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NRSE 4141 - Peds Exam 1 Review

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STUDY GUIDE FOR PEDS EXAM 1

30,31, 32, 33, 25, 26, 27

Chapter 30

1. What are the principles of atraumatic care?

a. Prevent or minimize physical stressors: including pain, discomfort, immobility, sleep

deprivation, inability to eat or drink, and changes in elimination

i. Identify what makes the child comfortable (music, stuffed animals, blankets,

etc.), use positions comfortable to the child, distraction and therapeutic hugging.

b. Prevent or minimize parent–child separation

i. Have the parents involved in the process and care

c. Promote family-centered care, treating the family as the patient

i. Treat the whole family

d. Promote a sense of control; give control

i. Give choices

2. Give some examples of how to provide atraumatic care.

a. Therapeutic communication

b. therapeutic play

c. child education

d. parent education

3. What is the role of the child life specialist?

a. The role of the child life specialist is to help the child throughout their stay in the

hospital, along with help the parents and siblings. They can set up programs to help the

child understand a surgery/procedure they are having, therapeutic play and helping wit

growth and development, teach and support coping of the family, sibling support,

advocacy, and grief and bereavement support.

, b. Can also help with resources for the parents

c. Provide programs to prepare children for hospitalization and painful procedures

d. Provide support during medical procedures- family and patients

e. Therapeutic play and activities to support normal growth and development

f. Educate child and family about health conditions

g. Teach and support coping and pain management strategies

h. Sibling support; advocacy for the child and family

i. Grief and bereavement support- fatal disease, bad outcome (support system)

j. Plug in resources for the parents

4. Describe family-centered care.

a. Family centered care is when you treat the whole family as the patient

b. Allow parents to be involved in care and choices

c. Positive outcomes include decreased anxiety, children can be calmer and enhanced pain

management, recovery times are shorter, increased confidence and communication with

health care, etc.

5. How can you help hospitalized children keep a sense of control. Give an example.

a. Important to let these kids have some sense of control in what is going on in their life in

the hospital

b. Preschoolers- purple coband or green coband

c. Toddlers- Chock milk or apple juice with meds

d. Adolescence- school work and rest periods

6. What are ways to improve learning for children

a. Ways to improve learning for children

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