NCP Hospitalized Child

INTRODUCTION

Hospitalization of the child, whether it involves a short-term hospital admission, surgery, a follow-up evaluation, or repeated hospitalizations for a chronic illness or episode, creates a crisis for the child and family. Responses to hospitalization are related to the developmental level of the child but generally include fear of separation, loss of control, injury, and pain. The ease of transition from home to the hospital depends on how well the child has been prepared for it and how the child's physical and emotional needs have been met. Supporting the family, providing them with information, and encouraging their participation in the child's care contributes to the adjustment and well-being of all concerned.

COMMON NURSING DIAGNOSES

DISTURBED SLEEP PATTERN
Related to: Physiologic factors related to illness and psychological stress, external factors of environmental changes.
Defining Characteristics: Interrupted sleep, irritability, restlessness, lethargy, disorientation, fatigue, pain, separation anxiety, side effects of
medication (nausea, vomiting, diarrhea) (specify for child).

IMPAIRED PHYSICAL MOBILITY
Related to: Pain and discomfort; neuro or musculoskeletal impairment (specify).
Defining Characteristics: Imposed restrictions of movement or activity, imposed bed rest, limited strength, endurance, weakness, fatigue, drainage tubes and IV catheters; disturbances in gait, vision, equilibrium (specify).

IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS
Related to: Loss of appetite; lack of interest in food; alteration in taste; inability to ingest, digest or absorb nutrients; nausea; vomiting; diarrhea; constipation; abdominal pain; oral ulcers (specify).
Defining Characteristics: Weakness, fatigue, anxiety, anorexia, illness, lack of interest in eating (specify behavior).

DELAYED GROWTH AND DEVELOPMENT
Related to: Separation from significant others; environmental and stimulation deficiencies; effects of repeated hospitalizations; social isolation; sensory and/or motor delays (specify).
Defining Characteristics: (Specify, e.g., inability to perform self-care or self-control activities appropriate for age; regressive behavior; fear of unfamiliar environment and treatments; feelings of inferiority; low self-esteem, or alterations to body image.)