Chapter 30: Atraumatic care

Question 1

a specially trained individual who provides programs that prepare children for hospitalization, surgery, and other procedures that could be painful

Answer 1

Child life specialist

Question 2

Nursing actions to prevent or lessen physical stressors

Answer 2

• numbing agent before invasive procedures
• before a stressful procedure, avoid traditional restrains. instead, use theraputic hugging or something or have the parent stand near the child
• use of saline locks
• advocate for minimal laboratory blood draws

Question 3

Nursing actions to minimize family separation

Answer 3

• family centered care
• provide accommodations for parents
• allow the family the choice to stay in an invasive procedure

Question 4

nursing actions to promote sense of control

Answer 4

• maintain child’s home routine
• give child comfort item if desired
• involve child and family in planning care

Question 5

Nursing actions pre-procedure to reduce stress

Answer 5

• explain why it is to be done
• explain where it is to be done
• introduce equipment
• describe how long the procedure will last and any sensation that can be felt in procedure (including pain)
• tell the child it is okay to cry and yell
• identify any special care or positions before the procedure
• encourage the use of distractions and relaxation techniques
• demonstrate on toys during play

Question 6

Nursing actions to communicate effectively with infants

Answer 6

• respond to crying
• allow for time to warm up to you
• use soothing and calming tone
• talk to infant directly
• communicate through play

Question 7

Nursing actions to communicate effectively with toddlers

Answer 7

• approach carefully
• used toddler’s preferred words
• toddlers enjoy stories, dolls, and books
• use parallel play
• prepare toddlers for procedures just before they are about to occur

Question 8

Nursing actions to communicate effectively with preschoolers

Answer 8

• use play, puppets, and story telling
• speak honestly
• use simple and concrete terms
• ask specific questions
• allow the child choices

Question 9

Nursing actions to communicate effectively with schoolaged

Answer 9

• use diagrams, illustrations, book, videos
• use third party stories
• allow the child to ask questions

Question 10

Nursing actions to communicate effectively with adolescents

Answer 10

• privacy and confidentiality

- nonjudgmental