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.
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:
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
- Desire for something to do because of inability to perform usual hobbies and activities
- Child will participate in age-appropriate activities within limitations imposed by illness.
|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.|
You may also like the following posts and care plans:
- Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! Get the complete list!
- Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing interventions with rationale.
Pediatric Nursing Care Plans
Nursing care plans for pediatric conditions and diseases:
- Acute Glomerulonephritis | 4 Care Plans
- Acute Rheumatic Fever | 4 Care Plans
- Apnea | 4 Care Plans
- Brain Tumor | 3 Care Plans
- Bronchiolitis | 5 Care Plans
- Cardiac Catheterization | 4 Care Plans
- Cerebral Palsy | 7 Care Plans
- Child Abuse | 4 Care Plans
- Cleft Lip and Cleft Palate | 6 Care Plans
- Congenital Heart Disease | 5 Care Plans
- Congenital Hip Dysplasia | 4 Care Plans
- Croup Syndrome | 5 Care Plans
- Cryptorchidism (Undescended Testes) | 3 Care Plans
- Cystic Fibrosis | 5 Care Plans
- Diabetes Mellitus Type 1 (Juvenile Diabetes) | 4 Care Plans
- Dying Child | 4 Care Plans
- Epiglottitis | 5 Care Plans
- Febrile Seizure | 4 Care Plans
- Guillain-Barre Syndrome | 6 Care Plans
- Hospitalized Child | 5 Care Plans
- Hydrocephalus | 5 Care Plans
- Hypospadias and Epispadias | 4 Care Plans
- Intussusception | 3 Care Plans
- Juvenile Rheumatoid Arthritis | 4 Care Plans
- Kawasaki Disease | 6 Care Plans
- Meningitis | 7 Care Plans
- Nephrotic Syndrome | 5 Care Plans
- Osteogenic Sarcoma (Osteosarcoma) | 4 Care Plans
- Otitis Media | 4 Care Plans
- Scoliosis | 4 Care Plans
- Spina Bifida | 7 Care Plans
- Tonsillitis and Adenoiditis | 4 Care Plans
- Umbilical and Inguinal Hernia | 4 Care Plans
- Vesicoureteral Reflux (VUR) | 5 Care Plans
- Wilms Tumor (Nephroblastoma) | 4 Care Plans