PEDS NR 328_latest-exam-1-study-guide_chamberlain-college-of-nursing_score-a (1)_removed

Document Content and Description Below

Stabilizing Phase ▪ Reestablish a functioning family unit ● Effects of divorce—listen to podcast again o Infancy: change in sleeping and eating patterns, irritable o Early preschool (2-3): frig... htened, confused, fear of abandonment, aggressive behaviors o Later preschool (3-5): blames themselves, fear of abandonment, aggressive towards others o Early school age (5-6): depression, loss of appetite, increase anxiety o Middle school age (6-8): strong sense of panic, angry at one or both of parents o Later school age (9-12): have a better understanding of what is happening, embarrassed, intense angry or revenge against one parent o Adolescents (12-18): recognize what’s going on, made be pleased, ● Discuss major stressors of hospitalized children o Diagnosis ▪ Parental adjustments ● Denial/Shock ● Anger ● Bargaining ● Depression ● Acceptance o Developmental milestones—parents may return to any of the stages at any time ▪ When a ill child turns 1 but isn’t walking; or when a child turns 8 and is only ever going to have a cognitive level of the age of 4; when a child should be starting school and has to attend a special school; adolescents—a child should be gaining more independence but the child is still very dependent on parent’ when child eventually passes o Start of schooling o Reaching the ultimate attainment o Adolescence o Future placement o Death of the child ● Explain the nurse’s role in minimizing these stressors ● Nurses can build a relationship with a child, communicate effectively, playing, incentives, rewards, positive talk, support, counseling, encouragement ● Discuss the impact of chronic illness on the child o Siblings: promote healthy relationship, avoid comparisons, teach the well sibling how to interact with the sick child, involve the well sibling in the patient care o Factors that increase the risk for negative effects: ▪ Responsibility for care giving ▪ Differential treatment by parents ▪ Limitations in family resources and recreational time o Ways to support siblings: ▪ Promote healthy sibling relationships ▪ Help siblings cope ▪ Involve siblings ● Discuss how a chronic condition can affect child development o A child with a chronic condition most likely lives differently than a child without a chronic condition. Their daily life may include doctor visits, therapy, pain, ect. Many kids with chronic conditions may have social anxiety due to them not interacting as much as other children their age. Chronic conditions affect social development and its recommended that children join support groups or get involved in social activities ● Identify the patterns of coping of the family with a child with a chronic illness o Involve family and siblings in the plan of care for the ill child ● List nursing goals in chronic illness and discuss age-related strategies to promote growth and development and psychosocial adaptation. o Nursing goals in chronic illness: Children will have a positive outlook, children will act and be developed age appropriately. o Age related strategies to promote growth and development: Join social/support groups, journaling, encouraging day care and attending school and school related activities, playing sports that doesn't interfere with th [Show More]

Last updated: 1 year ago

Preview 1 out of 36 pages