Children who cannot be cared at home
or in the health centre or in the O.P.D., may be admitted to the hospital for
treatment. Hospitalisation is the disruption of the lifestyle of children and
The children's reactions to the
hospitalisation and coping strength depend on the age, developmental stage,
body image, fear, reason for hospitalisation, and the previous experience about
The change from home to hospital
environment creates stress. The difference in hospital and home disturbs the
child and adds to the stress, for example, environment, mealtime, toileting,
feeding, bath time, and recreation.
By understanding these factors, the
nurse can explore the child's reaction, describe nursing care to provide safety,
promote sleep and rest, manage sensory deprivation, relieve pain, give
medications, and assist in other procedures.
It is important to be aware of the
variability associated with the life span, in relation to each aspect in the
children's daily practices. This will help in accurate assessment, planning of
management by modifications during
nursing care techniques, for health advice, and to
give emotional support through appropriate environment.
One should understand the needs of
the child at a particular age. The child must establish trust in caregiver, and
he must be encouraged for positive behaviour.
Developing rapport with the help of
warm and loving words and allowing parental participation in childcare is
important. Necessary information should be given to the parents about the
rules, policies, care of the child and preventive measures.