3. Hospitalization causes many issues - Stress is the Big one. This can be positive and negative,
please explain. What is the child most afraid of - 3 things? 3 big stressors:
• -losing control or independence
• -their punishment/pain
• -change in body images.
**[separation from parent and family, fear of unfamiliar, fear of pain and loss of
control]
4. Positive stress
• child expands world when the parent is absent, adaptation, learning to cope
5. negative stress
• long term stress = BAD
• can have PHYSICAL manifestations
,6. What can influence the development of a child?
• starts around 4 to 8 months and peaks in toddlers.
8. Separation anxiety differs from normal clinginess.
• Children with the disorder can't think about anything but the present fear of
separation.
• They may have nightmares or regular physical complaints.
• They may be reluctant to go to school or other places.
• Treatment includes talk therapy and possibly anti-anxiety medication.
9. Object permanence
• the understanding that objects continue to exist even when they cannot be
seen. Around age of 9 months
10. Ways to reduce stress over hospitalization/surgery
, • **Alleviate stress and fears: ask parents stay participate, explain the
procedure, and provide distractions
• **Ways to min. stress - rooming in w/ patient [parent should be primary
source for coping & comfort], bring an object from home, draw pic to hang
in room, offer choices of watching movie or picking a game, therapeutic play,
child life specialist, guided imagery, role modeling (decrease fear and anxiety
and coping skills), move to procedure room [not in their own room]
11. Communicate w/ kids w/ hearing deficit
• sign language, pictures, turn lights on, use eye contact, get attention before
speaking, speak slowly and loud
12. Communicate w/ kids w/ visual deficit
• announce self/why you are there, follow a routine, put glasses on if
applicable, use BRIGHT lights
13. Communicate w/ kids w/ cognitive deficit
• be gentle, kind, use short directives, give praise, hold boundaries that are set
•
14. How do we communicate with children
• Children in general - Get to their level physically. Simple words. Eye contact.
Play to demonstrate. Approachable.
15. hypothyroidism in children
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