Helps the UG nursing students Stressors related to hospitalisation reaction of the child

1. Impact of child to
hospitaliation
B.Sudha
Professor
VMCON,Puducherry.

2. Stressors leading to emotional
trauma
• Sic k nes s causes pain, restraint
movement, long sleepless period,
restriction of feeds, separation from
parents and home environment which may
r e s u l t i n e m o t i o n a l t r a u m a .

3. Reaction of neonates
• Interruption of mother child relationship
• Impairment of bonding and family
integration
• Inability of the parents to care for the baby
• Inability of the baby to respond to parents

4. Reaction of infants
• Separation anxiety
• Disturbance in the development of basic
trust
• Emotional withdrawal and depression
• Interference of growth and delayed
development
• Fear of strangers, excessive crying,
clinging and over dependence on the
mother

5. Reaction of toddlers
• protest, despair, denial, regression-
stages of separation anxiety
• Protest- frequent crying, shaking crib,
rejecting nurses attention, showing signs
of distrust with anger and tears.
• Despair- hopeless, apathetic, anorectic,
looks sad, cry continuously or
intermittently

6. • Denial- accepts the care and represses all
feelings
• the child does not cry
• Regression- stop using newly acquired
skills

7. Reaction of preschooler
• Defense mechanism- regression,
repression, projection, displacement,
aggression, withdrawal,

8. Reaction of schooler
• Fear, worry ,mutilation, fantasies and
privacy , modesty
• Defense mechanism- regression,
separation anxiety, negativism,
depression, phobia unrealistic fear.

9. Reaction of adolescents
• Concerned with lack of privacy, separation
from peers or family and school,
interference with body image,
independence.
• Insecure in strange environment
• Show anger and uncooperative behaviour

10. Effect of hospitalization on the
family of the child

11. • Stress
• Separation
• Feeling of inadequacy
• Anxiety, anger, fear, disappointment, self
blame, guilt

12. Causes for parental anxiety
• Strange environment
• Separation from the child
• Unknown events and outcome
• Sufferings of the child
• Spread of infecton
• Financial crisis

13. Role of the nurse
• Positive relationship
• Avoid criticism
• Patience, tenderness, emotional strength
• Rest and physical care
• Family centered care

14. neonates
• Rooming –in and sensory stimulation
• Infants- minimize separation, handle with
minimum number of persons
• Mother to be allowed during procedure
• Toys
• Toddlers-rooming- in and unlimited
visiting hours
• No punishment

15. • Home routine
• Familiar toys and articles
• Parents should provide love and understanding
• preschooler – parental presence
• Short hospital stay
• Provide oppurtunity
• Privacy and explanation- procedures
• Hygiene
• Discourage parents for negative feelings

16. schoolchildren
• Respect the child need- privacy and
modesty
• Use treatment rooms- painful and invasive
procedures
• Explain
• Encourage self care, school work
• Parental participation

17. adolescent
• Assess the impact of illness and presence of
misconception
• Explanation
• History
• Involve in planning of care
• Health teaching
• Reassurance
• Provide opportunities for recreation, peer
relationship, and expression of feelings.

18. Thank you