NSG222 Exam 1
Principles of Atraumatic Care - Prevent or minumize physical stressors, including, pain, discomfot,
immobility, sleep deprivation, inability to eat or drink, and changes in elimination
Prevent or minimize parent- child separation
Promote family centered care, treating the family as the patient
Promote a sense of control
Atraumatic Care - therapeutic care that minimizes or eliminates the psychological and physical distress
experienced by children and their families in the health care system
Techniques For Providing Atraumatic Care - •Therapeutic communication (Goal directed, Focused and
purposeful)
•Therapeutic play (Provides emotional outlet or coping devices)
•Child education (Helps child understand the reason for the hospitalization/procedures)
•Parental education (engages parents as active participants in health care team
Role of Child Life Specialists In Atraumatic Care - Provide programs to prepare children for
hospitalization and painful procedures
Provide support during medical procedures
Therapeutic play and activities to support normal growth and development
Sibling support; advocacy for the child and family (allow siblings to be with them)
Grief and bereavement support
,How To Minimize Physical Stressors Of The Child During Hospitalization/During Procedure - Engage the
child in identifying what would make him or her comfortable
Use positions that are comfortable to the child (sitting on parents lap)
Therapeutic hugging
Use distraction methods (music, conversation)
Specific Learning Principles Related To Children - •Establishing rapport with the child is the first step
•The age and developmental level of the child will determine the amount, format, and timing of the
information given
•Create a teaching plan that addresses the developmental stage of the child
•Adolescents are particularly sensitive about maintaining body image and feelings of control and
autonomy
Health supervision - The process of health promotion services, growth and development monitoring,
and disease and injury prevention throughout the child's life.
Three Components Of Health Supervision - 1. Developmental surveillance and screening
2. Injury and disease prevention
3. Health promotion
Components of Developmental Surveillance - Noting and addressing parental concerns
Obtaining a developmental history (obtain developmental questionnaire from parent)
Perform a physical assessment (recognize normal growth and development)
Making accurate observations (observe the child, communicate with the child)
Consulting with relevant professionals
, Developmental Surveillance - is an ongoing collection of skilled observations made over time during
health care visits.
Setting Where Health Supervision Is Observed - Private physician offices
Freestanding clinics in retail stores
Community health department clinics
Non profit community-based clinics with sliding scale payments
Daycare centers
Schools
What Should Be Done During Health Supervision Visit? - History and physical assessment
Developmental/behavioral assessment
Sensory screening (vision and hearing)
Appropriate at risk screening
Immunizations
Health Promotion
*** nurse will examine child and do physical exam, have patient fill out questionnaire, different
screening include metabolic screening, monitor vs, check lab values, provide immunizations based on
age.
***educate parents on preventing drowning, poisoning, and eating (weight, foot intake, dental care)
Vaccination Schedule From Newborn - Birth: Hep B
1-2: Hep B
2-4: RV, DTaP, Hib, PCV13, IPV
6: Hep B
Principles of Atraumatic Care - Prevent or minumize physical stressors, including, pain, discomfot,
immobility, sleep deprivation, inability to eat or drink, and changes in elimination
Prevent or minimize parent- child separation
Promote family centered care, treating the family as the patient
Promote a sense of control
Atraumatic Care - therapeutic care that minimizes or eliminates the psychological and physical distress
experienced by children and their families in the health care system
Techniques For Providing Atraumatic Care - •Therapeutic communication (Goal directed, Focused and
purposeful)
•Therapeutic play (Provides emotional outlet or coping devices)
•Child education (Helps child understand the reason for the hospitalization/procedures)
•Parental education (engages parents as active participants in health care team
Role of Child Life Specialists In Atraumatic Care - Provide programs to prepare children for
hospitalization and painful procedures
Provide support during medical procedures
Therapeutic play and activities to support normal growth and development
Sibling support; advocacy for the child and family (allow siblings to be with them)
Grief and bereavement support
,How To Minimize Physical Stressors Of The Child During Hospitalization/During Procedure - Engage the
child in identifying what would make him or her comfortable
Use positions that are comfortable to the child (sitting on parents lap)
Therapeutic hugging
Use distraction methods (music, conversation)
Specific Learning Principles Related To Children - •Establishing rapport with the child is the first step
•The age and developmental level of the child will determine the amount, format, and timing of the
information given
•Create a teaching plan that addresses the developmental stage of the child
•Adolescents are particularly sensitive about maintaining body image and feelings of control and
autonomy
Health supervision - The process of health promotion services, growth and development monitoring,
and disease and injury prevention throughout the child's life.
Three Components Of Health Supervision - 1. Developmental surveillance and screening
2. Injury and disease prevention
3. Health promotion
Components of Developmental Surveillance - Noting and addressing parental concerns
Obtaining a developmental history (obtain developmental questionnaire from parent)
Perform a physical assessment (recognize normal growth and development)
Making accurate observations (observe the child, communicate with the child)
Consulting with relevant professionals
, Developmental Surveillance - is an ongoing collection of skilled observations made over time during
health care visits.
Setting Where Health Supervision Is Observed - Private physician offices
Freestanding clinics in retail stores
Community health department clinics
Non profit community-based clinics with sliding scale payments
Daycare centers
Schools
What Should Be Done During Health Supervision Visit? - History and physical assessment
Developmental/behavioral assessment
Sensory screening (vision and hearing)
Appropriate at risk screening
Immunizations
Health Promotion
*** nurse will examine child and do physical exam, have patient fill out questionnaire, different
screening include metabolic screening, monitor vs, check lab values, provide immunizations based on
age.
***educate parents on preventing drowning, poisoning, and eating (weight, foot intake, dental care)
Vaccination Schedule From Newborn - Birth: Hep B
1-2: Hep B
2-4: RV, DTaP, Hib, PCV13, IPV
6: Hep B
