Diversion ("entertainer")
Activity/Recreation
Child Development
Therapeutic
Comprehensive **** Dr. Bolig 5 Basic Approaches to CL Programming
Supine **** face upward lying on back
Prone **** lie face downward
Ataxia **** loss of full control of bodily movements
Dysuria **** painful or difficult urination
Neutropenia **** undesirable side effect of some cancer treatments; the presence of
abnormally few neutrophils in the blood, leading to increased susceptibility to infection
Stress Point Preparation **** intensive approach that identifies periods of particular
difficulty during hospitalization and prepares the child and family for each by providing
information, opportunities for rehearsal, and emotional support
Stress Potential Rating
Child life specialist would spend majority of the time with patients 3 or higher **** Level
1
-lowest risk; stable medical condition with good prognosis
Level 2
-differ because of behaviors, length of stay, anticipated future admissions, parental
concerns, inability to provide consistent support
Level 3
-future hospitalizations and chronic nature, daily care treatments, possibility of
premature death
Level 4
-current hospitalization raises and threat to child or family ability to cope
Level 5
-imminent or recent ICU, trauma, ER life situations challenge, emotional needs not
being met
, -chronological age/developmental age
-previous response to separation
-response to current or past healthcare experiences
-community
-coping
-cultural variables **** Stress variables for child (6)
-relationships
-family availability
-financial and home stability **** Stress variables for family (3)
-diagnosis
-anticipated treatment and procedures
-physical response
-previous healthcare experience
-personality and values
-healthcare professionals involved **** Stress variables for healthcare team (6)
Wong-Baker FACES
-advantages are that they avoid gender, age and racial biases **** Children are able to
participate in assessing their pain, leading to more success in managing their pain (0 for
no pain, 1-5 for increasing intensities of pain)
What are the advantages to this approach? (3)
Approach to planning, delivery, and evaluation of healthcare that is governed by
mutually beneficial partnerships between healthcare providers, patients and families
**** What are the key elements of patient and family centered care? (3)
Introduction
Assessment
Therapeutic Activities
Support
Compliance
Coping Techniques
Family/Sibling Support
Closing Statements **** Important information to include in child life documentation
Subjective: what the patient tells you/how they feel
Objective: what you observe **** Difference between objective and subjective
documentation
Subjective is what patient tells you
Objective is what you observe/known facts
Assessment is your diagnosis