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.
Risk for Trauma
- Risk for Trauma
May be related to
- Developmental age
- Insufficient knowledge and cognitive immaturity putting the child to risk to safety hazards in the environment
Possibly evidenced by
- Developmental age
- Developmental delays
- Disturbances in gait, vision, hearing, perceptual or cognitive functioning
- Child will participate in appropriate play without injury.
- Parent will verbalize safety considerations related to toys/games.
|Assess age of child and rationale for|
choose type and article of play, and intended purpose of play.
|Provides information needed to select appropriate toy or activity for play based on age: infants grasp and hold articles and stuffed toys; young child plays with replicas of adult tools and other toys, plays pretend, and later moves from toys to games, hobbies, sports; older child continues with games and sports and begins to daydream; play provides fun, diversion, and learning about procedures for the child who is hospitalized.|
|Encourage play and allow parents to bring favorite toy, game or other play materials from home.||Promotes learning and skill development, and facilitates expression of feelings.|
|Encourage the child to communicate the desired type of toy and to help in the choice of toys and play activities.||Facilitates independence and control over play situation.|
|Select safe toys appropriate for age and number of activity allowed and that goes well with the child’s skills and interest.||Provides guidelines for quiet play or play that involves motor activity.|
|Plan and execute an age-appropriate play activity to prepare the child for all invasive procedures, to observe child’s behavior, or to allow child to express fears and concerns with or without someone in attendance.||Promotes therapeutic play with a selection of toys and articles that include dolls or puppets (nurse, doctor, child, family members); hospital supplies (syringe, dressings, tape, tubes); paper, crayons, and paints; stuffed toys, toy telephone; prepares the child emotionally and cognitively for invasive procedures; nurtures appropriate coping strategies.|
|Eliminate all dangerous, sharp, broken toys, toys with small parts that can be swallowed, toys inappropriate for|
|Avoids trauma or injury to the child.|
|Educate parents to choose toys, play|
equipment, and supplies appropriate for an age group; nontoxic and flame resistant with directions for use; that are durable and do not have sharp edges or points; that do not have small parts that can be swallowed; that do not
contain any parts to be removed; and that are not broken, rusted, or weak and need repairs.
|Promotes safe play for the child.|
|Educate parents in separating play materials meant for older children and young child so to provide a safe place for toys, to discard or repair broken toys.||Avoids accidents caused by toys in pathways or by toys intended for older, more mature play.|
|Educate parents in choosing play activity based on child’s energy and tolerance level during an illness, and in assessing toys given as gifts to the child.||Provides the enjoyment of active or passive play that is geared to child’s condition.|
Recommended nursing diagnosis and nursing care plan books and resources.
- Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition)
An awesome book to help you create and customize effective nursing care plans. We highly recommend this book for its completeness and ease of use.
- Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
A quick-reference tool to easily select the appropriate nursing diagnosis to plan your patient’s care effectively.
- NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023 (12th Edition)
The official and definitive guide to nursing diagnoses as reviewed and approved by the NANDA-I. This book focuses on the nursing diagnostic labels, their defining characteristics, and risk factors – this does not include nursing interventions and rationales.
- Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates
Another great nursing care plan resource that is updated to include the recent NANDA-I updates.
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM))
Useful for creating nursing care plans related to mental health and psychiatric nursing.
- Ulrich & Canale’s Nursing Care Planning Guides, 8th Edition
Claims to have the most in-depth care plans of any nursing care planning book. Includes 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans.
- Maternal Newborn Nursing Care Plans (3rd Edition)
If you’re looking for specific care plans related to maternal and newborn nursing care, this book is for you.
- Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (7th Edition)
An easy-to-use nursing care plan book that is updated with the latest diagnosis from NANDA-I 2021-2023.
- All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (5th Edition)
Definitely an all-in-one resources for nursing care planning. It has over 100 care plans for different nursing topics.
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch.
- Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
Other 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