The child''s response to hospitalization, Biology

The Child's Response to Hospitalization 

The  factors influencing the response of  the child to hospitalization are the child's age, his personality, the preparation he received before hospitalization and his previous experiences with health professionals and the hospital environment. The  severity of his illness and length of his hospital stay also affect his response. The greatest influence, however, tend to be how his parents respond to his hospitalization and how health professionals approach him. 

Babies under six months of age tend to show less anxiety than in  later months. Children from around six months to four years show the maximum adverse effects of separation and the stress of hospitalization. 

Robertson has coined the term setting in to describe how young children react to the stress of hospitalization. The first stage is protest. The child has a strong conscious need for his caretaker, and cries intensely when the caretaker leaves, does not accept the attempts of nurses or staff to comfort him, and will go  to the farthest comer of his bed or crib to avoid their contact. The second stage is despair. The child still has a conscious need for his caretaker, but when that person does not come the child cries monotonously. The child becomes less active, withdraws and becomes apathetic. He may sob intermittently, rock back and forth, or engage in other repetitive behaviors. The third stage is denial. The child shows more interest in his surroundings, related to the nurses and staff as well as to other children, and is perceived by other as happy. This behaviour may be interpreted to mean that the child is  setting in and adjusting well to  the hospital. When the young child is allowed to progress through all three steps of "setting in" behaviour, he is in danger of experiencing long-term negative effects. 

Wolff  found that certain children are more vulnerable. These are:  

  1. Only children 
  2. Youngest children 
  3. Living with extended families 
  4. Those with a history of responding poorly to strangers 
  5. Those who have experienced recent trauma 
  6. Those who are exposed  to other people only rarely 

Children with a history of poor adjustment  tend  to respond most adversely  to hospitalization. Children who have major physiologic stresses such as burns, malignancies requiring mutilating surgery, or chronic illness requiring frequent hospitalization are also more vulnerable to the traumatic effects of hospitalization.

Regardless of their age, most children will react to hospitalization with regression. The child's  response to procedures and pain, fears about procedures and  pain result in stress for both the child and his parents. Often misconceptions exist about the purpose of  the procedure and what  is to be done.  

Posted Date: 10/26/2012 7:21:09 AM | Location : United States







Related Discussions:- The child''s response to hospitalization, Assignment Help, Ask Question on The child''s response to hospitalization, Get Answer, Expert's Help, The child''s response to hospitalization Discussions

Write discussion on The child''s response to hospitalization
Your posts are moderated
Related Questions
Q. Is it correct to consider water decomposition by the action of light the fundamental of the photosynthesis process? In addition ADP photophosphorylation, photic energy is al

Q. What is Supraventricular Arrhythmias? Such arrhythmia tend to be reduced by the vagal withdrawal accompanying the onset of exercise.This and wandering pacemakers tend to rec

Q Is the tubular-dorsal nervous system of chordates associated to radial or lateral symmetry? How does that explain the complexity level of the nervous system reached by the verteb


Normal 0 false false false EN-IN X-NONE X-NONE

Explain what is DNA? DNA : DNA is the source of the information that directs the development of the cell. Although all segments of DNA are not active in every cell in the huma

Explain the relationship between an agonist muscle and its antagonist as it relates to positional control, functional movement and neuromuscular activation. For example, how the th

Many definitions of species have been offered, but none of them proved to be satisfactory. The definitions did not categorically provide the basis to decide whether two similar gro

Q. What do you mean by syphilis? The Syphilis, as well known as lues, is a disease caused by the bacteria Treponema pallidum. Before the invention of penicillin, syphilis was a

what is respiration in animals ,its functions ,types of respiration