment) Encourage – Rooming In, positive attitude, include in child care, respect wishes/ values Support – Based on verbal/ non verbal messages Provide – Info’ on disease/ treatment, child’s/ sibling’s reaction SPECIAL SITUATIONS CAUSING STRESS : SPECIAL SITUATIONS CAUSING STRESS Isolation & isolation procedures Emergency admission Admission to Intensive Care Unit Remember ! Stress levels are high Need for post ’vention counseling ROLE OF PAEDIATRIC NURSE : ROLE OF PAEDIATRIC NURSE Primary concern – Welfare of child & family Family advocacy Disease prevention & health promotion Health teaching – Support/ counseling Therapeutic role Coordination & collaboration (for ‘Holistic care’) Research Health care planning – At political/ legislative level FUTURE TRENDS… : FUTURE TRENDS… Ambulatory care (stress on promotion & prevention) Home care & community health services – family assessment, anticipatory guidance, discharge planning Technological advances – ‘will’ > tech skill Role of ‘patient care educator’ Changing demographics – Knowledge of adolescent medicine CULTURAL INFLUENCES & FAMILY FACTORS IN CHILD CARE : CULTURAL INFLUENCES & FAMILY FACTORS IN CHILD CARE Social roles Guilt & shame orientation Child rearing practices – class/ mobility… Effects of religion Effects of schools Peer culture Bi culture Health concerns NURSING ALERT! : NURSING ALERT! Avoid making generalizations Avoid directly attacking traditional health beliefs Meet the child’s needs for spiritual support Remember – No culture is homogenous Slide 15: THANK YOU