Care of the Hospitalized Child: Stressors, Separation Anxiety, and Pediatric Illness Overview

Notes

NURS-H 356 Exam 3 Study Guide Care of The Hospitalized Child Identify the stressors of illness and hospitalization during each developmental stage Infant (birth-1) Toddler (1-3) Preschool (3-6) School-age (6-13) Adolescent (13-18) Fears and stressors ○ Stranger anxiety ○ Separation anxiety ○ Needs not met by parents ○ Separation anxiety ○ Loss of control ○ Fear of injury and pain ○ Regressive behavior ○ Regression ○ Separation anxiety ○ Can’t differentiate between fact/fiction ○ Thinks it is punishment ○ Can’t understand ○ Fear of dark ○ Fear of injury and death ○ Loss of privacy ○ Want to know reasons for procedures ○ Loss of privacy ○ Separation from friends ○ Low self-esteem ○ Trouble expressing emotions ○ Regression Interventions ○ Trust vs. mistrust ○ Cluster care ○ Safe sleep ○ Autonomy vs. shame and doubt ○ Give choices ○ Security objects ○ Play ○ Initiative vs. guilt ○ Give choices ○ Diversional activities ○ Orient to hospital ○ Industry vs. inferiority ○ Knowledge of reason ○ Include in education ○ Maintain routine ○ Identity vs. role confusion ○ Provide privacy ○ Encourage social interaction Describe separation anxiety - Protest: crying, screaming, angry when taken away f...