For children and adolescents, the experience in pediatric emergency waiting rooms can be problematic. According to different age groups, there are a variety of psychosocial concerns and developmental considerations that health professionals should be aware of in the pediatric unit. The environment of the emergency room is busy and chaotic, which can increase the level of anxiety and stress for the whole family. For infants, toddlers, preschoolers and school-age children, parent separation is a common factor that makes them anxious (Brunnquell & Kohen, 1991). In the chaotic environment, children express their anxiety by crying, kicking or even regressive behaviors such as stop walking. Thus, there should be more family couches for patients to
A visit to the emergency department (ED) is usually associated with negative thoughts by most people. It creates preconceived images of overcrowded waiting rooms and routine long waits for treatment (Jarousse, 2011). From 1996 to 2006, ED visits increased annually from 90.3 million to 119.2 million (32% increase). During this same time period, the number of EDs has declined by 186 facilities creating the age old lower supply and greater demand concept (Crane & Noon, 2011). There are many contributing factors that have led to an increase in ED visits. A few of these key drivers include lack of primary care access, rising of the uninsured population, dwindling mental health services, and the growing elderly
Once the CCLS is aware of the reason why the patient is in the unit, they will be able to assess the methods they will use depending on the child’s condition. This will also help the other health professionals aiding the patient. With this policy, families will have the option whether to consult with the child life specialist. Doing this could touch on the psychological issues that the patient is dealing with. This can aid the mental and emotional stress that comes when dealing with major health decisions with themselves or the child’s/patient’s family member. There will be strategical procedures and programs that help children that deal with mental illnesses such as anxiety and depression. They can do interventions that were done like in the studies mentioned. For the patients that suffer with emotional and mental stress, there
The following discussion will be based on a 2year 4month old male who attended the Children’s Emergency Department (ED), accompanied by his mother. The clerking and assessment were performed by a trainee a Children’s Advanced Nurse Practitioner (CANP) with the consent of the accompanying mother. For the purpose of this discussion and to maintain confidentiality the male child will be referred to as patient A (Nursing and Midwifery Council, 2015)
Children are taken to the emergency department for various reasons, but pain is one of the most common. Habich and Letizia state, “Despite the high frequency of pain, pediatric patients are often not appropriately assessed for pain.” Nurses and other medical personnel failing to properly assess the pain in the emergency department is a problem that needs to be fixed. To resolve this problem, Habich and Letizia decided to conduct an evidence based protocol to review what ways the program needed to review.
The study sought to improve patient care in three areas. The first area was improving pain assessment documentation by introducing a standardized pediatric assessment. The second area was decreasing the time the patient received pain medication. The last area was evaluating the effect of the nursing intervention in reducing the pediatric patient’s pain at discharge via a pain scale. This study was conducted at a 35 bed level 2 emergency department in the United States. A total of 1200 EMRs were collected from pediatric patients ranging from 3 months to 6 years in age (Ramira et al., 2016, p. 43). Half of the cases were review before the
Children are not just small adults. They cannot always say what is bothering them. They cannot always answer medical questions, and are not always able to be patient and helpful during a medical examination. Pediatric surgeons know how to examine and treat children in a way that makes them relaxed and cooperative. In addition, pediatric surgeons use equipment and facilities specifically designed for children. Most pediatric surgical offices are arranged and decorated with children in mind. This includes the examination rooms and waiting rooms, which may have toys, videos, and reading materials for children. This helps create a comfortable and nonthreatening environment for your child.
A hospital is a daunting place and is often associated with pain, blood, illness and death. The uncertainty of what’s to come as well as being surrounded by unfamiliar faces and equipment can be a traumatizing experience for patients of any age. Now imagine being a child being in a place filled with strange sounds and serious conversations about things they don’t understand. Pediatric patients are faced with physical, emotional and psychosocial challenges that are consequences of being diagnosed with a chronic or acute illness. Long hospitalizations, treatments, and surgeries can leave a child feeling anxious, fearful and hopeless in an intimidating environment. Humor and distraction methods are a classified nursing intervention frequently used by pediatric nursing staff as well as large-scale hospitals, facilities and foundations. Research is being done to evaluate the responses and outcomes of using humor as a coping mechanism during the patients distressing time.
Caretakers and clients shall not be permitted poolside without a staff member who is trained in CPR/First Aid. Families who arrive to their treatment session early must wait for their therapist before entering the poolside area.
Almost weekly, we are faced hear of a large-scale crisis, as well as a low scale. The impact that these traumatic events are having on children cannot be ignored. It is becoming apparent of the ongoing need of addressing crises, trauma, and the effects on children. The need for crisis intervention services; especially for children is necessary. However, not every child who has experienced trauma needs a trauma-focused treatment. As such there are some traumatic experiences that indicate the need for an immediate referral (Myer, Peterson, & Willow 2002). For the counselor, it is important to understand the meaning of the event for the child and from there to develop and intervention plan with the goal of helping
This essay will act as an overview of interventions for accidental drownings that occur all around the United States. According to an article published in the Bull World Health Organ, drowning is defined by the following: “[…] the process of experiencing respiratory impairment from submersion/immersion in liquid” (van Beeck, Brance, Szpilman, Modell, Bierens, 2005). Drowning has become a more prominent issue in the public health world and there are interventions put in place to help. J Epidemiol Community Health journal defines intervention as, “a set of actions with a coherent objective to bring about change or produce identifiable outcomes. These actions may include policy, regulatory initiatives, single strategy projects or multicomponent
There have been various nonpharmacological strategies proposed to relieve pain in hospitalized children, and a central element of several of these strategies is play. The empirical research of play in the healthcare setting has not received much attention, however these authors believed that children during the postsurgical period would manifest less pain if they were refocused with play. This study aimed to determine the effect of a hospital program to promote play on postsurgical pain in pediatric patients. The authors believed that children distracted by play during the postsurgical period would manifest less pain than those who were not distracted by play during the postsurgical period. 95 patients (ages 1-7 years) who met predetermined criteria were eligible and participated in the study. The study contained both an experimental group and a control group and participants were randomly
It would be very difficult to communicate with the family as they arrive at the ER. There would be heightened anxiety and shock from the parents. I feel to talk slowly and in
One of children’s biggest fears when going to a hospital is the thought of pain, and they have a legitimate reason for this. According to Hockenberry (2013):
The emergency room is a difficult and trying place, as individuals can experience a plethora of emotions before, during, and after their treatment. This film illustrated several common themes within this setting, provided educational information about public health care, and demonstrated several skills I plan to use in practicum and post- graduation.
One of the main issues in today’s society is the usage of the emergency department. For many individuals, the emergency department is used as a day to day health care facility instead of the urgent care that it should be. But then again, what is the emergency department and how is it being used? It is a section in the hospital where patients come to be seen whether it is for critical and/or non-critical reasons.