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Development Support of the Child (Adolensence (Separation from family and…
Development Support of the Child
Toddler
Separation from parents is a major issue. The nurse should encourage rooming-in
They also fear of injury and pain so the nurse should comfort them and be honest with them.
Loss of control is viewed in terms of physical restrictions, loss of routine rituals, and dependency. The nurse should restate the reasons for hospitalization and continue with usual home routine like reading a bedtime story.
Preschool
Let them make the first move whenever possible,Children are often more responsive when they remain close to the parent, such as when they sit on the parent's lap
Treatment is sometimes seen as hostile or punishment.Accept and provide outlets for child's anger; communicate love for child; maintain behavior limits ,restate reasons for hospitalization
Reassure child that hospitalization is not a punishment.
School age
Give children an opportunity to express their thoughts, concerns, and feelings. Listen and respond to underlying messages rather than just verbal content. Be attentive
Avoid prying, asking embarrassing questions, and lecturing when giving advice.
The school-age child is primarily concerned with lack of body control and mastery. Feelings of inadequacy are possible. The child may become demanding and rebellious to maintain semblance of control. Knowledge about illness is effective in handling anxiety.
Establish consistent visiting pattern; implement plan for continued education and teacher visit; set limits for self-care tasks that are attainable; praise for appropriate behavior. arrange peer visit.
Adolensence
Separation from family and peers interferes at times with developmental task mastery and leads to feelings of abandonment that substantiate a sense of worthlessness.
There is concern about status in peer group after hospitalization.
Hospitalization can be viewed as a threat to independence.
Support the adolescent's need for independence, confidentiality, and decision making. Encourage opportunities to meet normal developmental tasks within the hospital
Possible Reactions: Rejection; uncooperativeness; withdrawal; self-assertion; self-control; cooperativeness; fear; anxiety; overconfidence; sometimes capitalization on gains from pain; depression; loneliness; withdrawal; boredom.
Being in a hospital not only interrupts children's normal routines, it can also threaten their normal developmental process.
The infant needs to have parents close by; parents are seen as powerful. Parents' presence and reactions provide best support in handling fear, pain, and separation
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Infant
