Chapter 30
Atraumatic Care
Atraumatic Care
Define family centered care
What is family centered care involves a partnership of the child, family, and health care providers in planning, providing, and evaluating care
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When are universal hypertension screenings completed?
What are starting at 3 y/o
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The nurse is approaching a preschool-aged child to complete a physical assessment. The child smiles at the nurse in a receptive manner and appears cooperative. In what order will the nurse proceed with the cardiac and respiratory assessments.
Use items: Palpation, Percussion, Auscultation & Inspection
What is
Inspection
Palpation
Percussion
Auscultation
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What are the 3 stages of separation anxiety?
What are protest, despair and detachment
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Describe Hippotherapy
Hippotherapy refers to the use of equine (horse) movement for the engagement of the sensory, neuromuscular, and cognitive systems, resulting in achievement of functional outcomes. The unique movement of the horse under the child with physical disabilities helps them achieve increased flexibility, balance, and muscle strength. Strength, muscle coordination, and sensory processing used for walking, talking, and the use of fine motor skills have all been shown to be positively impacted by hippotherapy. Incorporating hippotherapy into an occupational therapy, physical therapy, or speech-language pathology session can help facilitate key neuromotor systems that support function. Hippotherapy does not lead to the discontinuation of other therapies but is an adjunct or complementary therapy. Hippotherapy is distinct from therapeutic or adaptive riding, because of the use of a trained therapist.
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A 3 year old child is scheduled for a lumbar puncture. The child's parent wants to know where this procedure will take place. Which response by the nurse is appropriate?
What is the treatment room
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What are at birth, within the first week of life, by 1 month, then at 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, 24 months, 30 months, 36 months and then yearly until age 21
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Which vascular lesion is commonly associated with meningococcemia?
What is purpura
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An adolescent is scheduled for outpatient arthroscopic surgery on their knee next week. As part of preparing the adolescent for the procedure when should detailed explanations be provided tothe client?
What is 7 - 10 days before the procedure.
Table 33.1, PAGE 1067
At what age would a written plan for transition from pediatric care to adult care be initiated?
What is at age 12 - 14, with continued reinforcement at annual visits.
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A nurse is caring for a 4-year-old child scheduled to undergo an invasive procedure. When should the nurse prepare the child for the procedure?
What is about an hour before the procedure.
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At what ages are universal screenings for dyslipidemia completed?
What is universal screening for dyslipidemia once between 9 and 11 years of age and again between 17 and 21 years of age
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Any questionnaires used in the health care setting should be written at what reading level?
What is fourth to sixth grade reading level.
TAKE NOTE PAGE 1013
The nurse is transporting a 6 month old infant to the procedure room for IV placement. What transportation method is best?
What is the other the shoulder carrying method.
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When assessing the growth and development of a premature infant now 9 month-old who was born at 28 weeks gestation. What is their growth and development expectation age?
What is 6 months
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What is the title of the person who is specially trained in the developmental impact of illness, injury, and trauma who provides programs that prepare children for hospitalization, surgery, and other procedures that could be painful or distressing
What is a child life specialist
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Which visual acuity charts are appropriate for a 4 year old?
What are the "Tumbling E" and Allen figures
PAGE 988 table 31.3
Homes or apartments built prior to WHAT YEAR may contain lead-based paint, and children who live there are at an increased risk for the development of lead poisoning
What is 1978
TAKE NOTE PAGE 1016
Give 3 examples of what activities school nurses perform
What are:
Conduct health screenings (such as vision, hearing, and scoliosis). Assess growth and development. Provide emergency first aid, care for acute and chronic illnesses, such as medication administration and diabetes monitoring. Train and educate staff on cardiopulmonary resuscitation (CPR), first aid, and health issues. Assess, monitor, and refer students with communicable diseases. Educate on health promotion and disease prevention (such as immunizations; bike and car safety; decreasing high-risk behaviors, such as smoking, drinking, drug use, and sexual activity). Serve as a resource for health issues and education. Act as a liaison between health care provider and school. Reinforce patient and family health education (such as discharge instructions, self-care measures). Monitor long-term illness in students. Network with community agencies and make necessary referrals.
BOX 33.1 PAGE 1055
When describing organ donation to the family of a child with a terminal illness, what will the nurse include in the discussion?
What is During organ donation, the family's cultural and religious beliefs must be considered, and the team discussing organ donation with the family must do so in a sensitive and ethical manner. There is no financial compensation for organ donation so that the decision can made freely. The topic of organ donation should be separated from the discussion of impending death or brain death notification. Organs are harvested in a timely fashion after the declaration of death so the family need not worry about the wake or funeral being delayed.
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Define atraumatic care
What is therapeutic care that minimizes or eliminates the psychological and physical distress experienced by children and their families in the health care system. . This concept is based on the underlying premise of “do no harm.”
See box 30.1 for principles
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At what ages are the DTap vaccines given?
What are at 2, 4, 6 months, 12-15 months, and 4-6 y/o
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The nurse is using pulse oximetry to measure oxygen saturation in a 3-year-old child. Which situations or conditions can cause a falsely normal high reading?
What is carbon monoxide poisoning and severe anemia
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How often do you assess restraints on a child when is use?
What type of tie should you use to secure the restraints?
What is check restraints 15 minutes following initial placement and then every hour for proper placement.
Use a clove-hitch type of knot to secure the restraints with ties (this allows for quick, easy access and release of the restraint).
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When describing organ donation to the family of a child with a terminal illness, what will the nurse include in the discussion?
During organ donation, the family's cultural and religious beliefs must be considered, and the team discussing organ donation with the family must do so in a sensitive and ethical manner. There is no financial compensation for organ donation so that the decision can made freely. The topic of organ donation should be separated from the discussion of impending death or brain death notification. Organs are harvested in a timely fashion after the declaration of death so the family need not worry about the wake or funeral being delayed.
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