Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Hospitalization
Reactions to Hospitalization
| Question | Answer |
|---|---|
| Stage in which child acts agressively,cries, screams, clings to parent or looks eagerly toward sights or sounds that may indicate presence of his/her parent. May reject comfort from staff,inconsolable,calls signifcant parent.Goal directed behavior. | Protest Stage |
| Depression is apparent. Child is usually quieter. Child is apethtic, uninterested in food or play. Child is mourning the loss of parent. Regression is common at this stage. Child may comfort self by sucking thumb,rocking,etc. This may hinder recovery. | Despair Stage |
| The child becomes resigned to prolonged seperation. Child adjusts to loss. The child is more interested in play,food,new relationships, reponsive to nursing care. The child is happy, but damage to sense of trust has occured. | Detachment Stage |
| Able to tolerate brief periods of seperation. Illness decreases ability to cope. Behavior is less aggressive, direct. Cry quietly and asked frequently about parent's return. Need parents at night. | Preschooler |
| Experiences seperation from peers and daily activities. Depression is evident if several days of school are missed. Loneliness,boredom, isolation, withdrawal,frustration, and displaced anger are seen. | School aged child |
| Experiences seperation from peer group. Fear loss of group status, loss of group acceptance,loss of group control/leadership while ill/hospitalized. React with loneliness, boredom,rejection of care,uncooperativeness, and withdrawal. | Adolescent |
| Support child when parents depart,stay with child during protest stage,provide care when emotional tension is reduced,assign a consistent primary nurse,allow unrestricted parent visitation,offer explaination of procedures | Nursing Interventions to Minimize Seperation Anxiety |
| Individual is aware something is wrong,physical change. Outcomes may vary. Some deny s/s, while others acknowledge presence of health problem. May consult ppl for feedback/validation of change. Home remedies may be tried to ward off illness. | Symptom Experience Stage |
| Accepts illness is present. May seek help/use self treatment. Suggest of other ppl are often followed. Individual is excused from role responsibilites/duties.Outcomes maybe feeling better/resumes previous responsibilties or move to next stage. | Assumption of the Sick Role |
| S/S persist/become servere. Anxiety increases. Individual seeks health care. Generally desires positive outcome. May accpet/deny presence of illness. Acceptance=compliance. Deny=consult of other providers to achieve desired diagnosis. | Care Contact Stage |
| condition improves=treatment was effective and accpeted. No imporvement=desicion whether to continue or seek another opinion. | Care Contact Stage |
| Person depends on provider to relieve symptoms, accepts treatment plan/care. Receives sympathy,protection from life's responsibilites,obligation,roles,tasks. Dependant role is socially acceptible at this time. | Dependent Role |
| Some welcome dependence and give up responsiblities, others desire control. Unwillingness to to give up independence and carring out daily tasks may interfere with recovery in some clients. Friends and family may do to much for ill. | Dependent Role |
| Acute illness=recovery can be rapid,abrupt,and complete. Chronic illness=significant energy and effort may be needed to acheive an optimum lvl of functioning rather than pre-illness status. Individual must give up sick role. | Recovery and Rehabilitation Stage |
| Symptom experience stage,assumtpion of sick role,care contact stage,dependent role,recovery rehabilitation stage | Stages of Illness |
| Denial,anxiety,shock,anger,withdrawal | Common behaviors of illness |
| Depersonalization,Indignity,Redefinition of "normal",Regression,Social Withdrawal. | Potential Effects of Hospitalization |
| Significant impact of seperation anxiety at these ages | 6-30 months |
| Seperation should be prevented | up to 5 years of age especially |
| developmental age,previous experience,extent of seperation,innate and aquired coping skills,relationship with parents and available support system,anxiety level of parents,lenght and severity of illness,type and frequency of intrusive procedures | Influencing factors on child's reaction to illness |
| disbelief or denial,anger,guilt,question adequacy as caregivers,fear,anxiety,frustration,depression | Parental Reactions |
| Guilt,loneliness,fear,worry/anxiety,anger,resentment,jealousy,feelings of abandoment/seperation | Sibling Reactions |
| Visablity/recognizability of illness' s/s,perceptions of how serious s/s are,estimate of present and future risks,information,knowledge,and cultural assumptions and understanding related to s/s. | Determinants of illness behavior |
| extent to which s/s disrupt family,work,and social activities,frequency of the appearence of s/s and their persistence,extent to which others exposedto the person tolerate the s/s,extent to which basic needs are denied bc of illness. | Determinants of illness behavior |
| Extent to which basic needs are denied bc of illness,extent to which meeting other needs competes with the illness responses,extent to which the person gives other possible interpretations to the symptoms,availibility and physcial proximety of treatment | Determinants of illness behavior |
| cost in time and effort,stigma,social distance,feelings of humilation | Determinants of illness behavior |
| former good health,independence,sense of control of life,privacy,modesty,body image,relationships,etablished roles,social status,sense of self confidence,possessions,financial security,productivityand self-fulfillment,lifestyle,plans/fantacy of future | Potential losses faced by chronically ill |
| fantacy of immortality,familiar daily routine,sleep,sexual functioning,leisure activities | Potential losses faced by chronically ill |
| Persistant/insiduous onset. Symptoms are subtle and progress over time. Illness lasts longer than 6 months. Fluctuations and remissions/exacerbations are present. | chronic illness |
| Sudden onset. Illness is short term, usually lasting less than 6 months. Symptoms are intense but usually subside. | acute illness |
Created by:
1161798020
Popular Nursing sets