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Impact of hospitalization- Toddler | Experience separation anxiety
Exhibit an intense reaction to any procedure
Behavior can regress |
Impact of hospitalization- Infant | Experience stranger anxiety (6-18 months)
Physical behavior and expressions of discomfort
Experience sleep deprivation due to strange noises,devices and procedures |
Impact of hospitalization-Preschool | Experience separation anxiety
Harbor fears of bodily harm
Believe illness/hospitalization are a punishment |
Impact of hospitalization-School age child | Fears loss of control
Seeks information as a way to maintain a sense of control
Sense when not being told the truth
Experience stress related to separation from peers and regular routine |
Impact of hospitalization-Adolescent | Develops body image disturbances
Attempts to maintain composure but embarrassed about losing control
Feelings of isolation from peers
Worries about outcome/impact on school or activities
Might not adhere to treatments/medication regimen |
Nursing intervention for Hospitalization-Toddler | Encourage autonomy by offering choices |
Nursing intervention for Hospitalization-Preschooler | Validate the child's fears and concerns |
Nursing intervention for Hospitalization-School Age | Maintain a normal routine |
Nursing intervention for Hospitalization-Adolescent | Provide factual information |
FLACC- Face, Legs, Activity, Cry, Consolability | Pain assessment tool for 2 months-7years |
FACES- Uses a diagram of six faces | Pain assessment tool for 3 years and older |
Oucher- Pain rated on a scale of 0 to 5 using six photographs | Pain assessment tool for 3 - 13 years |
Numeric Scale- Pain rated from 0 -10 | Pain assessment tool for 5 years and older |
Children's pain checklist: vocal, social, facial, activity, body/ limbs, and physiological (observable
behaviors) | Pain assessment tool for non-communicating children |
Nursing interventions: Engage both the child and parent, Be firm and direct about expected behavior, Complete data collection as quickly as possible.
Use a calm voice, Reduce environmental stimuli, Limit the people in the room. | Actions taken for an uncooperative child |
Greenstick Fracture | Incomplete fracture of bone |
Transverse Fracture | Break straight across the bone |
Stress fracture | tiny cracks in the bone |
Closed or simple fracture | fracture occur w/o a break in the skin |
Compound (Open) fracture | fracture occurs with an open wound and bone protruding |
Complicated fracture | fracture results in damage to other organs or tissues |
Incomplete fracture | bone fragments are still attached |
Elevate cast____________for the first 24- 48 hrs to __________. | above heart : prevent swelling |
Compartment Syndrome s/s | Increased pain w/o relief from analgesics, Intense pain when passively moved, numbness, pulselessness distal to fracture, pallor, warm shiny skin at site, inability to move digits |