Exam #1 - Family centered care of children during illness/hospitalization

What is family-centered care?

A care approach that recognizes the family as the constant in a child's life and involves them as partners in care and decision-making.

How should families be viewed when a child is ill?

Families should be considered clients along with the child.

What is family response to hospitalization?

Emotional, psychological, and behavioral reactions of children and families to illness and hospitalization stress.

Why should nurses monitor family stress during hospitalization?

Families and children experience major stress related to hospitalization, requiring nursing intervention.

What are family stressors?

Expected or unexpected events that cause stress within the family.

What is an example of an expected family stressor?

Birth of a child.

What are examples of unexpected family stressors?

Illness, divorce, disability, or death of a family member.

What is separation anxiety?

Distress experienced by a child when separated from parents/caregivers.

What emotional responses may siblings experience?

Fear, jealousy, resentment, and confusion.

What interdisciplinary resource helps hospitalized children cope?

Child life therapist.

How does hospitalization impact infant development?

It increases anxiety and disrupts normal routines and development.

At what age do infants experience stranger anxiety?

4-8 months.

How do infants express discomfort in the hospital?

Through physical behaviors due to inability to verbalize.

Why do infants experience sleep deprivation in the hospital?

Strange noises, monitoring equipment, and procedures.

Why do infants experience anxiety during hospitalization?

Unfamiliar environment and fear.

How does hospitalization affect toddlers emotionally?

They experience separation anxiety.

When does separation anxiety begin to lessen in toddlers?

Around 10 months.

How do toddlers react to procedures?

They exhibit intense reactions due to intrusion of boundaries.

How can hospitalization affect toddler behavior?

Regression in behavior.

Do preschoolers always experience separation anxiety?

No, they may or may not.

What fear may preschoolers develop during hospitalization?

Fear of bodily harm.

What belief may preschoolers have about illness and hospitalization?

They may believe it is a punishment.