{"id":214,"date":"2015-12-10T15:45:05","date_gmt":"2015-12-10T15:45:05","guid":{"rendered":"http:\/\/brooksidepress.org\/ob-ped\/?page_id=214"},"modified":"2023-08-20T22:11:26","modified_gmt":"2023-08-20T22:11:26","slug":"3-07-approaching-the-injured-or-sick-child","status":"publish","type":"page","link":"https:\/\/brooksidepress.org\/ob-ped\/lessons\/lesson-3-pediatric-emergencies\/section-iii-special-considerations-of-the-ill-or-injured-child\/3-07-approaching-the-injured-or-sick-child\/","title":{"rendered":"3-07. APPROACHING THE INJURED OR SICK CHILD"},"content":{"rendered":"<p>Again, children in different age groups will need to be approached a littledifferently. Look at the following:<\/p>\n<p>a.<strong> Infants<\/strong>. Allow the mother maximum contact with her infant at the scene of\u00a0the injury and while the infant is being transferred to a medical treatment facility.<\/p>\n<p>b.<strong> Child 1 Year to 3 Years of Age<\/strong>.<\/p>\n<p style=\"padding-left: 30px;\">(1) This child is very dependent on his mother. DO NOT separate the child\u00a0from his mother if at all possible.<\/p>\n<p style=\"padding-left: 30px;\">(2) Allow the child to cry.<\/p>\n<p style=\"padding-left: 30px;\">(3) Explain the procedures you will do to the child. Explain in very simple\u00a0terms that he can understand.<\/p>\n<p style=\"padding-left: 30px;\">(4) Do not overload the child with an explanation of events that will occur in\u00a0the future. These events may be outside his sense of time and serve only to frighten\u00a0him.<\/p>\n<p>c. <strong>The Preschooler: The 3 to 5 Year Old.<\/strong><\/p>\n<p style=\"padding-left: 30px;\">(1) This child lives in a world of many fears: fear of monsters, fear of\u00a0aggression, fear of retribution, etc.<\/p>\n<p style=\"padding-left: 30px;\">(2) The child has some awareness and fear of death.<\/p>\n<p style=\"padding-left: 30px;\">(3) This is the age when a child most fears the mutilation of his body.<\/p>\n<p style=\"padding-left: 30px;\">(4) The preschooler tends to view illness and injury as punishment for his\u00a0own aggressive feelings.<\/p>\n<p style=\"padding-left: 30px;\">(5) He may have already developed the concept that medical personnel are\u00a0associated with a variety of unpleasant experiences.<\/p>\n<p style=\"padding-left: 30px;\">(6) Be very tactful and patient with children in this age range.<\/p>\n<p style=\"padding-left: 30px;\">(7) Cover bleeding injuries rapidly after assuring this child that none of his\u00a0limbs or vital components are missing.<\/p>\n<p style=\"padding-left: 30px;\">(8) Explain what you are doing. Reassure the child frequently that\u00a0everything is all right.<\/p>\n<p style=\"padding-left: 30px;\">(9) If possible, allow the child to bring one of his cherished belongings with\u00a0him.<\/p>\n<p style=\"padding-left: 30px;\">(10) Tell the child what he can expect at the hospital, but do not overwhelm\u00a0him.<\/p>\n<p style=\"padding-left: 30px;\">(11) Reassure the preschooler that it is all right to cry or complain.<\/p>\n<p>d. <strong>The School Age Child.<\/strong><\/p>\n<p style=\"padding-left: 30px;\">(1) Still the school age child&#8217;s anxieties about pain, death, strangers, and\u00a0separation from parents. Reassure the child by telling him what you are going to do.\u00a0Also, tell him that he may feel some discomfort and pain.<\/p>\n<p style=\"padding-left: 30px;\">(2) A school age child has an increased ability to communicate with adults.\u00a0This is a help in dealing with this child&#8217;s fears. You may ask him what he is afraid of and\u00a0respond to his concerns.<\/p>\n<p style=\"padding-left: 30px;\">(3) You may be able to use this child&#8217;s natural curiosity to help him deal with\u00a0events.<\/p>\n<p style=\"padding-left: 30px;\">(4) This child likes to be treated with respect and wants adults to be honest\u00a0with him.<\/p>\n<p style=\"padding-left: 30px;\">(5) Try to make the school age child a partner in the examination and\u00a0treatment process. Do this by explaining each procedure to him in detail.<\/p>\n<p style=\"padding-left: 30px;\">(6) Information tends to reassure a school-aged child rather than frighten\u00a0him.<\/p>\n<p style=\"padding-left: 30px;\">(7) Prepare this child for what he will encounter.<\/p>\n<p style=\"padding-left: 30px;\">(8) Allow this child&#8217;s questions to guide you in the topics of concern.<\/p>\n<p>e. <strong>The Adolescent.<\/strong><\/p>\n<p style=\"padding-left: 30px;\">(1) An adolescent lives in a period of unstable self-esteem. He always\u00a0worries about imagined body defects.<\/p>\n<p style=\"padding-left: 30px;\">(2) The normal fears he feels about his appearance are made worse by\u00a0illness or injury.<\/p>\n<p style=\"padding-left: 30px;\">(3) The adolescent is most likely concerned about how his current injury or\u00a0illness will affect him.<\/p>\n<p style=\"padding-left: 30px;\">(4) An adolescent needs the support you give a sick child, but at the same\u00a0time, he wants to be certain that you are treating him like an adult.<\/p>\n<p style=\"padding-left: 30px;\">(5) Reassure the adolescent, as necessary, but be factual. Question him in\u00a0the same manner you would question an adult.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Again, children in different age groups will need to be approached a littledifferently. Look at the following: a. Infants. Allow the mother maximum contact with her infant at the scene of\u00a0the injury and while the infant is being transferred to a medical treatment facility. b. Child 1 Year to 3 Years of Age. (1) This &hellip; <a href=\"https:\/\/brooksidepress.org\/ob-ped\/lessons\/lesson-3-pediatric-emergencies\/section-iii-special-considerations-of-the-ill-or-injured-child\/3-07-approaching-the-injured-or-sick-child\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">3-07. APPROACHING THE INJURED OR SICK CHILD<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":42,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-214","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/214","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/comments?post=214"}],"version-history":[{"count":3,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/214\/revisions"}],"predecessor-version":[{"id":579,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/214\/revisions\/579"}],"up":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/42"}],"wp:attachment":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/media?parent=214"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}