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Pedro Custódio

HOSPITALIZATION IN CHILDREN. Pedro Custódio. HOSPITALIZATION IN CHILDREN. In many countries, half of the children have been hospitalized at least once, during childhood 10-30% of the children under 18 years old, have suffered a chronic disease. PAST VS NOWADAYS.

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Pedro Custódio

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  1. HOSPITALIZATION IN CHILDREN Pedro Custódio

  2. HOSPITALIZATION IN CHILDREN • In many countries, half of the children have been hospitalized at least once, during childhood • 10-30% of the children under 18 years old, have suffered a chronic disease

  3. PAST VS NOWADAYS • In the last 50 years much have been improved, in children’s hospitalizing conditions • Deprivation of hospitalized children is being replaced by an overstimulation • Better prepared professionals and more adequated environment is available

  4. Search for an adequated environment • Concerning: • Architecture – e.g. opened rooms and play rooms • Emotional environment – children are allowed to bring their toys; Flexible visiting hours Parents are often allowed to room-in All of these in order to normalize the children’s hospital life However it’s still an emotional issue

  5. Factores influencing the NEGATIVE effects 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

  6. Factores influencing the POSITIVE effects of hospitalization • Enabling the child to become a “hero” afterwards • New contacts with different situations • Make temporary new friends during hospitalization

  7. How is Hospital? • The first approach is extremely important for future hospitalization • The idea of a hospital should be something positive/pleasant

  8. Psychological preparation • The aim is to prepare children and specially the family – to general hospitalization, specific medical procedures or preparation to severe chronic illness or it’s treatment • The most frequent measures to accomplish general preparation are: • Guided tours around the hospital • Modelling videos about hospital • Realistic preparation should be used

  9. Psychological help for children with chronic illness • Firstly, it is not just the children who may need help, PARENTS TOO • Psychologists should be consistently present on wards and staff should be more careful with them

  10. Summary • It seems important not to exaggerate nor undervalue hospitalised child – for the many children who have no problem in the hospital, too much care might be harmful • How each child is treated is individualistic, and generalization could be a mistake • Most children are able to manage problems, and have no long lasting effects, partly thanks to naivety • Important not to over pamper child who has been admitted for simple routine • Excessive concern can work the other way- anxious over a simple procedure • Specially attention should be given to children with chronically ill, and they should be closely monitored

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