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1、NursingCareoftheHospitalizedChildChristinaHernandezRN,MSNAChild’sUnderstandingoftheirhospitalizationBasedon:TheircognitiveabilityatdifferentdevelopmentalstagesPreviousexperienceswithhealthcareprofessionalsPreparation&CopingSkillsCultureParentsreactiontoillnessSiblingsreactiontoillness
2、ImportanceofEffectiveCommunicationwithChildrenMorethanwordsTouchPhysicalproximityandenvironmentListeningwithimpartialityVisualcommunicationToneofvoiceBodylanguageTimingEstablishingrapportwiththefamilyBeingopentoquestions/resolvingconflictDevelopmentalmilestonesandapproachtocommunicati
3、onInfants(0-12mo)Toddlers(1-2yr)Preschoolers(3-5yrs)School-age(6-11)Adolescents(12andolder)Useofcalmvoice;respondtocries,mimicbabysounds,talkandreadregularly,useaslowapproachandallowtimetogettoknowyouLearnthetoddler’swordsforcommonitems,picturebooks,respondtotheirreceptiveness,prepara
4、tionshouldoccurimmediatelybeforeeventSeekopportunitiestoofferchoices,useplayforexplanations,simplesentences,picturebooks,puppets,beconcise;limitlengthofexplanationsPhotos,books,videos;est.limits,useplay,introducepreparatorymaterials1-5daysinadvanceoftheeventEngageinconversationsaboutt
5、heirinterests,useofvideostoexplain,fosterindependence,preparatorymaterialsupto1wkinadvance,respectprivacyneeds!Criticaltoremember!Child’sresponsetoIllnessFearoftheunknownSeparationanxietyFearofpainormutilationLossofcontrolAngerGuiltRegressionStagesofSeparationProtestDespairDetachmentS
6、tressorsbydevelopmentalageInfants/Toddlers**separationanxietyNursesexperienceprotestanddespairinthisgroupFearofinjuryandpainLossofcontrolNeedcontactwithmotherStressorsbydevelopmentalagePreschoolerSeparationanxietygenerallylessthanthetoddlerLessdirectwithprotests;criesquietlyMaybeuncoo
7、perativeFearofinjuryLossofcontrolGuiltandshameStressorsbydevelopmentalageSchoolageSeparation:mayhavealreadyexperiencedwhenstartingtoschoolFearofinjuryandpainLossofcontrolStressorsbydevelopmentalageAdolescenceSeparationfromfriendsratherthanfamilymoreimpFearofinjuryandpainLossofControlF
8、earof
