Risk For Trauma

Related to: Developmental age, deficient knowledge and cognitive immaturity predisposing the child to safety hazards in the environment.

Defining Characteristics: Developmental age, developmental delays, disturbances in gait, vision, hearing, perceptual or cognitive functioning (specify).

Goal: Child will not experience any trauma by (date/time to evaluate). Outcome Criteria

V Child engages in appropriate play (specify) without injury.

V Parents verbalize safety considerations related to toys/games (specify according to developmental level). NOC: Knowledge: Personal Safety

INTERVENTIONS

Assess age of child and reason for particular selection of type and article of play, and intended purpose of play (enjoyment, development, therapy).

Select safe toys appropriate for age and amount of activity allowed (active or passive plays) and that suit the skills and interest of

RATIONALES

Provides information needed to select appropriate toy or activity for play based on age: infants grasp and hold articles and stuffed toys; young child plays with replicas of adult tools and other toys, plays pretend, and later moves from toys to games, hobbies, sports; older child continues with games and sports and begins to daydream; play provides fun, diversion, and learning about procedures for the child who is hospitalized.

Provides guidelines for quiet play or play that involves motor activity.

the child.

Encourage play and allow parents to bring favorite toy, game or other play materials from home.

In a quiet environment, plan and implement an age-appropriate play activity to prepare the child for all invasive procedures, to observe child's behavior, or to allow child to reveal fears and concerns with or without someone in attendance (specify).

Remove all unsafe, sharp, broken toys, toys with small parts that can be swallowed, toys inappropriate for age (specify).

Allow child to communicate type of toy desired and to assist in the selection of toys and play activities.

Teach parents to select toys, play equipment, and supplies that are labeled for intended age group; nontoxic and flame resistant with directions for use; that are durable and do not have sharp edges or points; that do not have small parts that can be swallowed; that do not contain any parts to be ejected; and that are not broken, rusted, or weak and need repairs.

Teach parents to store play materials meant for older children away from young child to provide a safe place for toys, to discard or repair broken toys.

Teach parent(s) to select play activity based on child's energy and tolerance level during an illness, and to evaluate toys given as gifts to the child.

Promotes learning and skill development, and facilitates expression of feelings.

Promotes therapeutic play with a selection of toys and articles that include dolls or puppets (nurse, doctor, child, family members); hospital supplies (syringe, dressings, tape, tubes); paper, crayons, and paints; stuffed toys, toy telephone; prepares the child emotionally and cognitively for invasive procedures; fosters appropriate coping strategies.

Prevents trauma or injury to the child.

Promotes independence and control over play situation.

Promotes safe play for the child.

Prevents accidents caused by toys in pathways or by toys meant for older, more mature play.

Provides the enjoyment of active or passive play that is geared to child's condition.

NIC: Parent Education: Child-Rearing Family Evaluation

(Date/time of evaluation of goal)

(Has goal been met? Not met? Partially met?)

(List appropriate play child engaged in without injury. Provide quotes from parents verbalization of safety considerations.) (Revisions to care plan? D/C care plan? Continue care plan?)

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