The child Through ongoing contacts with the child, the nurse  Observes the child’s responses to the disorder, ability to function, and adaptive behaviors within the

Supporting family’s coping methods Parents Developing successful parent-professional partnerships Promote primary nursing; in nonhospital settings, designate a case manager. Acknowledge parents’ overall competence and their

Provide support at the time of diagnosis Situations requiring special consideration Congenital Anomaly Tension in the delivery room conveys the sense that something is seriously

Nursing Care of the family and child with a chronic or complex condition Assessment Affecting of factors affecting family adjustment   Factors Affecting Adjustment Assessment

Coping mechanisms Children with more positive and accepting attitudes about their chronic illness use a more adaptive coping style characterized by optimism, competence, and compliance.

The Child with a Chronic or Complex Condition Developmental aspects   Developmental Tasks Potential effects of Chronic illness or Disability Supportive Intervention Infancy Develop a

Assessing coping behaviors Approach behaviors Asks for information regarding diagnosis and child’s present condition Seeks help and support from others Anticipates future problems; actively seeks

The Familly of the Child with a Chronic or Complex Condition Adaptive tasks of Parents having children with chronic conditions Accept the child’s condition. Manage

Impact of Chronic Illness, Disability, or End-of-Life Care for the Child and Family Scope of the problem Increasing viability of preterm infants Portability of life-sustaining

Complementary pain medicine Classification of complementary and alternative medicine Biologically based Manipulative treatments Energy based Mind-body techniques Alternative medical systems Nursing Actions Assess pain thoroughly

Complications Chronic and Recurrent Pain Assessment Pain that persists for 3 months or longer than the expected period of healing Complex regional pain syndrome Chronic

Side effects of Opioids General Constipation (possibly severe) Respiratory depression Sedation Nausea and vomiting Agitation, euphoria Mental clouding Hallucinations Orthostatic hypotension Pruritus Urticaria Sweating Miosis