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    Atraumatic Care

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    1903015 ANTONITA LINTANG PAWESTRI
    This document discusses principles of atraumatic pediatric care including: [1] Enabling family-centered care and empowering parents; [2] Preventing or minimizing physical and psychological distress in children; [3] The goal of avoiding harm. It describes atraumatic care concepts like family focus, stimulation, play, anticipatory guidance, and atraumatic procedures. Stressors for hospitalized children include pain, separation from family, unfamiliar surroundings and sounds. Principles of atraumatic care are preventing separation from family, increasing parental control over care, and preventing or reducing injury.

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    Atraumatic Care

    Uploaded by

    1903015 ANTONITA LINTANG PAWESTRI
    68 views16 pages
    This document discusses principles of atraumatic pediatric care including: [1] Enabling family-centered care and empowering parents; [2] Preventing or minimizing physical and psychological distress in children; [3] The goal of avoiding harm. It describes atraumatic care concepts like family focus, stimulation, play, anticipatory guidance, and atraumatic procedures. Stressors for hospitalized children include pain, separation from family, unfamiliar surroundings and sounds. Principles of atraumatic care are preventing separation from family, increasing parental control over care, and preventing or reducing injury.

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    This document discusses principles of atraumatic pediatric care including: [1] Enabling family-centered care and empowering parents; [2] Preventing or minimizing physical and psychological distress in children; [3] The goal of avoiding harm. It describes atraumatic care concepts like family focus, stimulation, play, anticipatory guidance, and atraumatic procedures. Stressors for hospitalized children include pain, separation from family, unfamiliar surroundings and sounds. Principles of atraumatic care are preventing separation from family, increasing parental control over care, and preventing or reducing injury.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    68 views16 pages

    Atraumatic Care

    Uploaded by

    1903015 ANTONITA LINTANG PAWESTRI
    This document discusses principles of atraumatic pediatric care including: [1] Enabling family-centered care and empowering parents; [2] Preventing or minimizing physical and psychological distress in children; [3] The goal of avoiding harm. It describes atraumatic care concepts like family focus, stimulation, play, anticipatory guidance, and atraumatic procedures. Stressors for hospitalized children include pain, separation from family, unfamiliar surroundings and sounds. Principles of atraumatic care are preventing separation from family, increasing parental control over care, and preventing or reducing injury.

    Copyright:

    © All Rights Reserved
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    Philosophy of Care

    • Enabling
    Family
    • Empowerment
    center care

    • Minimal distres fisik


    Atraumatic psikologis
    care • Tujuan: No harm
    Prinsip utama dalam asuhan
    terapeutik
    Cegah/minimalkan dampak perpisahan
    (family center)
    Tingkatkan kemampuan ortu dalam
    mengontrol perawatan anak
    Cegah/minimalkan cidera fisik &
    psikologis
    Modifikasi lingkungan
    KONSEP KEPERAWATAN ANAK

    Stimulasi t-k
    berfokus keluarga
    Bermain
    Bimbingan Antisipasi
    Perawatan Atraumatik
    Case management
    Perawatan atraumatik

     Hospitalisasi  traumatis
     distres psikis : cemas, takut,marah, kecewa,
    sedih, malu, rasa bersalah
     Distres fisik : imobilisasi, kurang tidur karena
    nyeri, bising, silau, dll
    Definisi Atraumatic Care

     Tindakan perawatan terapeutik dengan cara


    mengeliminasi atau meminimalisir stres
    psikologi & fisik pada anak & keluarga
    Prinsip Atraumatic Care
    Mencegah/ meminimalkan dampak
    perpisahan anak dg klg

    Meningkatkan kemampuan ortu dlm


    perawatan anak

    Mencegah/ mengurangi injury (nyeri)

    Tidak melakukan kekerasan pd anak


    Pain and discomfort of common
    hospital procedures in children
    (Wong & Baker, 1989)
    150 hospitalized children, ages 3-18 yrs, rated procedures
    they had experienced using FACES (0-5) scale:
    (mean score)

    1. Arterial blood gas 4.7 (severe)


    2. Chest tube insertion 4.7 (severe)
    3. Lumbar puncture 3.9 (severe)
    4. Bone marrow test 3.7 (severe)
    5. Peripheral IV insertion* 2.9 (moderate)
    6. IM injections 2.5 (moderate)
    7. IV removal 2.0 (mild)
    8. Fingerstick 2.0 (mild)
    Ref: Ped Nurs 14(1):13, 1989.
    Stressor Fisik
     Nyeri and ketidaknyamanan (injeksi, venipunctures,
    intubasi, Suction, perawatan luka, rectal exam,
    invasive procedure, disease, treatments)
     Immobility (use of restraints, lelah, imposed bedrest)
     Sleep deprivation
     Inability to eat or drink
     Changes in elimination habits
    Stressor Psikologis
     Separation from family
     Lack of privacy
     Inability to communicate (if intubated)
     Inadequate knowledge and understanding of
    situation
     Severity of illness
    Stressor Lingkungan
     Unfamiliar surroundings (crowding)
     Unfamiliar sounds (equipment noise, such as
    monitors, telephone, suctioning, computer printout;
    human sounds, such as talking, laughing, crying,
    coughing, moaning, retching, walking)
     Unfamiliar people (health care professionals,
    patients, visitors)
    Stressor Lingkungan, cont…
     Unfamiliar and unpleasant smells (alcohol,
    adhesive remover, body odors, food)
     Constant lights and noise
     Activity related to other patients
     Sense of urgency or lack of urgency/concern
    among staff; unkind comments
    Mencegah Stresor Fisik
    Menghindari atau
    meminimalkan prosedur yang
    menimbulkan rasa nyeri

    Mencegah atau menghindari


    beberapa jenis distrees fisik

    Mengontrol nyeri
    Mencegah Perpisahan dg Klg

    Family centered

    Primary care  perawatan


    primer dg kel perawat dan asisten
    yang sama
    Meningkatkan Kontrol Diri

    Meningkatkan pengetahuan keluarta tentang


    kondisi anak dan kesehatannya

    Meningkatkan ketrampilan orang tua dalam


    mengawasi perawatan anak

    Menghilangkan ketakutan dan ketidaktahuan

    Memberikan kesempatan untuk melakukan pengendalian


    diri (berpartisipasi dlm perawatan dan jadwal sesuai
    dengan kebiasaan)

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