Nursing care of the family

    • Nursing care of the family
      • Supporting family members
        • Supporting Siblings During Hospitalization
        • Trade off staying at the hospital with spouse or have a surrogate who knows the siblings well stay in the home.
        • Offer information about the child’s condition to young siblings as well as older siblings; respect the sibling who avoids information as a means of coping with the situation.
        • Arrange for children to visit their brother or sister in the hospital if possible.
        • Encourage phone visits and mail between brothers and sisters; provide children with phone numbers, writing supplies, and stamps.
        • Help each sibling identify an extended family member or friend to be their support person and provide extra attention during parental absence.
        • Make or buy inexpensive toys or trinkets for siblings, one gift for each day the child will be hospitalized.
          • Wrap each gift separately, and place them in a basket, box, or other container at the child’s bedside.
          • Instruct siblings to open one gift at bedtime and to remember that he or she is in their parent’s thoughts.
        • If the child’s condition is stable and distance is not prohibitive, plan a special time at home with the siblings or have spouse or another relative or friend bring the children to meet parent(s) at a restaurant or other location near the hospital.
          • Have extended family members or friends schedule a visit to the child in the hospital during parental absence.
          • Arrange a pass for the child to leave the hospital to join the family if the child’s condition permits.
      • Providing information
        • The disease, its treatment, prognosis, and home care
        • The child’s emotional and physical reactions to illness and hospitalization
        • The probable emotional reactions of family members to the crisis.
      • Encouraging parent participation
      • Preparing for discharge and home care
        • In planning appropriate teaching, nurses need to assess 
          • The actual and perceived complexity of the skill
          • The parents’ or child’s ability to learn the skill
          • The parents’ or child’s previous or present experience with such procedures.

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