Hospitalization in Children

Prepared by Raveen Isamel Abdullah

B.CS.in Nursing Hawler medical university

College of nursing 2016-2017

Outlines

• Definition of Hospitalization

• Purpose of Hospitalization

• Preparation before child admission to hospital

• Hospital Admission

• Discharge plan of care

• Risks of hospitalization

• factors influencing the negative effects of

hospitalization

• factors influencing the positive effects of

hospitalization

Objectives

The aim of this seminar is to :

1. Reveal a clear picture of the meaning of hospitalization in children.

2. Show the steps taken prior ,during and after hospitalization .

What is hospitalization ?

Hospitalization is admittance to the hospital as a patient.

Purpose of hospitalization

Patients are admitted to the hospital for a variety of reasons, including:

1. Scheduled tests.2. Procedures. 3. Surgery.4. Emergency medical treatment. 5. Administration of medication.6. To stabilize or monitor an existing condition.

Preparation

• Parents should describe and explain, as honestly and thoroughly as possible, what will happen to the child in the hospital.

• Teens should be given an honest explanation of what to expect during their hospital stay.

• Hospitalized teen should be included in the discussions about their care.

• should be encouraged to ask their health care providers questions.

• learning about the hospital.

• Making sure the child is healthy (physical assessment and taking history )

• Selecting a family spokesperson

Hospital admission

• For planned hospitalizations, the parents register their child at the hospital registration or admitting area.

• For emergency hospital admissions, the parents register their child in the emergency department.

• The parents are required to complete paperwork and show an insurance card, if insured.

• A health care provider will review an informed consent form with the parents, and they will be asked to sign it.

• Informed consent is an educational process between health care providers and patients or their guardians.

• Parents are encouraged to ask questions.

Hospital admission

• Before signing the form, the parents should understand the nature and purpose of the child's hospital stay and medical treatment, the risks and benefits, and alternatives, including the option of not proceeding with the medical treatment.

• Signing the informed consent form indicates that the parents permit a treatment to be administered to their child.

Hospital admission

• Upon admission, an identification bracelet that includes the patient's name and doctor's name will be placed on the child's wrist.

• The child may wear his or her own pajamas, or a hospital gown, depending on the hospital and nursing unit's policy.

• A nurse usually consults with the parents to learn about the child's dietary restrictions or preferences. Daily menu choices are available

Hospital admission

Risks

• The risks of hospitalization are related to the type of treatment or procedure the child will be having.

• Every procedure has risks, which the parents should discuss with the child's doctor and health care team.

• Parents should make sure they understand the potential risks of any procedure prior to signing the informed consent form.

• Nosocominal infections • Communicable disease

Factors influencing the NEGATIVEeffects of hospitalization

• Isolation from the family

• Fantasies, anxiety and fears from the new

environment

• Social deprivation ( nowadays no longer a

reality)

• Pain and other complications of illness, surgery

and stressful medical procedures

• Fears of disablement and death

Factors influencing the POSITIVEeffects of hospitalization

• Enabling the child to become a “hero” afterwards

• New contacts with different situations

• Make temporary new friends during

hospitalization

Aftercare

• Before the child leaves the hospital, the health care providers will review discharge instructions with the child and parents.

• These instructions include incision care, signs of infection or complications to watch for, information on when to call the doctor, medication guidelines, activity guidelines, dietary restrictions, information about when the child may return to work or school, a follow-up appointment schedule, and other specific instructions as applicable to the patient's condition.

• Follow-up appointments may be scheduled, and the necessary prescriptions will be given to the parents.

References

Salo, David, M.D., Ph.D. "Hospital Admissions." Emedicine Consumer Health. 2003. Available online at: http://www.emedicinehealth.com/fulltext/11983.htm. Angela M. Costello

Read more: http://www.healthofchildren.com/G-H/Hospitalization.html#ixzz4fzGGJg1D