NRS 221 - Chapter 26 PDF

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NRS 221 Lecture 1 Chapter 26 - Family-Centered Care of the Child During Illness and Hospitalization

Loss of Control: Adolescents 

Struggle for independence and liberation

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Separation from peer group

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May respond with anger, frustration

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Need for information about their condition o Effects of Hospitalization on the Child

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Effects may be seen before admission, during hospitalization, or after discharge

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Child’s concept of illness is more important than intellectual maturity in predicting anxiety

Sibling Reactions  Loneliness, fear, worry  Anger, resentment, jealousy  Guilt

STRESSORS AND REACTIONS OF THE FAMILY OF THE CHILD WHO IS HOSPITALIZED 

Disbelief, anger, guilt o Especially if sudden illness

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Fear, anxiety o Related to child’s pain, seriousness of illness

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Frustration o Especially related to need for information

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Depression o Altered Family Roles

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Anger and jealousy between siblings and ill child

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Ill child obligated to play sick role

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Parents continue pattern of overprotection and indulgent attention o Preventing or Minimizing Separation

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Primary nursing goal

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Ages 16 to 30 months

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Parents are not “visitors”

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Familiar items from home...