exam 1
Peds Perspectives
Primary goal of pediatric nursing: Promote the health and well-being of both the child AND the family
Why is the family considered the "constant" in pediatrics?: Healthcare providers change, but the family remains the child's primary support system.
Family-centered care (definition): An approach that includes the family in planning, delivering, and evaluating the child's care.
Core principle of family-centered care: Parents are partners in decision-making.
Best example of family-centered care: Encouraging a parent to stay during procedures and participate in care.
Empowerment (family-centered care): Helping families gain or maintain control over decisions regarding their child's health.
Enabling (family-centered care): Supporting families in developing skills and confidence to care for their child.
Atraumatic care (definition): Therapeutic care that minimizes physical and psychological distress for children and families.
Three major goals of atraumatic care: Prevent separation, promote sense of control, minimize pain and bodily injury.
Major stressors of hospitalization for children: Separation, loss of control, and fear of bodily injury or pain.
Best nursing action to reduce separation anxiety: Encourage parental presence and allow comfort objects.
How can a nurse reduce loss of control in a toddler?: Give limited choices (e.g., "Do you want the red cup or blue cup?").
How can a nurse minimize fear of bodily injury?: Provide developmentally appropriate explanations and effective pain management.
Why is preparation before procedures important?: It reduces anxiety and promotes coping.
Anticipatory guidance (definition): Proactive teaching to prepare families for expected developmental changes and safety concerns.
Example of anticipatory guidance: Teaching parents about choking hazards before the child reaches toddler age.
Therapeutic relationship in pediatrics: A professional relationship with clear boundaries focused on the needs of the child and family.
Sign of a nontherapeutic relationship: When the nurse's personal needs interfere with patient-centered care.
Advocacy role of the pediatric nurse: Protect the child's safety, rights, and best interests.
Difference between growth and development: Growth is physical change; development is cognitive, emotional, and social skill change.
Clinical judgment in pediatric nursing: The process of recognizing cues, analyzing data, prioritizing care, taking action, and evaluating outcomes.
Most effective way to decrease hospitalization trauma: Involve parents and prepare the child at their developmental level.