Question

Please help

Please help to answer these question

Use your own words. Think about the challenges for the patient and the family. Think about how to connect with a child who could be confused and frightened. Think about how you might be perceived to the child and family. Answer in order and number your answers. Answer all questions!

1. You're expecting 6 year old Amalia as an admission to your unit. The family is able to spend about half of the time with the child. What would you encourage the child to do with the rest of the time? (bullet points okay as response)

2. 11 year old Omar is on his third admission to the hospital in six months. He is feeling powerless and out of control. What are five things you could give him choices about to help him feel more powerful? (bullet points okay as response)

3. 4 year old Lily has a terminal brain tumor. She was diagnoses 7 months ago and undergone treatment without success.

A.) What is palliative care?

B.) How can it be used to help the patient psychologically (what is important in this age to consider, what would you assess, assist them with, inform them about) and the patient physically (think about combating brain tumor side effects).

C.) How can you as the RN help the parents and 12 year old sibling psychologically (what would you assess, assist with, inform them about, assume you have full parental permission to discuss things?)

Answer 1

1, Encourage child to play and praise them with their activity, provide open-ended toys like board games, coloring books to encourage their imagination. Never over organize child. Allow mixed-age play for increasing learning opportunities. Introduce a neighbor network of parents and allow little time for Watching TV and computers. Make them get boarded to come up with their own ideas of what to do next, Be realistic while playing, play with them as a priority concern.
2,- Provide an opportunity to contribute to regular work
-Make them think on their own for their daily tasks.
-Praise them for their activity when it was good, correct and encourage them if it is wrong. Avoid punishments.
-Provide routine work and improve learning skills.
-Make the child interact with others to improve new skills.
-Provide responsible work for self-grooming and make a timetable for their activity.
3, a, Palliative care is quality care for the patient and the entire family to solve problems physically and psychologically when the patient is terminally ill.
b, communicate well with the child for increasing trust relationship
Encourage child enjoyment of favorite toys, foods, games etc.
the child may demand with ability to communicate due to brain tumor symptoms, be patience and provide adequate time to communicate.
Assess child fear and altered mental status. the child may not express their symptoms and physical discomfort. assess child different level of activities and changes and provide nonpharmacological and pharmacological interventions like mild massages, cold and heat stimulation, physical therapy, playing mild music and as per doctor orders provide medications to relive psychological and physical symptoms.
c, Provide emotional support for the entire family and connect with a pediatric oncology support community.
The palliative care team should include family and siblings when they grieve and bereave. Have a meaningful goal to comfort them. make a consultation with physical therapy, child life specialist, hospice, and supportive resources. provide cognitive behavioral therapy, play therapy and make close bereavement follow-up for a sibling. provide education to the entire family and make them connect with the community group.