Hospitalized Child
Hospitalized Child
Hospitalized Child
INTRODUCTION
• Lack of privacy.
• Independence.
• Anxiety
• Anger
• Uncooperative
• Rejection of treatment
• Depression
• withdrawal
MODERN CONCEPTS OF
HOSPITALIZATION
1) visiting
2) Rooming in
3) Care by patient unit
4) Self care
5) Parent support group
NURSING INTERVENTIONS
Preventing or minimizing separation
Minimize loss of control
Promoting freedom of movements
Maintaining child routine
Prevent or minimize bodily illness or pain
Providing developmentally appropriate activities
Providing opportunities for play and expressive
activities.
FUNCTIONS OF PLAY
Diversional activities
Development of moral values
Social development
Emotional development
Creative expression
TYPES OF PLAY
• Emotional /dramatic play
• Instructional play
• Physiological play.
ROLE OF A PAEDIATRIC NURSE
Nurse as :-
Caregiver
Educator
Counsellor
Advocate
Team member
Manager
Consultant
Cont….
Practitioner
Social worker
Recreationist
Researcher.
PRINCIPLES OF PRE-OPERATIVE AND
POST OPERATIVE CARE OF INFANT
PREOPERATIVE:-
• Orient the child and the parents to the unit
• Discuss the surgical procedure to the parents and the child
• Plan and implement pre-operative teaching based on the
level of comprehension of child and family members.
• Describe the pre-operative and post- operative according to
the level of the child.
• Explain activity schedule to the child and the family.
• Check and provide the following with the
help of pre-operative checklist:
Monitor vitals
Make sure the child is NPO
Preoperative procedure should be completed.
Dress the child with clean hospital gown before
transferring him/her to OT.
Remove ornaments, dental appliances, contact lenses etc.
Ensure the consent form for surgery.
Attach ID band.
Never leave the child unattended.
Send the child to OT with familiar person.
POST OPERATIVE
• Receive the child to post-operative bed.
• Place O2 and suction near the bed.
• Check airway and maintain a patent airway.