5 Hospitalized Child Nursing Care Plans

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Whether it is a brief hospital admission, a follow-up check-up, surgery, or recurrent hospitalizations due to chronic illness, a child who is hospitalized creates a crisis within the family. Child’s responses to hospitalization are associated to the developmental level but usually include fear of separation, loss of control, injury, and pain.

The smoothness of transition from home to the hospital relies on how well the child has been prepared for it and how the child’s physical and emotional needs have been satisfied. Providing support to the family, supplying them with information, and empowering their participation in the child’s care adds to the adjustment and well-being of all concerned.

Nursing Care Plans

The major nursing care plan goals for a child who is hospitalized include increased ability to perform self-care activities, relief of anxiety, and an increased sense of power of family in making decisions and absence of injury.

Here are five (5) nursing care plans (NCP) and nursing diagnosis (NDx) for hospitalized child:

  1. Self-Care Deficit
  2. Deficient Diversional Activity
  3. Anxiety
  4. Powerlessness
  5. Risk for Trauma
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Deficient Diversional Activity

Deficient Diversional Activity: Decreased stimulation from (or interest or engagement in) recreational or leisure activities

May be related to

  • Environmental lack of diversion
  • Long-term hospitalization.

Possibly evidenced by

  • Boredom
  • Desire for something to do because of inability to perform usual hobbies and activities

Desired Outcomes

  • Child will participate in age-appropriate activities within limitations imposed by illness.
Nursing InterventionsRationale
Assess type of activities permitted and desired and amount of motor activity required; check medical protocol for bed rest or limitations imposed by illness.Provides information about type of activities and play to suggest.
Schedule care and treatments to allow for play activities.Provides an opportunity for play and diversion.
Place the child in a room with another child of same age if possible.Encourages interaction and diversion while being hospitalized.
Show playroom to the child and introduce
child and family to other children and families with a similar ailment.
Provides a familiar environment for the child.
Encourage family to play or interact with the child.Promotes diversion for the child.
Instruct parents to bring child’s favorite toys or articles for play.Promotes diversionary activity.
Provide age-appropriate play activities according to the amount of energy of child and activity allowed, including quiet play with games, television, reading, soft
toys, favorite toys.
Prevents fatigue emerging from overactivity while ill and in need of rest and quiet.
Provide play activities that include educational needs for a school-age child; bring school-work from home if appropriate.Promotes therapy that includes educational needs.
Teach parents and child of the need to  monitor activities and rest although still allowing for play and interactions with others.Prevents fatigue during the acute phase of illness.
Refer to a play therapist for assistance
in designing activities and assessing child’s play needs as needed.
Promotes age-appropriate diversionary activities.
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See Also

You may also like the following posts and care plans:

Pediatric Nursing Care Plans


Nursing care plans for pediatric conditions and diseases: 

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