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40 Cards in this Set
- Front
- Back
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parental response to hospitalization
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disbelief
fear anxiety frustration depression |
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what is more important in predicting anxiety than intellectual maturity?
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Child's concept of illness
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Loss of control: Infants
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Trust
Consistency Daily Routines |
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Loss of control : toddlers
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Autonomy
Daily Routines Loss of Control: Regression, Tantrums, Negativism |
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Loss of control : preschoolers
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Egocentric and magical thinking
Punishment for illness Preoperational thought |
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Loss of Control: school age
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independence and productivity
fears disability and death boredom |
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Loss of Control : adolescents
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struggle for independence
separation from peer group anger and frustration needs information always |
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sibling reactions:
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Loneliness
fear worry guilt anger resentment jealousy guilt |
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Altered family roles
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sibling anger
ill child playing sick role overprotection and indulgence |
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primary nursing goal for pediatric patients
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prevent separation anxiety
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ways to normalize the hospital environment
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structure routines
self care school work friends and visitors |
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how to minimize fear of body injury
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preparation
small bandaids |
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Nsg goal: activities and play
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decrease threat to dev't
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what approach is used in discharge and home care
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interdisciplinary approach
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is not a first line analgesic
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demerol
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stressors on the parent
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Child's condition
Knowledge deficit anger, guilt , helplessness |
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situational variables that affect parental stress
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reactions to stress
environmental stimuli financial stability unexpectedness of admit |
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Diff parental behaviors:
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supportive
incapacitated unable to provide support labile mood |
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nsg interventions for the parent
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assess understanding of condition
assess emotional adjustment evaluate parental support systems |
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factors in parent communication/interview
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intro and role clarification
privacy open ended questions listen w/ empathy define problem interpreters |
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sibling behaviors
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acting out
up to 50% develop psychosomatic symptoms after death |
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negative treatment of siblings
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neglect
protected from truth abandoned to manage self |
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intervention among siblings
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visitation to decrease anxiety
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stressors on the ped patient
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body changes
unfamiliar people, routines, gadgets |
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child - situational variables
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lack of control
separation anger loss of independence feelings of guilt - punishment |
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biggest age to drown
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age 4: school age
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rules and rituals
quiet games and activities ego mastery |
school age
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secondary sex characteristics occur
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school age (prepubescent)
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eruption of permanent teeth
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school age
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menarche average age
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12 yrs 9 mo
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major cognitive ability of adolescents
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abstract thinking
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erikson stage (adolescent)
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identity vs. role confusion
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am I normal? occurs ..
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adolescent stage
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when the final cells have all abnormal number of chromosomes
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primary nondisjunction
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when the final cells have some normal and abnormal number of chromosomes
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secondary nondisjunction
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when cells divide and the daughter cells have the same exact number of chromosomes as the mother cell
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mitosis
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when cells divide and the daughter cells have half the number of chromosomes ready for fertilization
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meiosis
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defect in chromosomal structure = clinically affected when chromosomal count is 46
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translocation
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2 types of abnormal cell division
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nondisjunction
translocation |
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Because people with Down syndrome can have somewhat stretchier ligaments, the two bones at the top of the neck (called C1 and C2) may be prone to excessive movement. Often this condition causes no problems, but very rarely it can affect the underlying nerves leading to serious neurological problems
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Atlantoaxial instability
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