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NURS366
Pain Impact on Hospitalized Children
31
Nursing
Undergraduate 3
02/03/2012

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Cards

Term
4 stressors for children
Definition
separation
loss of control
bodily injury
pain
Term
Children's reactions to stressor are influenced by (5 things)
Definition
developmental age
previous experience
coping skills
seriousness of dx
support system
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)
Term
What is greatest stress of hospitalization during early childhood?
Definition
separation anxiety
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
Term
Adolescents reaction under stress of separation anxiety
Definition
Better able to cope
separation from peers, loniness, boredom, depressions.
Term
Do infants feel pain?
Definition
Yes, by 20 weeks, fetus has most of the anatomic and functional requirements for pain processing.
Term
Pain behaviors of Toddlers
Definition
usually cry, upset and become restless and overly active which may be misinterpreted as not having pain.
Term
Can toddlers communicate about pain?
Definition
Yes, but cannot yet describe type/intensity
can localize pain by pointing to area
Term
Preschoolers fear
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.
Term
School Age children communication of pain
Definition
can use pain scale
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
9-10 years
Term
Adolescence fear
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
1 week in advance
Term
how soon do you tell younger children they are going to hospital
Definition
1-2 days
Term
at what age is it important to minimize separation
Definition
under age of five
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
Pain Assessment QUESTT
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
children >3
Term
WIth what age do you use the FLACC scale for pain?
Definition
2 months - 7 years
Term
At what age can you use the numeric rating scale
Definition
7 years
Term
FLACC scale
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
Play's role
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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