Peds Nursing in Today's World

What type of care in pediatric nursing recognizes family as a constant in a child’s life which is why they need to be addressed?

family-centered care

What type of care is used in pediatric nursing uses therapeutic card, reduced psychologic distress, minimizes physical distress and first does no harm?

atraumatic care

What is the work of children?

play

What are the roles of pediatric nurse?

family advocacy, caring, disease prevention, health promotion, health teaching, injury prevention, support, counseling, coordination, collaboration, EBP

What are the individual risk factors can affect hospitalization?

difficult temperament, lack of fit between child and parents age, male gender, below average intelligence, continuing stress

Children with disabilities, who have survived because of what?

increased technologic advances

What is the first step of nursing care for the family?

supporting family members

What is the second step of nursing care for the family?

providing info

What is the third step of nursing care for the family?

encouraging parent participation

What is the fourth step of nursing care for the family?

preparing for discharge and home

What factors affect family dynamics?

crisis, illness trajectory, normalization, resiliency, social integration, allocation of resources

What are some parental stressors?

roller coaster of emotions, lack of knowledge, altered parental roles, care of their other children, finances

What are some parental reactions to their childs hospitalization?

sense of hopelessness, questioning the skills of staff, struggle accepting the reality, fear, uncertainty, seeking reassurance

How can nurses support parents with hospitalized children?

engage with family, provide education, answer questions and concerns, provide a comforting environment, asses their understanding of the illness, encourage assisting with care, allow them to express their feelings, provide information upon discharge

What does NCH do to help keep families close by?

RMH

What do parent support groups help?

helps navigate the unknown

What are sibling reactions to a siblings being admitted?

experiencing too many changes and not understanding them, being cared for by non-relatives outside of the home

What are sibilng’s feelings to sibling’s admission?

jealousy, confusion, anxiety

What causes sibling’s reaction to their siblings illness?

misunderstanding, lack of attention, being worried, magical thinking

What does NCH have that allows parents time to visit their ill child without feeling like they have abounded other children?

sibling clubhouse

What can you do to prepare a child for admission?

pre-hospitalization counseling, avoid needless anxiety, establish trust, primary nursing is ideal, room selection

What are some nursing interventions nurses can provide to hospitalized children?

opportunities for play, diversional activities, toys, expressive activities, creative expression, dramatic play

What factors influence how you prepare a child for procedure?

varies based on age, honesty is crucial, adjust language, let them feel their feelings

When assessing a child what do you start with first?

least invasive

When assessing children what part of the assessment should you focus on?

aspects most pertinent to the clinical problem

When examining children what do you avoid doing?

asking if you can do something and completely undressing the child

What are the components of the admission assessment?

assess usual health habits, evaluation of home situation and caregiver knowledge, insight to potential reaction to hospitalization, home medications. physical assessment

What is the first step to handling an unwilling child?

put the child at ease

What is the second step to handling an unwilling child?

relieve tears

What is the third step to handling an unwilling child?

allow them to get accustom with the situation and let them hold their security object

What is the fourth step to handling an unwilling child?

have pt sit in their parents lap

What ways can a nurse prevent or minimize physical stressors for a child?

avoid or reduce intrusive/painful procedures, avoid or reduce other types of physical distress, pain control, dehospitalize the room, make a routine

What age is separation anxiety primarily seen?

6-30 months of age

How do we minimize separation anxiety for children in the hospital?

parent participation, assign consistent nurses, be aware of separation behaviors

How do you minimize loss of control in hospitilzation?

promote freedom of movement, routine, independence and understanding

What is an added stressor of hospitalization?

isolation

What type of hospitalizations is most traumatic?

emergency admission

What unit increases parent and children’s stress?

ICU

What type of nurse is responsible for tracking and preventing communicable disease, managing chronic conditions, handling acute injury and illness and health screenings and development of education and prevention programs?

school nurse

Where are outpatient nursing settings?

primary care, ambulatory care, outpatient clinics, outpatient surgery

What is a condition that is long term, persisting for more than 3 months?

chronic illness

What are the goals for a child with a chronic illness?

maintain normalization, highest level of health and function possible

What are the goals for a parent who has a child with a chronic illness?

remain intact, achieve and maintain normalization, maximize function

How do maintain normalcy for children in the hospital?

provide an area where teachers can help them with their studies, flexibility, IEP to help with goals, partner with school nurse

What does noncompliance in teens look like?

make their own decisions about their illness or management, stop taking or decrease medication, feeling angry or self conscious