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Pediatric Unit 2

Chapters 21, 22, 23, 24, 33

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.
Created by: Crystalflow