TEACHING PLAN

SUBJECT: HOSPITALIZATION and the CHILD

TOPIC: THE EFFECTS OF HOSPITALIZATION ON THE CHILD

DATE: Wednesday 01/05/13

VENUE: Playroom in Winston Ward

TIME: 1:30 – 2:00 pm

DURATION: 30 Minutes

PRESENTER: R. Roberts ASGN1,

AUDIENCE: Nurses of Winston Ward

NUMBER OF PERSONS: approx. 6

METHODOLOGY: Interactive discussion, Question and Answer, Lecture

TEACHING AIDES: pictures with scenarios,

AIMS/GOALS: to give nurses the information - of how hospitalisation can affect children

- that can assist them in improving child care

OBJECTIVES:

1. Explain what is meant by Hospitalisation and Child

2. Explain the normal stressors of and response to hospitalization in children

3. Discuss the three stages of separation in children

4. Discuss nursing interventions to address the child’s response to hospitalization

and separation

OBJ. # CONTENTS TIME TEACHER’S

ACTIVITY

LEARNERS

ACTIVITY

EVALUATION

Introdu-

ction

&

Ice-

breaker

Introduce self and topic 2min Introduce self

and topic

Answer

questions

posed and

interact with

presenter

#1 Hospitalization: The act

of placing someone in a

hospital for treatment,

diagnosis or observation

(Encarta, 2008)

Child: a young human

between birth and

adolescence (birth –

13/15)

2

mins.

Ask group for

their

understanding

of the terms and

then give

definitions

Give

understanding

of terms and

listen to

definitions

Nurses will be

able to define

the terms

correctly

(allowing for

personal

understanding

)

#2 Normal stressors: Fear

of the unknown,

Separation anxiety, Fear

of pain, Loss of control

Response: Anxiety,

Anger, Guilt, Regression,

depression, isolation,

violence

Toddler: regression,

6

mins

Ask group for

expected

stressors and

responses of

hospitalized

children. State

and briefly

explain normal

stressors and

their responses

Give expected

stressors and

responses.

Listen

Nurses will be

able to identify

two stressors

and two

responses

protest, anxiety

Preschooler: unco-

operative, crying, guilt

and shame

School-age child: desire

for involvement, fear of

pain, seeks reasoning

in children.

#3 Bowlby, 1953

Protest: loud crying,

screams for mother, and

may hit, bite and kick in

outrage, physically attack

strangers, rejects

attention of the nurse,

tries to escape to find

parent, clings to parent,

physically tries to force

parents to stay,

Despair: May begin

within an hour to days

following separation.

Crying stops, child looks

sad, becomes sorrowful.

Thumb sucking, refuse

to make eye contact,

become depressed,

8

mins.

Utilizing

scenario, ask

group to give

expected

behaviour in

each phase,

lead discussion,

give info,

answer

questions.

Give expected

behaviour for

child during

hospitalization

using scenario

as guide.

Discuss, ask

questions

Nurses will be

able to give

two examples

of each stage

of separation

during

hospitalization

disinterested in the

environment,

uncommunicative, loss of

newly learned skills;

regression

Detachment: represses

all feelings and images of

mother, Child becomes

more interested in

surroundings, plays with

others and forms new

relationships.

# 4 Nursing interventions:

Employ veracity,

encourage parental

inclusion in child care,

encourage continuation

of home routines where

possible, be supportive

and understanding,

encourage

independence, explain

behaviour to parent,

prepare child for all

procedures, follow painful

8

mins

Allow nurses to

suggest

interventions

and reasons for

same. Give your

own where

necessary. Lead

discussion.

Give nursing

interventions

for separation

and stress

responses.

Discuss. Ask

questions

where

clarification is

needed

Nurses are

able to give

five correct

nursing

interventions

procedures with

pleasurable activities,

allow expression of

feelings, care for child

holistically

conclus

ion

Summary of points above 4

mins

Ask questions to

nurses about

what was learnt;

allow discussion

and addition of

points by nurses

to facilitate

discussion,

review key

points.

Answer

questions and

discuss what

was learnt in

the teaching

All questions

will be

adequately

answered.

Participation in

class

discussion.

BIBLIOGRAPHY

As cited by B. Fontaine. (2012) From, Mott, R.S., James, R.S., & Sperhac, H. A. (1990).

Nursing Care of Children & Families (2nd edition).Cummings Publishing company.

Canada

Encarta Dictionaries. (2008). Microsoft Corporation.

Encarta Encyclopaedia. (2008). Child Development. Microsoft Corporation.

Kozier, B., Erb, G., Berman, A., & Snyder, S. (2004). Fundamentals of Nursing

Concepts, Process and Practice (7th Edition ed.).