Distraction Techniques for Atraumatic Pediatric Care
School
Kenya Medical Training Centre (KMTC)**We aren't endorsed by this school
Course
ECON HBO 0100
Subject
Nursing
Date
Dec 11, 2024
Pages
5
Uploaded by KidTankAntelope33
Cognitive Level: Apply Integrated Process: Caring Page and Header: 1069 Table 30.1 Suggestions for Atraumatic Care 23.A medic is assisting the well being care provider with suturing a laceration on a preschooler's leg. What distraction methods can the medic perform to promoteatraumatic care? Select all that apply. A)Ask the child to squeeze the medic's hand. B)Sing a song and have the child sing along. C)Have the child blow bubbles. D)Allow the child to play with surgical instruments. E)Let the child suture a doll. Ans: A, B, C Feedback: Distraction methods for preschoolers include asking the child to squeeze the medic's hand, encouraging the child to count aloud, singing a song and having the child sing along, pointing out any pictures on the ceiling, having the child blow bubbles, and a b ir b . c o m /t e s tplaying music appealing to the child. Suturing a doll or p l a y i n g w i th surgical instruments would be activities better suited for school-age children. Format: Multiple Select Patient Needs: Psychosocial IntegrityCognitive Level: Apply Integrated Process: Caring Page and Header: 1069 Table 30.1 Suggestions for Atr aaub irmb .caotmi/ctesCtare 24.A 10-year-old child with sickle-cell anemia is frequently in the pediatric center of a hospital. What intervention can the medic provide that awb i ir bll. cao mll/ot ews t the child the sense of control that meets the goals promotes atraumatic care? A)Advocate for minimal laboratory blood draws. B)Promote family-centered care. C)Provide appropriate pain management. D)Maintain the child's home routine related to activities of daily living. Ans: D Feedback: Page 21
abirb.com/test To promote a sense of control that meets the goals of atraumatic care, the medic would attempt to maintain the child's home routine related to activities of daily living. In the hospital, the medic would use primary nursing. The medic would encourage the child to have a security item present if desired. Other mea bai rsb u. c ro em s/ t e sint clude involving the child and family in planning care from the moment of the first encounter, empowering them by providing knowledge, allowing them choices when available, and making the environment more inviting and less intimidating. The nuarbsi reb . cco om u/ t elsdt advocate for minimum blood draws, but with the child's disease this will likely not happen. The medic can help the child with reassurance and topical pain medication for laboratory draws to prevent the discomfort of multiple needle sticksa.bTirbh.ceosme/teastctions, however, do not offer the child a sense of control. Page 22
Format: Multiple Select Patient Needs: Well being Promotion and MaintenanceCognitive Level: Understand Integrated Process: Nursing Process Page and Header: 1082, Principles of Well being Supervision 1.The medic is caring for children in a well beingcare provider’s office where well being supervision is practiced. Which are some points of focus aobfi rbh.ceoaml/ttehstsupervision? Select all that apply. A)Making referrals for all well beingcare needs B)Monitoring disease incidence C)Optimizing the child’slevel of functioning D)Monitoring quality of care provided E)Teaching parents to prevent injury F)Providing care developed from national guidelines Ans: C, E, F Feedback: Well being supervision involves providing services proactively, with the goal of optimizing the child’s level of functioning. It ensures the child is graobwi r bi. nc ogm / at e ns t ddeveloping appropriately and it promotes the best possible well being of the child by teaching parents and children about preventing injury and illness (e.g., proper immunizations and anticipatory guidance). The framework for the well being supervision visit is developed from national guidelines available through t haeb irUb..cSom. /tDesetpartment of Well being and Human Services (DHHS), the American Medical Association (AMA), and the American Academy of Pediatrics (AAP). Making referrals and monitoring disease incidence and quality of care provided may occur with t ahbiisr b.mc omo/dt esetl , but they are not key focal points. Format: Multiple Choice Patient Needs: Safe, Effective Care Environment: Management of Care Page 1 Chapter 31
Cognitive Level: Understand Integrated Process: Nursing Process Page and Header: 1082, Medical Home, Box 31.1 2.The medic is providing care for children in a pediatric medical home. What is a characteristic of care in these types of facilities? A)All insurance except Medicaid is accepted. B)Ambulatory care is not provided C)A centralized database contains all child information. D)Continuity of care is provided from infancy through adulthood. Ans: C Feedback: In a medical home, a centralized database contains all pa bei rrb t. cionme/ tne stt information. All insurance including Medicaid is accepted in the medical home and ambulatory care is provided. Continuity of care is also provided from infancy to adolescence. Format: Multiple Choice Patient Needs: Well being Promotion and MaintenanceCognitive Level: Apply Integrated Process: Teaching/Learning Page and Header: 1082, Wellness 3.The medic is preparing a presentation to a local parent group about pediatric well being supervision. Which would the medic emphasize as the focus? A)Injury prevention B)Wellness C)Well being maintenance D)Developmental surveillance Ans: B Feedback: Page 2
a b i r b .c o m / t es tThe focus of pediatric well being supervision is wellness. Inj u r y a n d disease prevention, well being maintenance and promotion, and developmental surveillance are all critical components of wellness. Format: Multiple Choice Patient Needs: Safe, Effective Care Environment: Management of CareCognitive Level: Understand Integrated Process: Teaching/Learning Page and Header: 1082, Medical Home 4.Alarge portion of the medic’sefforts is dedicated to well being supervision for childrenwho use the facility as their primary medical contact. At which facility does the medicwork? A)An urgent care center B)A pediatric practice C)A mobile outreach immunization program D)A dermatology practice Ans: B Feedback: A pediatric practice is most likely to fulfill the characteristics for primary care, also known as a medical home. An urgent care center does not provide preventative care activities. Mobile outreach would not provide for any caraebirrbe.cqomu/itreisntg hospitalization. A dermatology practice is unlikely to provide service outside its area of specialization. Format: Multiple Choice Patient Needs: Safe, Effective Care Environment: Mana gabeirmb .ceomn/ttesotf Care Cognitive Level: Apply Integrated Process: Culture and Spirituality Page and Header: 1083, Cultural Influences on Well being Supervision Page 3