| Age |
Assessment: Reaction to Hospitalization |
Nursing Care Plan/Implementation: Key Nursing Behaviors |
|
INFANT |
Difficult to assess needs, pain
Wants primary caretaker
|
Close observation, must look at behavioral cues
Rooming - in
|
|
TODDLER
|
Separation anxiety
Frustration, loss of autonomy
Regression
Fears intrusive procedures
|
Rooming - in Punching bag, pounding board, clay
Behavior modification
Axillary temperatures |
|
PRESCHOOLER
|
Fearful
Fantasy about illness/hospitalization (may feel punished, abandoned)
Peak of body mutilation fear
Behavior problems: aggressive, manipulative
Regression |
Therapeutic play with puppets, dolls
Therapeutic play with puppets, dolls
Care with dressings, casts, IMs
Clear, consistent limits
Behavior modification |
|
SCHOOLAGE
|
Cooperative
Quiet, may withdraw
May complain of being bored |
Use diagrams, models to teach
Indirect interview, tell story, draw picture
Involve in competitive game with peer; encourage peers to call, send get well cards, and visit |
|
ADOLESCENT
|
Fears loss of control
Competitive - afraid of “failing”
Difficulty with body image
Does not want to be separated from peers
Rebellious behavior |
Provide privacy; allow to make some decisions
Provide tutor prn; get books and homework
Provide own clothes; give realistic feedback
Telephone in room; liberal visiting; teen lounge
Set clear rules; form teen “rap groups”
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