INTRO TO PEDIATRICS/FAMILY/CHRONIC ILLNESSES:
● Describe atraumatic care
o Eliminating or minimizing the pain and/or psychological stress of receiving care
▪ 3 Principles:
● Prevent or minimize child’s separation fro
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INTRO TO PEDIATRICS/FAMILY/CHRONIC ILLNESSES:
● Describe atraumatic care
o Eliminating or minimizing the pain and/or psychological stress of receiving care
▪ 3 Principles:
● Prevent or minimize child’s separation from family
o Allowing parents present during a code; performing an assessment while child is in parent’s arms
● Promote a sense of control
o Give them choices, choices we can live with; meds before or after bath, before or after meals; how they take meds—
syringe or PO; where and how to do an intervention, not if an intervention should be done
● Prevent or minimize bodily injury and pain
o Do labs now or in morning, combining sticks
● Identify the essential elements of the transition to parenting
o Parental age
▪ 18-35 “ideal” age
● 30-44 yrs is on the increase
● 20-29 yrs is on the decrease
o Father involvement
▪ Or another involved adult; another man; non-biological father; same-sex relationships
o Parenting education
▪ How prepared were the parents? Baby classes? Books?
▪ Education level? High school or college education?
o Support systems
▪ Internal resources
● Internal ability to adapt to change easily. Can they cope well to a chaotic environment?
● Experience with other children?
● Stress level before the child was there?
● Kiddos temperament? High needs child?
● Marriage or relationship quality?
▪ Coping strategies
● Coping mechanisms
● Antidepressant drugs
o Other factors
● Describe the role that effective discipline plays in a child’s development
o Discipline needs to be developmentally appropriate not necessarily ‘age’ appropriate
o TIMING
o COMMITMENT
o PLANNING
o Children want/need limits set for them even in hospital setting
o Children need encouragement and modeled appropriate behavior whether child is ill or not
o Need CONSISTENCY between caregivers
o Before child reaches 4,5 and 6 years of age when a child may experience embarrassment—child should be disciplined in
PRIVATE
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