Related to: Separation from significant others (specify, parents, siblings, peers and/or primary caretaker).
Defining Characteristics: Ages 6 to 30 months (specify, crying, screaming, withdraws from others, inactive, sad, detachment behaviors, regressive behaviors); 3 to 6 yrs. (specify, temper tantrums, refusal to comply with hospital routine/treatments, crying, refusal to eat); 6 to 12 yrs. (specify, express feelings of loneliness, boredom, isolation, depression, worry about absence from school); 13 to 18 yrs. (specify, may react with dependency, uncooperativeness, withdrawal behaviors, fear of loss of peer status/acceptance at school).
Related to: Decreased or increased environmental stimulation.
Defining Characteristics: Inability to perform self-care or self-control activities appropriate for age, decreased responses, listlessness, flat affect; delay or difficulty in performing developmental tasks/skills (specify, motor, social or language) typical for age group.
Related to: Chronic illness or disability, repeated hospitalizations.
Defining Characteristics: Inability to perform gross and fine motor tasks appropriate to age, altered physical growth (specify). Goal: Child will exhibit age-appropriate growth and development by (date/time to evaluate). Outcome Criteria
V Child exhibits age-appropriate growth and development activities (specify). NOC: Child Development
Provide or arrange for growth and Identifies developmental level or development assessment with the any lag in development to assist administration of tools in plan of care or therapy;
such as Washington Guide, Denver Developmental Screening Test (DDST), Denver Developmental Screening Test Revised (DDST-R), Denver II, Revised Denver Prescreening Developmental Questionnaire (R-PDQ), Denver Articulation Screening Exam (DASE) (specify).
Reassess developmental levels at intervals appropriate for illness or other problem (specify).
Provide consistent caretaker and care.
Depending on age and abilities, encourage to participate in goalsetting decision-making, participation in care (specify).
Provide visual, auditory, tactile stimulation, including mobiles with or without color, music, toys, books, television, games or other age-related activities; hold child and rock or pat on back, talk to child.
Provide time for child, either quiet or talking, to play with other children, time for parents that remain in hospital to interact with child.
Provide developmentally appropriate activities based on child's age-related abilities (specify).
Explore the family's and child's feelings regarding child's health status and required treatments.
Encourage independence and choices in as many areas as possible (i.e., dressing, feeding, type of foods/ drinks, or BandAids).
Encourage socialization (i.e., in the play room, with siblings, peers, phone calls, if possible).
Recognize and support ritualistic behaviors (especially in the young child).
Encourage mastery of self-care activities, required health care equipment, if appropriate.
Instruct parents on growth and information should include age-expected gross and fine motor development, language and social development, psychosocial and psychosexual development, interpersonal skills, cognitive and moral and spiritual development.
Provides evidence of progress to evaluate program to correct any growth and developmental deficit.
Promotes trust and progress in development.
Promotes independence needed for control and development.
Promotes stimulation needed to maintain developmental status.
Promotes independence and development or maintenance of motor skills to prevent regression.
To enhance child's adjustment to hospitalization and treatment and to enhance child's maximum growth and developmental abilities.
Promotes family communication and attitude of acceptance and adaptation to child's health status and abilities.
Fosters child's sense of control, adaptation, and developmental growth during their altered health state and hospitalization.
To foster child's ability to develop and maintain peer relationships.
Fosters child's need for autonomy.
Fosters child's need for initiative and purpose; fosters child's self-esteem. Provides information about age-
development for child's age (specify).
Inform of age-related play and other activities that enhance growth and development and provide needed stimulation; include those that encourage gross and fine motor development, sensory and cognitive development, others as determined by testing and needs.
Teach parents whether developmental and growth lag is the result of the child's illness (acute or chronic) or some other reason.
Discuss test results with child and parents and possible plan to resolve any deficits, both short-term during hospitalization and long-term during convalescence.
Initiate referral to child development expert if appropriate.
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