EXAM 1 STUDY GUIDE INTRO TO PEDIATRICS/FAMILY/CHRONIC ILLNESSES

INTRO TO PEDIATRICS/FAMILY/CHRONIC ILLNESSES: Describe atraumatic care Eliminating or minimizing the pain and/or psychological stress of receiving care 3 Principles: Prevent or minimize child’s separation from family Allowing parents present during a code; performing an assessment while child is in parent’s arms Promote a sense of control 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 Do labs now or in morning, combining sticks Identify the essential elements of the transition to parenting Parental age 18-35 “ideal” age 30-44 yrs is on the increase 20-29 yrs is on the decrease Father involvement Or another involved adult; another man; non-biological father; same-sex relationships Parenting education How prepared were the parents? Baby classes? Books? Education level? High school or college education? 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 Other factors Describe the role that effective discipline plays in a child’s development Discipline needs to be developmentally appropriate not necessarily ‘age’ appropriate TIMING COMMITMENT PLANNING Children want/need limits set for them even in hospital setting Children need encouragement and modeled appropriate behavior whether child is ill or not Need CONSISTENCY between caregivers Before child reaches 4,5 and 6 years of age when a child may experience embarrassment—child should be disciplined in PRIVATE FLEXIBILITY/PLANNING—need a plan but plan may not be right for particular incidence; plan may not be right for every child BEHAVIOR ORIENTATION—behavior is bad, not the child TERMINATION—when the crime has been done and the punishment paid, DO NOT continue to bring it up. It’s over and done with Stages of divorce Acute Phase Make the decision Legal steps Transitional Phase Unfamiliar roles and relationships Many changes Living arrangements Decreased standard of living Stabilizing Phase Reestablish a functioning family unit