Seminar on effect of hospitalization

1. EFFECT OF HOSPITALIZATION ON
THE FAMILY OF THE CHILD

2. • When one child in a family has to receive medical
care, the experience can be upsetting to his/her
siblings.
• Some emotional responses of these siblings may
include:
Feelings of abandonment Rejection and isolation.
Anger.

3. Guilt-feeling responsible for the illness Fear they
may have to go to the hospital as well.
Jealousy or resentment.
 Loneliness/Sadness.
 Embarrassment.
Confusion.

4. CHILD’S REACTS TO THEIR SIBLING’S
HOSPITALISATION CAN BE IMPACTED BY :
His or her age.
Length of the hospital stay.
Nature of past experiences with hospitals.
Severity of the medical condition.
 Length of time since diagnosis.

5. Amount of time separated from parents and
sibling.
Nature of previous separations for
parents/sibling.
 Quality of answers to questions about
hospitalization.
Amount of attention given to the child's
feelings.

6. SOME CHILDREN MAY REACT TO A SIBLING'S
HOSPITALIZATION BY:
Eating or talking less.
exhibiting withdrawn behavior.
Trying to draw more attention.

7. Outbursts of stored-up feelings.
Display regressive behavior (such as using
security, blanket, bedwetting, thumb sucking,
tantrums, etc ).
 Nightmares or anxiety.

8. PARENTAL RESPONSES :
Factors of stress response depends on:
 Previous experience.
Culture.
Attachment.
Condition of child and parent.
Number of children.

9. GRAND PARENT'S RESPONSE :
Sorrow.
Guilt.
 Anger about the chronic illness.

10. NURSES ROLE IN HELPING CHILD AND FAMILY IN
COPING WITH STRESS OF HOSPITALIZATION AND
ILLNESS
 REINFORCE PARENTHOOD –
Negotiate parents' role in hospital.
Give positive feedback.
Assess the family's situation regularly.
Offer alternatives and provide support in decision
making
Encourage parents to accept support

11.  LOOK AFTER CHILD'S WELFARE –
Assume primary responsibility when
necessary.
 Get to know child's habits and personality.
 Support child in learning new things.

12.  SHARE EMOTIONAL BURDEN –
 Assume responsibility for family's situation.
Be available to family.
Encourage family to vent emotions.
 Be aware of parents' feelings (guilt).
Create a supportive atmosphere.

13.  SUPPORT EVERYDAY COPING –
Learn family's habits and routines.
Adjust information given to family.
Look ahead and maintain hope.

14.  CREATE CONFIDENTIAL CARE RELATIONSHIP-
Spread out own work load.
Intervene in difficult situations and resolve with
family.
 Keep family up to date and involved.
Strengthen parent's coping strategies

15. THANKYOU