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20 Cards in this Set
- Front
- Back
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What is defined as: The practice of nursing with children, youth, and their families across the healthcare continuum.
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Pediatric Nursing
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What are the roles of the pediatric nurse?
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Caregiver (1st & foremost)
Patient & Family Advocate Educator Research Manager |
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What can you do, as the nurse, to communicate better with the family & the child?
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* Establish rapport/trust
* Respect * Empathy * Listen * Provide and receiving feedback * Identification of needs and establishment of expectations * Availability & openness to questions |
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How is rapport built?
How is trust established? |
Rapport - By conveying warmth & friendliness
Trust - Following through on promises, protecting pt. confidentiality, explaining procedures accurately & timely. |
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How do you develop respect?
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Call the child by his/her first name, parents by Mr. & Mrs.
Also, consider family feelings & culture. |
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How do you develop empathy?
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By being able to put yourself in the other persons shoes and imagine what it would feel like.
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How do you show that you are listening?
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Provide verbal & nonverbal cues that communicate listening, eye contact for example
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How do you provide & receive feedback from the family?
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Nodding your head, reflecting back, focusing.
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What is atraumatic care?
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Providing care while using interventions that eliminate or minimize the psychological & physical distress.
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What is the goal of atraumatic care by nursing?
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To provide nursing care with minimal pain or stress to the child or family.
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What are some ways that nursing staff can help provide atraumatic care to the patient?
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* Prevent or minimize the child's separation from the family.
* Promote a sense of control by listening to the parents & encourage them to be an active participant in the child's care. * Minimize or prevent bodily injury & pain. |
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Pain is a huge stressor. Give an example of how you can minimize or prevent pain?
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Emla, elemex or some type of lidocaine cream on the patients skin prior to needle sticks.
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What are some principles of how to communicate with a child?
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* Allow the child time to feel comfortable.
* Communicate through transitional objects. (Dolls/toys) * Allow patients to speak with you in private. (this is when you get the truth from them and their real concerns & fears) * Allow them to express their concerns & fears (again likely to happen in private) * Be honest with them. (If a procedure will be uncomfortable or harm them, be honest about that fact) |
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What are some factors that support coping during illness & hospitalization?
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* Child Life Program
* Rooming in * Therapeutic play * Therapeutic recreation * Meet educational needs * Prepare for procedures |
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What is a child life program?
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people who have degree in child life or child psychology that are available to assist nursing in providing additional explanation or diversional activities during difficult procedures or time. Allows kids to be kids while in the hospital.
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What is meant by therapeutic recreation?
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It is when kids who are having the same procedures/experiences are allowed to play together while discussing their experiences.
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How can hospital personnel help with meeting the educational needs of the parent/child?
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By answering their questions or making sure that kids are keeping up on their schoolwork and not getting behind if they are hospitalized long term.
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How do you communicate procedures or treatments to the pediatric population?
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* Learn the procedure
* Determine what info is appropriate based on age/developmental level. * Know the sequence of events that will occur during the procedure. * Know the length of the procedure/recovery time (total time off the floor) * Give them good sensory information - what they will hear, smell, feel, etc. |
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How do you communicate with kids who have a vision impairment?
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* Encourage use of all senses
* Promote socialization - making sure they are interacting w/ other kids like them or other kids same age * Encourage physical contact (hugging) * Call the child's name when entering or leaving the room. * Describe all procedures before performing them & let the child what they will hear or feel. * Describe foods & the location of them on the tray when serving. * Describe the room and the location of things & keep those locations consistent. |
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How do you communicate with kids who have a hearing impairment?
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* Get their attention & get close so they can read your lips if possible. 3-6' is best.
* Make sure room is well lit * Speak slowly with good enunciation * Eliminate background noise & visual distractions * Use sign language or interpreter * Look at patients facial expressions, body gestures & non verbal interaction to see how they feel about what is being communicated. |
