Private or hospital-affilicated: Pediatric Urgent care Clinics fo
Discuss positive and negative attitudes and how they can affect a child’s experience.
Stress the importance of knowing the developmental stage of the child as it will guide the type of preparation needed. How would you involve the parents?
Discuss simple terms in which to explain procedures to the toddler. Give an example of a preprocedure situation and how the nurse can effectively communicate with the toddler. Give an example of a situation in which a choice is offered to the toddler. What are some methods of distraction?
Give an example of a situation in which the nurse allows the child to examine or play with a piece of equipment prior to using it. What are other rewards a child might enjoy?
Discuss how the nurse can provide privacy to a teen and involve him or her in the treatment or procedure. What are some coping techniques that are appropriate for a teen?
Give an example of a situation in which a child might need varied home health care and discuss the impact on the family and child. What is the home health care nurse’s role in coordinating these services?
How can the nurse assist the child and parents in maintaining their normal routine?
Discuss the varied reactions to hospitalization of an infant, toddler, preschooler, school-age child, and an adolescent. How can the nurse prepare the child for hospitalization? Discuss the issue of previous hospitalizations and how they will affect the child during this hospitalization.
Discuss the nurse’s role in attempts to decrease the child’s stress. How can the nurse involve the parents in decreasing the amount of stress the child is experiencing?
Discuss nursing interventions which can assist the child through these stages.
Discuss Figure 21-2, page 474. Audience Response Question #1 A 7-year-old is in the hospital following an appendectomy. The nurse assesses him for pain using the face scale. He points to the 0 face indicating no hurt, but the nurse notices he is grimacing and guarding the operative site. What would be the best action for the nurse to take? 1. Note that the child is pain free. 2. Reposition the child. 3. Attempt assessment using another tool. 4. Medicate immediately for pain as ordered.
What are examples of distraction, imagery, and relaxation techniques?
Discuss the importance of proper dosage calculations for the pediatric patient.
Discuss the nurse’s role in monitoring and relieving pain.
Discuss the proper administration method for naloxone. How is EMLA cream used? Discuss the use of PCAs and signs/symptoms to monitor in the child.
Give examples of regressive behavior.
How might the nurse adjust his or her approach when caring for the cultural needs of the child? Discuss positive and negative body language cues.
In what ways can a nurse support the family and involve them in the care of the hospitalized child?
Discuss communication techniques that can be used by the nurse to manage parents who exhibit anger or avoidance.
Give an example of a scenario in which a parent is providing too much and too detailed information to a child and how the nurse can manage this situation.
Discuss the nurse’s role and rationale for obtaining this information.
Discuss which disciplines can be involved in the clinical pathway.
Give an example of a nursing intervention involving play.
Discuss nursing interventions in which the nurse assists the parents and infant in sensorimotor activities. Discuss the importance and rationale for liberal visiting hours. What is the rationale for consistency of caregivers for this population?
Give an example of the difference between how a toddler might perceive a hospitalization versus a school-age child.
How can the nurse obtain the toddler’s trust? Give an example of a soothing technique and play intervention for a toddler who has experienced a threatening situation.
Discuss the rationale for preparing and explaining the procedure just prior to performing it. How can a toddler’s emotions be supported when restrained for a procedure?
Discuss the preschooler’s ability to think concretely and give an example. Give an example of how a preschool child might misinterpret what a nurse or physician has told him or her.
Give an example of behavior exhibiting industry and independence. Give an example of body language which exhibits fear while the child is attempting to be brave.
Discuss how body image is very important to this population.
Discuss a situation in which an adolescent is in a room with a toddler and the issues this could cause.
How might the nurse approach an adolescent and obtain his or her confidence? Discuss laws in your region regarding parental authority which might affect this population.
Discuss the rationale for documenting this information.
Chapter 21 Power Point
Chapter 21Chapter 21
The Child’s Experience ofThe Child’s Experience of