Term
|
Definition
separation
loss of control
bodily injury
pain |
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Term
| Children's reactions to stressor are influenced by (5 things) |
|
Definition
developmental age
previous experience
coping skills
seriousness of dx
support system |
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|
Term
| Three phases when under major stress of separation anxiety for 6-30 months |
|
Definition
phase of protest (crying and screaming for parents, inconsolable, refuse attention from othes)
Phase of despair (no longer cries, uninterested, depressed)
Phase of detachment (appears adjusted, but resigned) |
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Term
| What is greatest stress of hospitalization during early childhood? |
|
Definition
|
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Term
| Toddlers reaction under stress of separation anxiety |
|
Definition
| Regress: temper tantrums, bed wetting |
|
|
Term
| Preschoolers reaction under stress of separation anxiety |
|
Definition
| Regress: refuse eat, difficulty sleeping, break toys |
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Term
| Adolescents reaction under stress of separation anxiety |
|
Definition
Better able to cope
separation from peers, loniness, boredom, depressions. |
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Term
|
Definition
| Yes, by 20 weeks, fetus has most of the anatomic and functional requirements for pain processing. |
|
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Term
| Pain behaviors of Toddlers |
|
Definition
| usually cry, upset and become restless and overly active which may be misinterpreted as not having pain. |
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Term
| Can toddlers communicate about pain? |
|
Definition
Yes, but cannot yet describe type/intensity
can localize pain by pointing to area |
|
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Term
|
Definition
| freak that insides will leak out, concerns with muilational, |
|
|
Term
| Pre-Schoolers communication with pain |
|
Definition
| can locate their pain, use pain facial expression scales. |
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Term
| School Age children communication of pain |
|
Definition
|
|
Term
| School aged children dealing with pain |
|
Definition
active interest in their health/ illness,
seeking information is coping, sense of control. better able to cope with procedure |
|
|
Term
| At what age are children aware of significance of illness, meaning of death |
|
Definition
|
|
Term
|
Definition
being different from peers
fear of loss of control
privacy critical
ashamed over loosing control |
|
|
Term
| Parents reaction to hospitalized child |
|
Definition
disbelief
fear
anger
guilt
helplessness
frustration
depression
express concern over lack of information about treatments, hospital rules, unfriendly staff, pain inflicted upon child, financial burden. |
|
|
Term
| Reaction of sibling to hospitalized child |
|
Definition
may be equal to stress of hospitalized child
may experience loneliness, fear, worry, anger, resentment, jealousy,
Explaining illness and sibling visitation helps |
|
|
Term
| How soon do you tell 4-7 year old child they are going to hospital |
|
Definition
|
|
Term
| how soon do you tell younger children they are going to hospital |
|
Definition
|
|
Term
| at what age is it important to minimize separation |
|
Definition
|
|
Term
| Childs acute pain in influenced by |
|
Definition
-past memories/ experiences
-developmental stage
-culture |
|
|
Term
| three reason children are under treated for pain |
|
Definition
professional misconceptions about pain
fear of addiction
fear of respiratory depression |
|
|
Term
|
Definition
Question child
Use pain rating scales
Evaluate behavior
Secure parents involvement
Take cause of pain into account
Take the action and evaluate results |
|
|
Term
| What age group uses the FACES expression scale to rate pain |
|
Definition
|
|
Term
| WIth what age do you use the FLACC scale for pain? |
|
Definition
|
|
Term
| At what age can you use the numeric rating scale |
|
Definition
|
|
Term
|
Definition
Faces
Legs
Activity
Crying
Consoling
(score of 0 = no pain, 10= worst pain) |
|
|
Term
| Nonpharmacologic strategies of pain control |
|
Definition
distraction
relaxation
guided imagery
positive self talk
though stopping
cutaneous stimulation
glucose pacifier |
|
|
Term
|
Definition
release of tension
relaxation
lesson's separation stress
provides for socialization
provides opportunity to make choices and be in control |
|
|
Term
| How to minimize separation |
|
Definition
-family centered care (encourage parent to stay at bedlisde)
-Provide familiar structure (blanket, toys)
-Maintain usual contracts (school lessons) |
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