HDFS 433 Final

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what is child life?

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49 Terms

1

what is child life?

  • field that focuses on the emotional and developmental needs of hospitalized children and their families

  • medical/therapeutic play, psychosocial support, preparation, education

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2

list one primary objective of child life

help the child cope with the stress and anxiety of the hospital experience

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3

list a second primary objective of child life

promote the child’s normal growth and development while in the health care setting and after returning home

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4

what are the three phases of separation?

protest, despair, detachment

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5

protest

cry, scream, kick, look for signs of parents return

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6

despair

quiet, withdrawn, hopelessness

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7

detachment

active and interested in surroundings

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8

what are the guidelines for supportive listening?

  1. focus conversation on parent

  2. look at speaker

  3. nod, say uh-huh mhm

  4. don’t be afraid of silence

  5. open ended questions

  6. avoid questions in disagreement

  7. restate what you have heard

  8. respond to feeling messages

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9

characteristics of play #1

pleasurable and enjoyable

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10

characteristics of play #2

no extrinsic goals

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11

characteristics of play #3

spontaneous and voluntary

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12

characteristics of play #4

active engagement

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13

characteristics of play #5

related to what is not play

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14

how many hours is program coverage?

five days per week, 8 hours per day

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15

what categories should be covered in the funding of the child life program?

  • salary

  • office space/supplies

  • storage

  • play/recreational equipment

  • parties/events

  • travel

  • staff education

  • student teaching materials

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16

what are the general guidelines of playroom design?

  1. provide for play

  2. general safety (outlets, sharp edges, handles)

  3. wheelchair/gurney accessible

  4. variety of materials and areas

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17

what are the three elements of preparation?

  1. imparting info

  2. emotional expression

  3. establish trusting relationships

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18

who should be prepared for procedures or hospitalization?

all children cognitively capable of understanding simple explanations of events and procedures

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19

what elements should effective preparation include?

  1. emotional expression

  2. information

  3. emotional support

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20

what are the categories of volunteer positions?

  • playroom supervision

  • activities for children

  • subsitute parents

  • entertainment

  • use of special skills (chess, artists, stamp collectors)

  • supportive services

  • family assistance

  • clerical work

  • special programming

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21

who is the founder of child life?

emma plank

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22

where was the first child life program and who started it?

  • emma plank

  • cleveland city hospital

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23

what is the stress potential assessment process?

healthcare variables, family variables, child variables

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24

healthcare variables

  • diagnosis

  • anticipated treatment and procedures

  • physical responses to illness

  • injury and treatment

  • number, personalities, values of healthcare workers

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25

family variables

  • availability to child

  • support systems

  • other family needs

  • cultural beliefs

  • other life stresses

  • responses to healthcare experiences

  • understanding of child’s situation

  • awareness of child’s needs and concerns

  • ability and opportunities to communicate w/ healthcare providers

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26

child variables

  • chronological and developmental age

  • separation response

  • able to communicate

  • understanding and fears

  • coping styles and resources

  • cultural beliefs

  • other life stresses

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27

what is the definition of family-centered care?

mutually beneficial partnerships among patients, families, and healthcare professionals

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28

four concepts of family-centered care

  1. dignity and respect

  2. information sharing

  3. participation

  4. collaboration

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29

what are the benefits of charting for a child life specialist?

  • provide info to other team members

  • create a coping plan

  • assess, evaluate, and intervene patient care

  • educate others about child life

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30

what does "play as flow" refer to?

fully in the moment, consumed with play, intrinsically rewarded by joy

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31

who is richard lazarus?

creator of the stress-coping framework

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32

stress-coping framework

how people respond to stress (extreme or undisturbed)

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33

what is primary appraisal?

nature of the potential threat

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34

what is secondary appraisal?

how to cope with the situation

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35

what are interventions for sibling involvement?

  • developmentally appropriate explanations

  • discussion with parents and children

  • phone/video calls, letter writing

  • include school/childcare providers for support

  • specific programs for oncology/NICU

  • support parents

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36

what are the five components of planning child life interventions for impending death?

  1. universality

  2. irreversibility

  3. nonfunctionality

  4. casuality

  5. noncorporeal continuation

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37

universality

understanding that all things eventually die

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38

irreversibility

once the physical body dies, it cannot come alive again

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39

nonfunctionality

when a living thing dies it ceases to function

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40

casuality

abstract or realistic causes of death

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41

abstract cause of death example

illness or old age

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42

realistic cause of death example

guns

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43

noncorporeal continuation

belief in the afterlife or communication after a physical death

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44

what is the cultural sensitivity surrounding the death of a child?

understanding a family’s needs and wishes pertaining to their culture

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45

death and cultural practices examples

  • loss commemoration

  • rituals

  • beliefs about what happens after death

  • emotional expression

  • gender rules

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46

what is the importance of coping skills?

  • foster resiliency

  • adaptation to illness

  • restore control

  • build self-efficacy

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47

what is the role of a child life specialist in reentry to school for the child?

preparing the classmates for the hospitalized child’s return (in person, video)

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48

when would a school reentry process be helpful?

changes in:

  • appearance

  • routine

  • ability/wellness

  • life span

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49

what are the effects of hospitalization and interventions on a school-age child?

  • hospitalization generally brings negative behavioral changes

  • reductions of distress with play and preparation

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