Acute Illness in Children

1. Acute Illness in Children Jan Bazner-Chandler CPNP, CNS, MSN, RN

2. Acute Care of Children

3. Chapter 9: Acute Illness • Safety issues: All children are to have a hospital identification band on at all times. • Non-verbal infants may have an additional alarm – sensor security tag. • Photo identification is often posted in the chart.

4. Safety Issues Alert: To ensure that the appropriate child receives the correct treatment. ID bands must be checked prior to administration of medications or performing treatments. It is not permissible to only verbally identify the child’s name. FAILURE TO THIS RESULTS IN WRITTEN WARNING

5. School Programs Classroom presentation or hospital tours are methods Used to familiarize children with the hospital experience.

6. Pre-Operating room Visit

7. Hospital Preparation Ball & Bindler

8. Home Away From Home

9. Pet Therapy

10. Play at The Bedside Play materials need to be appropriate for age, interests, and limitations. Whaley & Wong

11. Therapeutic Play • Play is a mechanism through which they cope, learn, test new ideas, and test newly acquired motor skills.

12. Instructional Play • This type of play can be used to prepare a child for a procedure or help the child learn about his or her disease.

13. Playroom Drawing or painting are excellent ways for a child to express themselves. Whaley & Wong

14. Playroom • caReminder: Any uncomfortable or painful procedures should not be administered in the playroom itself. The children should feel that within the confines of this room, they are safe from intrusion and discomfort as much as possible.

15. Hospital Play Playing with hospital equipment can help children express their fears and give them a sense of control.

16. Hospital Play

17. Demonstrate Procedures Ball & Bindler

18. Separation Anxiety • Three Phases: • Protest: When the parent leaves the child searches for them and cries, protests, and rejects hospital personal. • Despair: Child becomes sad and apathetic. When parents / caretaker return they may cling to them or reject them. • Denial or detachment: Patient will bond with hospital staff and reject parents.

19. Infant Separation Anxiety • Reduce separation anxiety by: • Having parents stay in hospital • Peek-a-boo • Visual / auditory stimuli • Minimize caretakers • Comfort measures

20. Infant Loss of Control • Heparin lock vs IV • Minimize restraints • Playroom • Play therapy

21. Toddler Separation Anxiety • Interventions • Having parents stay in hospital • Specific time frames • Transitional objects

22. Toddler Loss of Control • Interventions: • Choices • Playroom • Medical play • Rituals • Respect regressive behavior

23. School-age Separation Anxiety • Communication • Be available • Homework • Help with tasks • Promote choices

24. School-age Loss of Control • Interventions: • Choices • Play room • Medical play • Be truthful • Concrete explanation Ball & Bender

25. Adolescent • Peer interaction • Parent visitation • Telephone privileges • Activity sessions

26. Adolescent Years • Joint plan of care • Privacy • Choices in routine • Open communication