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Pediatric Unit 2
Chapters 21, 22, 23, 24, 33
Question | Answer |
---|---|
Crib Safety | Mattress must fit securely; blankets should not be tucked in; No soft or contour pillows; Keep objects that are harmful out or away from crib; Use bubble top for infants climbing out. |
Hospitalized Adolescence | May be admitted as an adult; Adjust to illness well; Roommate selection based on disease, age, and sex. |
Hospitalized Preschooler | Concrete Thinking; Realistic explanation; Preschooler afraid of bodily harm, invasive. Magical and Fantasy thinking; Show them where sx takes place, let them ask questions. May be demanding when the get home. |
Hosptitalized Toddler (1-3 yo) | World revolves around parent/mother. Ritualistic care. Keep schedule. Keep promises. Leave when awake. Incorporate home habits, use distraction techniques. favorite blanket or toy for promoting security. |
At what age are children worried about being separated from their parents? | Between 1-3 years old. |
What age shows fear about what is going to happen to them. Parents need to be matter of fact and do not give much detail. | 3 year old. |
Regression | Loss of an achieved level of functioning to a past level or behavior that was successful during earlier stages. Example - wetting the bed. Should not be punished. |
Three stages of protest? | Denial, Despair, detachment |
Separation Anxiety | 6 months or older; most pronounced in toddlers and teenagers. |
What influences the reactions | Developmental age; maturity of parents; cultural and economic factors; religous background; past experiences; family size, state of health on admission. |
What are the causes of stress | separation, pain, fear of body intrusion. |
Infants | exhibit LOUD protest |
Toddlers | Watch and listen for parents to return; cry continuous until sleep. stranger may increase screaming. Crying gradually stops and despair sets in. May feel abandoned by parents crying but still needs parents. |
Personal space | imaginary circle that surrounds us. Do not invade. |
Smiling | may not be considered friendly, may be deemed inappropiate at the time of an ill child. some show as a sign of respect and is is expected. |
Eye contact | America considered respectful. Asian cultures sign of disrespect. American Indians - short period of eye to eye contact. |
Touch | American - friendly Vietnamese - touching head robs person of soul |
Securing the Child | Hold securely; Football hold; Mummy restraint; Swaddling; Holding infant. |
Mummy restraint (swaddling) | short term restraint that might be necessary for examination or treatments such as venipuncture or placement of NG tube. |
Football hold | useful when one hand needs to be free, such as bathing the infants head. |