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Pediatrics
Death & Dying
| Question | Answer |
|---|---|
| How does an infant or toddler (1-24 months) understand death? | They do not understand death. They sense the parents reactions and can have a fear of seaparation. |
| What is the most important to provide in the care of an infant or toddler (1-24 months) old? | Having parents and family present helps. Holding, use of soft tones & silence helps. Regulate pain via monitoring behavioral signs like fussy, crying... |
| Describe how a 3-4 year old might react to the death of a close family member? | They see it as sleep.That death is reversible. No fear of death and generally don't grasp the permanance of death. |
| What questions might a 3-4 yr old ask about their deceased family member? | Can I talk to them; Did I do something to make them mad; Where are they... |
| How should you respond to the 3-4yr old asking questions about their dead family member? | Respond honestly and don't refer to death as sleep. |
| What would be appropriate interventions for a preschool child (3-6 years old) who is dying? | Use simple language; Facilitate contact; Direct care from parents; Help them express fears; and Releive pain |
| Play activities can help deal with ____ in a child who is dying? | deal with fears |
| Drawing helps express ____? | feelings |
| Keep a regular routine; use of distractions like fairy tales and stories; and using message are all things that you can do to help a dying pt in what age group? | 3-6yrs old |
| At what age do most children begin to develop an adult concept of death? That death is ___? | 9-12yrs That death is final |
| What behaviors might you see in school-age children that helps them understand death? | growing pets & flowers dying; burrying these animals. Their expressing sadness over their loss...Might express fear of falling asleep. Grim Reaper fear |
| As a nurse help pt express feelings, provide non threating veiws of death and it is important to listen to the parents are all nursing interventions for what age group? | 9-12 yrs. |
| What age group has the most difficulty coping with death-particullary their own? Why? | Adldolecent- It goes against the things that they think are important like appearance. They think that they will live forever it is suppose to be the healhtiest time of life. |
| It is important to direct questions to the pt and not just the parents; to reinforce that they are not going to be abandonded; Treat them as a whole person; Help them deal with their feelings are all nursing interventions for what age group? | Aldolecent |
| How might an aldolecent deal with their own demise? | Angered; cheated out of life; denial; anxiety; not going to be able to fullfil their dreams... |
| Describe possible responses of siblings to the death of a brother or sister? | Might think they caused it; grive & fear that that will get it; seeing them helps with anxiety; Jealousy of time they get with parents. Need to educate them about grief and death. |
| What are the grief stages? | Denial; Anger; Sadness; Depression; Acceptance....They can go through these stages more than once |
| How can brothers and sisters be involved in their dying siblings care? | Provide for physical needs for the sibling- encourage them; share info with them. assist in some care; play games like cards talk on phone; do hobbies and crafts with them . Do things that will help the dying sibling feel more normal. |
| How would you respond to parents who are considering not telling their 10 year old daughter that she is dying? | Encourage open communication; Kids probably already know they are dying; Good things can come from being honest like helping them deal with unfinished buisness, that it will be more drepramental to relationship if not honest; It is ultimatly up to parents |
| If a child who is dying asks you as a nurse if they are dying what do you do? | Be honest. Make sure the parents know that if their child asks you, you will not lie to the child if they ask you directly. |
| What are some issues and concerns parents with a dying child have? | Who to contact with questions and concerns; Releaving pain; what to look for or what is going to happen |
| What is most often the primary concern of a parent with a dying child? | Pain and comfort |
| What do you need to make sure a parent can do or expect to happen with their dying child? | That the pulse will eventually become weak; mucus build up; How to provide care; That massage can help elviate pain; use of distraction that it is important to have normal play... |
| Why is a home care program beneficial for the child? For the family? | comfort, familure surroundings; people can come and go; They tend to live longer; better berivement; more convenient and nurse is their to help as much as possible in their home. |
| Why is berievement better for the dying child and family if they are at home? | Berivement is better becausee they have contributed to the care of the dying child and the child knows that they are loved. That it is okay to move on. |
Created by:
cgwayland
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